Mark Wang Archives - Desert Institute for Spine Care

Spinal Stenosis Without Fusion

WebFX — Mon, 12 Jan 2026 21:04:32 +0000

BY MARK WANG, MD

Dr. Mark Wang is a fellowship-trained and board-certified orthopedic spine surgeon. He dedicates his full attention to working together with his patients to identify their pain source and find the least invasive treatment that works for them.

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Receiving a diagnosis of spinal stenosis can feel overwhelming, especially when the conversation turns to surgery. Addressing a spine problem does not always mean undergoing a major spinal fusion — a procedure that involves permanently joining vertebrae together with screws and rods.

The thought of losing mobility or facing a long recovery sometimes causes people to delay necessary treatment. However, spinal stenosis without fusion is not only possible but the preferred treatment path for many patients. Learn why spinal stenosis surgery does not always require fusion, the benefits of non-fusion surgery and how to prepare for a conversation with your doctor about the best non-fusion options for you.

What Is Spinal Stenosis and Why Is Surgery Performed?

Spinal stenosis occurs when the open spaces around the spinal cord and exiting nerves within your spine narrow. This narrowing puts pressure on the spinal cord and the nerves that travel through the spine to your arms and legs. While it can happen in the neck, spinal stenosis is most common in the lower back. This is called lumbar spinal stenosis.

For many people, this pressure leads to specific, debilitating symptoms. You may experience heavy cramping in your legs when walking, known as neurogenic claudication. Others feel shooting pain, numbness or tingling that travels down the buttocks and into the feet. These symptoms often force patients to lean forward or sit down to find relief.

Physical therapy, anti-inflammatory medications and epidural steroid injections are effective for managing mild to moderate symptoms. However, if these nonsurgical methods fail to improve your quality of life after several months, surgery becomes a consideration. The goal of any spinal stenosis surgery is decompression. Simply put, the surgeon needs to open up the narrowed spaces to relieve the pressure on the trapped nerves.

Decompression With Fusion vs. Decompression Alone

While the goal of relieving pressure is always the same, the method used to achieve it can vary. Understanding the difference between decompression with fusion and decompression alone is important for making an informed decision.

Decompression With Fusion

Spinal fusion is a procedure designed to stabilize a painful vertebral segment and prevent motion. The surgeon decompresses the spinal canal and then to restore disc height, places bone graft material between two or more vertebrae, often securing them with metal plates, screws or rods. Over time, these vertebrae heal into a single, solid bone.

Fusion is often necessary when the spine is unstable. If a patient has a condition like spondylolisthesis, where one vertebra slips forward over another, or severe deformity, fusion provides the stability needed to prevent further slippage and pain.

Decompression Alone

For patients who have a stable spine, fusion is often unnecessary. In these cases, the surgeon performs a decompression alone procedure. This approach removes the bone spurs, thickened ligaments or herniated disc material that is pinching the nerves. The structural integrity of the spine remains intact, so no screws or rods are needed.

Common non-fusion procedures include:

Laminectomy: The surgeon removes the back part of the vertebra, called the lamina, to create more room for the spinal cord.
Laminotomy: Only a small portion of the lamina is removed, carving out a window to relieve pressure.
Foraminotomy: This procedure enlarges the area around one of the exiting nerve called the lateral recess or facet joint in the spinal column to relieve pressure on compressed exiting nerves.

Many procedures can be performed using minimally invasive or endoscopic techniques that reduce trauma to the body.

Benefits of Avoiding Spinal Fusion

Choosing a decompression-alone approach has advantages for the right candidate. Because the procedure is less extensive, the impact on your body and your lifestyle is reduced in the following ways:

Faster recovery: Fusion surgeries require time for the bones to solidly knit together, a process that can take several months. In contrast, non-fusion procedures focus on soft tissue and involve the removal of small amounts of bone. This typically results in shorter hospital stays and a quicker return to work and hobbies.
Preserved mobility: Your spine is suited to twisting, bending and turning. Fusing vertebrae stops motion at that specific segment, which can make certain movements feel stiff or restricted. Non-fusion surgery preserves the natural mechanics of your spine, allowing you to maintain your normal range of motion.
Lower risk of adjacent segment disease: When a segment of the spine is fused, the stress that would normally be absorbed by that segment is transferred to the vertebrae above and below it. Over time, this extra stress can accelerate wear and tear in those neighboring areas, known as adjacent segment disease (ASD). By avoiding fusion, you maintain natural stress distribution throughout the spine, which may reduce the risk of future surgeries.

What Is the Success Rate of Surgery for Spinal Stenosis Without Fusion?

Defining success in spinal stenosis surgery depends on the patient’s unique diagnosis. The goal is always to match the least invasive and most effective solution to the specific cause of nerve compression. The choice between a decompression-alone procedure and a decompression with fusion hinges on level of spinal degeneration and spinal stability.

Patients With a Stable Spine

If the spinal column is stable and the main issue is nerve compression from bone spurs or ligament thickening, decompression-alone, like a laminectomy, is the gold standard. For these patients, success is measured by the relief of nerve-related symptoms.

Studies have shown that decompression surgery provides significant and lasting improvements in leg pain, numbness and walking ability for this group. The benefit is a highly effective surgery with a significantly lower impact, which includes shorter surgery, less blood loss and a faster recovery.

Patients With Spinal Instability

If a person has spinal stenosis combined with instability, like degenerative spondylolisthesis, simply decompressing the nerves may not be enough. The underlying instability can cause mechanical back pain and increase the patient’s risk of reoperation.

For this group, a laminectomy with fusion is often recommended. Adding fusion for unstable cases can lead to functional improvement and lower the need for future surgeries. The trade-off is a longer operation, a longer hospital stay and a higher risk of complications. Success here is defined by addressing both the nerve compression and the mechanical instability.

Ultimately, a successful outcome is achieved when the surgical plan correctly identifies and addresses the root cause of your pain. This is why the diagnostic phase is so critical. A surgeon’s recommendation for or against fusion is based on a careful analysis of your imaging and symptoms to determine if instability is a contributing factor.

Recovering After a Non-Fusion Procedure

Because there is no bone graft that needs to fuse two vertebral bodies together, restrictions are less severe than with fusion. Recovery is generally as follows:

First few days: Most patients are encouraged to walk the day after surgery. Walking promotes blood flow and aids in healing process. You may experience some soreness at the incision site, which is normal and usually managed with medication and ice.
Weeks 1-4: You will gradually increase your activity level. While you are moving more, you will likely still have restrictions on bending, lifting and twisting. This protects the soft tissues as they heal. Many patients notice an immediate improvement in their leg pain, although some nerve healing can take longer.
Physical therapy: Usually, a few weeks after surgery, a therapist will guide you through exercises designed to strengthen the core muscles that support your spine. This helps stabilize the spinal column naturally, ensuring the long-term success of the decompression.

Good Candidates for a Non-Fusion Procedure

Determining the right approach requires a careful evaluation of your specific anatomy. Surgeons look for specific criteria when recommending decompression alone:

Stable spine: If your X-rays show no significant slipping when you flex and extend your back, you are likely a good candidate.
Source of compression: If the pressure is caused mainly by thickened ligaments or bone spurs rather than a misalignment of the vertebrae, removing those overgrowths is often enough.
Absence of deformity: Patients with severe scoliosis or kyphosis, curvature of the spine, may need fusion to correct the deformity in addition to relieving pain.

Your Next Step to a Life With Less Pain

Living with spinal stenosis does not mean you have to accept a life of limited mobility or resign yourself to major fusion surgery. For many people, a targeted decompression procedure offers the perfect balance of pain relief with a faster, easier recovery.

At Desert Institute for Spine Care (DISC), we specialize in the most advanced, ultra-minimally invasive techniques. Our surgeons are pioneers in endoscopic spine surgery, which allows for thorough decompression through incisions smaller than a dime. We believe in preserving your natural anatomy whenever possible and are dedicated to helping you return to the active life you love.

Schedule a consultation with one of our spine specialists to discuss alternatives to spinal fusion for spinal stenosis that may be just right for you.

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DISC Surgeons Named 100 Best Doctors in AZ 2026

Todd Bouwkamp — Thu, 13 Nov 2025 20:37:46 +0000

DISC Surgeons Recognized Among Arizona’s 100 Best Doctors for 2026

At the Desert Institute for Spine Care (DISC), our mission is clear: help patients Enjoy Life Again through ultra-minimally invasive, motion-preserving spine surgery—and to deliver it with speed, value, and compassion. Today, we are thrilled to announce that three of our leading spine surgeons have been honored in the prestigious AZ Business Magazine “100 Best Doctors in Arizona for 2026” list — a recognition that underscores the clinical excellence, innovation, and patient-first mindset that define DISC.

⭐ Honorees

Joshua H. Abrams, D.O.

Dr. Abrams has been named to AZ Big Media / AZ Business Magazine’s “100 Best Doctors in Arizona for 2024 & 2026” list. A fellowship-trained orthopedic spine surgeon specializing in minimally invasive techniques and artificial disc replacement, Dr. Abrams brings both innovation and compassion to his patients’ care. This award not only recognizes his surgical skill, but also the patient-first mindset and the high standard of care patients expect when they come to DISC.

Mark J. Wang, M.D.

Dr. Wang has also earned top-doctor recognition—he was featured in the “Top Doctor 2024” list and has consistently been recognized for his excellence in spine care. With robust training including a fellowship at the Southern California Orthopaedic Institute, he treats conditions across the cervical, thoracic, and lumbar spine with an emphasis on motion-preservation and minimally invasive techniques. His dedication to collaborative care and patient education sets a strong foundation for the DISC patient-experience promise.

Dr. Nima Salari, M.D., FAAOS

A nationally respected figure in minimally invasive and robotic-assisted spine surgery, Dr. Nima Salari has amassed numerous recognitions across Arizona’s top doctor listings and national publications. Dr. Salari, also part of the DISC team, has likewise been named to the “100 Best Doctors in Arizona for 2025 & 2026” list by AZ Business. AZ Big Media+1 He specializes in advanced spine-surgery techniques including endoscopic and minimally invasive interventions. His recognition further bolsters DISC’s depth of clinical talent and underscores our leadership in modern spine care.

Why These Awards Matter

Peer-recognition counts – Both recognitions are based on qualifications, patient outcomes, and peer nominations, reflecting the respect Drs. Abrams and Wang enjoy among their colleagues and within the Arizona spine-care community.
Patient reassurance – For anyone considering spine care (especially complex problems like disc disease, spinal stenosis, or artificial-disc replacement), these accolades add an important layer of validation: you’re seeing surgeons who meet elevated benchmarks of excellence.
Aligns with our brand promise – At DISC, we emphasize “Ultra-Minimally Invasive,” “Motion Preservation,” and “Enjoy Life Again.” These awards reinforce that our surgeons don’t just do surgery—they pursue outcomes that matter (so their patients can return to living).

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Selecting the Ideal Spine Surgeon for Endoscopic Spine Surgery

WebFX — Fri, 11 Jul 2025 22:47:59 +0000

Living with constant pain can feel exhausting, and the search for lasting relief often feels like an uphill battle. If you’re in that place, know this: you’re not alone—and you do have options. When it comes to conditions like herniated discs, spinal stenosis, or degenerative disc disease, there are several surgical treatments to consider. These include traditional open surgery, minimally invasive techniques, and the most modern option: endoscopic spine surgery.

Many people, understandably, seek second or even third opinions to find the most minimally invasive approach—and the right surgeon to perform it.

Endoscopic spine surgery stands out as one of the least invasive options available. For the right candidates, it can mean smaller incisions, less pain, and a much quicker return to normal life. Imagine being able to get back to work and your everyday routine in far less time than with traditional surgery. That said, not everyone qualifies for this kind of procedure. Your spinal anatomy, where the disc damage is located, and other medical factors play a big role in determining if this approach is right for you.

Another thing to keep in mind—not all spine surgeons are trained in these advanced techniques.

That’s why, in this article, we’ll walk you through the benefits of endoscopic spine surgery and how it could be the solution you’ve been looking for. Most importantly, we’ll help guide you in selecting a qualified, experienced surgeon who specializes in endoscopic procedures—so you can feel confident in your next step toward healing.

Why is Endoscopic Spine Surgery Considered the Least or Ultra-Minimally Invasive?

Endoscopic spine surgery is one of the most advanced and gentle surgical techniques used to treat common back problems like herniated discs, spinal stenosis, and degenerative disc disease. Unlike traditional open back surgery—which involves large cuts and more disruption to the muscles—this procedure uses a tiny ¼-inch incision and a high-definition camera. This means much less trauma to your body.

The benefits? Less pain, quicker healing, and fewer complications. For many people, this ultra-minimally invasive method offers the most effective and least disruptive solution for spine conditions.

Top 5 Benefits of Endoscopic Spine Surgery

Smaller Incisions – unlike MIS and traditional spine surgery that utilizes 1-inch to 3-inch incisions, endoscopic spine surgery uses a ¼ inch incision.
Faster Recovery & Quicker Return to Activities – the smaller incision often reduces the recovery. Patients return to administrative work in as little as 3-5 days. Walking and light exercise within the first week of surgery.
Reduced Pain & Less Blood Loss – endoscopic patients have fewer need for narcotic medication and experience minimal blood loss.
Lower Risk of Complications – endoscopic patients have lower chance of infection, nerve and tissue damage.
Spinal Muscle Preservation – endoscopic spine surgery minimizes muscle splitting and cutting, and patients experience reduced scar tissue thus maintaining spinal mobility.

Training, Specialization, Research, and Experience Set the Best Endoscopic Spine Surgeon Apart

Spine Surgeon Traditional Training

All U.S. spine surgeons receive intensive training through either orthopedic or neurosurgery residencies, supplemented with spine fellowships at accredited medical facilities. Surgeons then continue their education in specialized techniques and spinal devices, choosing the best devices to meet their patients’ requirements. Still, few medical facilities provide formal education in endoscopic spine surgery.

Early Training for Endoscopic Spine Surgery in the United States

For the past three decades, since the early 1990’s, Dr. Anthony Yeung has been a driving force in teaching spine surgeons’ endoscopic techniques throughout the United States and the world. Dr. Yeung trained the first two generations of surgeons to conduct spine surgery endoscopically at the Desert Institute for Spine Care. Dr. Yeung revolutionized spine surgery in that he created the first complete endoscopic system that enabled spine surgeons to have access to the pain-producing herniated disc with minimal resection of muscles and bones. The first endoscope with a wide-angle HD camera provided a wider image of the spinal anatomy, continuous saline water to enable enhanced visualization of spine and pain-causing herniated disc. Today, about 10% of spine surgeons in America are performing endoscopic spine surgery—most of them having been directly trained or inspired by Dr. Yeung’s revolutionary work and unparalleled contributions to the specialty.

Original Yeung Endoscopic Spine Surgery System

Endoscopic Spine Surgery Specialization

Endoscopic spine surgery requires specialized training in ultra-minimally invasive endoscopic techniques, focusing on using small incisions and advanced imaging technology to treat spinal conditions. There are several endoscopic techniques offered in the lumbar, thoracic and cervical spine. Surgeons must undergo extensive education and hands-on training to master the precise skills needed for navigating the spine with minimal disruption to surrounding tissues. This includes learning to use endoscopic cameras, specialized micro instruments, and real-time imaging to perform procedures such as herniated disc removal, spinal stenosis decompression, and fusion. Surgeons often attend specialized courses, cadaver workshops, and fellowships to hone these skills, ensuring they stay updated with the latest advancements in the field.

Clinical Research & Endoscopic Training

Endoscopic spine surgeons are specialized in ultra-minimally invasive techniques, in addition to what their learned in the fellowship training. They dedicate time to mastering the endoscopic techniques while attending yearly educational research and training seminars to learn and share their clinal experience with like-minded colleagues. Endoscopic surgeons have incorporated endoscopic spine surgery techniques into their treatment selection when evaluating patients suffering in pain. Many of these surgeons’ listed train other spine surgeons at weekend courses throughout the United States as a commitment to training the next generation of endoscopic spine surgeons. What distinguishes the endoscopic surgeon is the commitment to offering and refining the least invasive surgical options that achieves expected outcomes and gets patients back to life sooner.

Endoscopic Spine Surgery Research and Educational Groups:

Society for Minimally Invasive Spine Surgery (SMISS) –
International Spinal Research Foundation
Endoscopic Spine Research Group

What are the Endoscopic Spine Surgery Techniques Offered?

Lumbar Transforaminal Discectomy – Removal of herniated or damaged disc material using endoscopic tools to relieve pressure on spinal nerves.
Lumbar Interlaminer Discectomy – similar to microdiscectomy with smaller incision and avoids laminectomy
Lumbar Endoscopic Spinal Decompression – Removal of bone or soft tissue to alleviate pressure on the spinal cord or nerve roots, often used for conditions like stenosis.
Lumbar Endoscopic Foraminotomy – A procedure that removes bone or tissue to widen the nerve root openings, helping to treat radiculopathy caused by nerve compression.
Lumbar Endoscopic Spinal Fusion – A minimally invasive approach to fusing two or more vertebrae together to treat instability or degenerative disc disease.
Lumbar Endoscopic Medial Branch Nerve Transection – A technique that targets and ablates the medical branch nerve to alleviate chronic low back pain, often used in cases of facet joint syndrome or spinal arthritis.
Cervical Medial Branch Nerve Transection
Cervical Posterior Foraminotomy/Discectomy

What Questions Should You Ask Your Endoscopic Spine Surgeon?

When selecting an endoscopic spine surgeon, there are a few important questions to ask to ensure they are highly trained and the right fit for your needs. Ask which surgical techniques they offer. There are several endoscopic techniques that treat several different spine conditions. Ask what their experience/training is with the endoscopic techniques they offer to include how many cases they do each year. Not every surgeon offers all endoscopic techniques and there are many. Ask about their familiarity with the latest endoscopic technology and techniques. During your discussion also ask what their complication rates are for the select endoscopic spine surgery. Any great surgeon has patient testimonials that speak to their satisfaction with the endoscopic surgery. Lastly, make sure you have a thorough explanation of your diagnosis and treatment options focusing on a patient-centered approach to your care.

10 Experienced US Endoscopic Spine Surgeons

Chris Yeung, MD Google Patient Reviews 528 (4.9)
Justin Field, MD Google Patient Reviews 697(4.9) | Why do you offer endoscopic spine surgery to your patients? “It’s a wonderful procedure to offer patients who are appropriate candidates…certainly quicker recovery so patients can return to athletic activities.”
Nima Salari, MD Google Patient Reviews: 686 (4.9) | Why do you offer endoscopic spine surgery to your patients? “It is the absolute least invasive options available for potentially the greatest impact for the patient.”
Joshua Abrams, DO Google Patient Reviews: 724 (4.9)
Mark Wang, MD Google Patient Reviews: 666 (5.0)
Farhan Siddiqi, MD Google Patient Reviews: 798 (4.9) | What is the greatest patient benefit for endoscopic spine surgery? “rapid return to normal activities within 1 to 2 weeks, heavy labor like construction in 6 weeks”
Peter Derman, MD Google Patient Reviews 121 (5.0) | Why do you offer endoscopic spine surgery? “I try to avoid surgery, when possible, but when non-surgical options fail, I prefer endoscopic spine surgery—an ultra-minimally invasive, motion-preserving procedure with unbelievable fast recovery that often prevents the need for more extensive surgeries like spinal fusions.”
Christoph Hofstetter, MD Patient Reviews 206 (4.7)
Raymond Gardocki, MD Patient Reviews: 272 (4.4) | Dr. Gardocki chooses endoscopic spine surgery based on personal preference, stating, “That’s how I would want surgery done if I were having it.”
Albert Telfeian, MD Google Patient Reviews 7 (5.0)

Regional US Endoscopic Spine Surgeons

Northeast

Albert Telfeian, MD The Endoscopic Spine Institute of New York, NY
Paul Houle, MD Cape Cod Healthcare, Hyannis, MA
Osama Kashlan, MD Weill Cornell Medicine, New York, NY
Sanjay Konakondla, MD The Endoscopic Spine Institute of New York, NY

Mid-Atlantic

John Yoon, MD Director, Minimally Invasive Spine Surgery, U Penn Medicine, Philadelphia, PA
Patrick Kim, MD U Penn Medicine, Philadelphia, PA

Southeast

Gregory William Basil, MD Director of Endoscopic Spine Surgery, University of Miami Health System, Miami, FL
Farhan Siddiqi, MD Florida Advanced Spine and Orthopedics, Tampa, FL
Victor Hayes, MD Elite Spine and Orthopedics, Tampa, FL
Chad Campion, MD Campbell Clinic Orthopaedics, Memphis, TN
Raymond Gardocki, MD Vanderbilt Orthopaedics, Franklin, TN
Edison Valle Giler, MD Naples Neuro Care, Naples, FL

South

Peter Derman, MD Texas Back Institute, Plano, TX
Andrew Clavenna, MD Carrell Clinic, Dallas, TX
Meng Huang, MD Houston Methodist Hospital, Houston, TX
Paul Holman, MD Houston Methodist Hospital, Houston, TX

Midwest

Daniel Hafez, MD Washington U Medicine, St. Louis, MO
John Ogunlade, DO Washington U Medicine, St. Louis, MO

Rocky Mountain

Wade Jensen, MD Afton, WY
Michael Gallizzi, MD Steadman Clinic, Vail, CO

Northwest

Christoph Hofstetter, MD UW Medicine, Neurological Surgery, Seattle, WA

Southwest

Chris Yeung, MD Desert Institute for Spine Care, Phoenix, AZ
Justin Field, MD Desert Institute for Spine Care, Phoenix, AZ
Nima Salari, MD Desert Institute for Spine Care, Phoenix, AZ
Joshua Abrams, DO Desert Institute for Spine Care, Phoenix, AZ
Mark Wang, MD Desert Institute for Spine Care, Phoenix, AZ
Kai-uwe Lewandrowski, MD Center for Advanced Spine Care of Southern Arizona, Tucson, AZ West
Choll Kim, MD Excel Spine, San Diego, CA
Sohrab Gollogly, MD Monterey Spine and Joint, Monterey, CA
Saqib Hasan, MD Golden State Orthopedics & Spine, Oakland, CA

Choose the Right Spine Surgeon

Selecting the right surgeon for endoscopic spine surgery is a vital step in achieving the best possible outcome for your spine health. The key factors include the surgeon’s experience, training in endoscopic techniques, familiarity with the latest technology, and a strong commitment to patient-focused care. Endoscopic spine surgery offers significant advantages, such as smaller incisions, quicker recovery, reduced pain, and fewer complications compared to traditional surgery. It’s crucial to ask the right questions, conduct thorough research, and seek second opinions if necessary. Trust your instincts and choose a surgeon who makes you feel well-informed, confident, and supported throughout your treatment journey.

LEARN MORE ABOUT ULTRA-MIS

LEARN MORE ABOUT ENDOSCOPIC SPINE SURGERY

SEEK A VIRTUAL SECOND OPINION

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What Is The Cost of Cervical Total Disc Replacement?

WebFX — Mon, 25 Nov 2024 21:40:58 +0000

BY MARK WANG, MD

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Are you considering cervical artificial disc replacement (ADR) but feeling uncertain about the costs and insurance coverage? You’re not alone. The expenses associated with this procedure can range widely—from $30,000 to $50,000 per disc. Several factors, such as location, hospital fees, surgeon expertise and the type of disc implanted, affect this price.

Navigating insurance policies and understanding whether Medicare covers the surgery can add another layer of complexity. In this comprehensive guide, we’ll break down everything you need to know about the costs involved, how insurance and Medicare come into play and what factors can affect your out-of-pocket expenses.

What Does the Price of a Cervical Total Disc Replacement Include?

Let’s start with the vital information — what exactly does the total price of an ADR include? Usually, the price includes the following:

Preoperative tests and consultations
Surgeon fees
Hospital or surgical center fees
Cost of the artificial disc implant
Anesthesia fees
Postoperative care
Follow-up care visits

Does Insurance Cover Cervical Disc Replacement?

The majority of insurance companies cover some or all of the costs associated with cervical disc replacement surgery. Reach out to your insurance company to get more information about your policy’s restrictions and coverage details. To qualify for insurance coverage, you need to meet certain requirements:

Severe degenerative disc disease: You will likely get insurance coverage if you are experiencing significant back pain due to degenerative disc disease. Studies show that 60% of people over 40 suffer from this.
Impact on daily life: If cervical disc pain substantially affects your daily activities, your insurance may cover a medical procedure.
Unsuccessful traditional treatments: If you’ve tried medical treatments and physical therapy with no success, you have a bigger chance of having your insurance cover your procedure.
FDA-approved artificial disc: The artificial disc used in the procedure has to meet FDA guidelines.

If you have health insurance, the out-of-pocket cost can be significantly lower, depending on your plan’s coverage, whether it’s deductible in-network or out-of-network and coinsurance. Without insurance, you would need to pay the entire cost out of pocket. It’s also worth noting that costs can be lower in other countries where medical procedures are less expensive. However, this comes with other considerations, such as travel and potential differences in care standards.

The total cost of cervical artificial disc replacement (ADR) can vary significantly based on several factors, including:

Geographic location: Prices can differ between countries and even regions within a country.
Hospital or surgical center fees: Some facilities charge more than others.
Surgeon fees: Surgeons with more experience or specialization may charge higher fees.
Type of artificial disc used: The brand or model of the disc can affect the price.
Insurance coverage: The extent to which insurance covers the procedure can greatly impact the out-of-pocket cost.

Does Medicare Cover Cervical Disc Replacement?

Medicare may cover the cost of cervical disc replacement in some areas via Local Coverage Determinations (LCD). To get accurate information, you should reach out to your local Medicare representative, as specific requirements can vary by area.

However, Medicare coverage for cervical disc replacement may have age restrictions. Patients over 60 years old might not be eligible for coverage, while those 60 and under may receive coverage after meeting an LCD. Regardless of your age, the Desert Institute for Spine Care can assist you in finding the right local insurance coverage option for you.

Anticipating and Managing Expected Cost of Cervical Disc Replacement

As with any major medical decision, one must weigh out the cost, time and effort needed to proceed with surgery. What follows are some suggestions of what to consider when looking at the cost of cervical artificial disc surgery:

Thoroughly review your insurance policy: Understand what is covered and identify any potential out-of-pocket expenses.
Obtain detailed estimates: Ask your healthcare providers for itemized cost estimates for all anticipated services.
Consider supplemental insurance: Consider policies that cover gaps in your primary insurance, such as short-term disability insurance.
Utilize health savings accounts (HSAs): Use pre-tax dollars saved in HSAs or Flexible Spending Accounts (FSAs) to pay for eligible medical expenses.
Check for assistance programs: Look into nonprofit organizations or hospital programs that offer financial aid for medical expenses.
Plan for time off work: Discuss leave options with your employer, such as sick leave, vacation time or the Family and Medical Leave Act (FMLA).

Most Frequently Asked Questions About the Cost of Cervical ADR

Most people who are considering cervical ADR want to know what to expect in terms of the associated costs, which is why we’ve gathered five of the most commonly asked questions about this procedure.

1. Is the Cost of Cervical ADR Justified?

For those suffering in pain who have had a cervical artificial disc replacement, the answer is YES! The satisfaction rate seven years after the initial surgery was 88%. The value of one’s quality of life is often immeasurable, especially when suffering from pain and being out of work.

2. What Is More Expensive: Artificial Disc Replacement or Spinal Fusion?

The cervical disc may have slightly more upfront cost than the cervical fusion. However, the artificial disc’s long-term cost-effectiveness becomes evident versus cervical spine fusion when considering cost savings from fewer complications, reoperations and additional treatments.

3. What Is a Better Value: Cervical Artificial Disc Replacement or Spinal Fusion?

Artificial disc replacement is a more effective long-term value than spinal fusion in the neck. From a strictly cash price, ACDF spinal fusion is slightly less expensive than a cervical artificial disc replacement. However, recovery time after an artificial disc replacement is notably faster than after a spinal fusion.

Patients who undergo cervical disc replacement retain neck mobility, which is the primary reason for their quicker recovery. In the long term, patients undergoing cervical disc replacement have fewer complications, lower reoperation rates and higher satisfaction rates.

4. Does Insurance Cover the Cost of Artificial Disc Replacement Surgery?

Insurance coverage for cervical artificial disc replacement can vary depending on the insurance provider and the specific plan. Many insurance companies do cover the procedure, but they often require that certain criteria be met, such as evidence of failed conservative treatments and medical necessity. It’s important to check with your insurance provider to understand your coverage details, any pre-authorization requirements and potential out-of-pocket costs.

5. Is Outpatient Cervical Artificial Disc Surgery Less Expensive?

Same-day/outpatient cervical artificial disc surgery might be less expensive than traditional inpatient surgery because it often involves fewer hospital resources and a shorter hospital stay. In a same-day or outpatient setting, you avoid the costs associated with overnight stays and extended care.

However, the overall cost can still be influenced by factors such as the surgeon’s fees, facility fees and the complexity of the procedure. It’s a good idea to check with your healthcare provider and insurance company to get a detailed breakdown of the costs and any potential savings.

Understanding the Cost of Cervical Artificial Disc Replacement

Understanding the cost of cervical artificial disc replacement and how it fits into your financial and insurance planning can be daunting. However, being informed and proactive about the various factors that influence the total cost can help you make the best decisions for your health and finances.

By thoroughly reviewing your insurance policy, obtaining detailed estimates and exploring financial assistance options, you can better manage the expenses associated with this procedure. Remember, your health and well-being are invaluable, and taking the time to navigate these financial considerations can lead to a more informed and confident choice about your care.

Contact Desert Institute for Spine Care for Your ADR Needs

At Desert Institute for Spine Care, we specialize in cervical artificial disc replacement. We’re located in Phoenix, Arizona, and our team of experts has over 50 years of patient experience between them.

If you have any further questions or need assistance, don’t hesitate to reach out to us at Desert Institute for Spine Care or insurance representative for guidance.

The post What Is The Cost of Cervical Total Disc Replacement? appeared first on Desert Institute for Spine Care.

Possible Causes of Scoliosis

WebFX — Fri, 19 Jul 2024 17:27:19 +0000

BY MARK WANG, MD

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Your spine naturally has a slight forward and backward curve, however, with scoliosis, your spine curves from side to side and can cause a C or S shape. While the exact cause of scoliosis is unknown in most cases, learning possible causes and treatment options can help you make informed care decisions to regain your quality of life.

How Is Scoliosis Diagnosed?

The first step in diagnosing scoliosis is to perform a screening. Most pediatricians and primary care physicians perform scoliosis screenings during your annual check-up. During a screening, your doctor will ask you to remove your shirt so they can see your spine as you complete tasks like standing up straight or bending forward. Your provider may also ask the following questions:

What is your and your family’s medical history?
Do you remember when you first noticed a change in your spine?
Do you have any symptoms?
Are you experiencing any issues with your bladder, bowels or general motor functions?

If your provider sees any curvature in your spine or you’re experiencing symptoms, they will order some imaging tests. Generally, a doctor will take X-rays from the front and side to gain a complete picture of your spine. If needed, you may undergo other imaging tests, like an MRI and CT scan. If your provider determines your scoliosis requires treatment, you will receive a referral to an orthopedic spine specialist.

When Is Scoliosis Diagnosed?

Most individuals receive their scoliosis diagnosis between the ages of 10 and 15. As you age, your spine is subject to degeneration, which can result in it curving. Due to this, many adults receive a scoliosis diagnosis later in life. You can also have a scoliosis diagnosis as an adult if your scoliosis is mild and your pediatrician did not detect it during your visits.

How Does One Measure Scoliosis?

To determine how severe your scoliosis is, your provider will measure the curve of your spine in degrees:

Less than 10 degrees: No scoliosis diagnosis
10 and 24 degrees: Mild scoliosis
25 to 39 degrees: Moderate scoliosis
40 degrees or higher: Severe scoliosis

Your provider will use a scoliometer to calculate the curve of your spine, similar to how you use a protractor to measure angles. They may also use an X-ray to determine the exact curve of your spine.

What Are the Different Types of Scoliosis?

Four main types of scoliosis can occur:

Idiopathic scoliosis: Idiopathic scoliosis is one of the most common forms of scoliosis and occurs when the spine curves without any definite cause. Idiopathic scoliosis tends to run in families and affects girls more often than boys. Most cases of idiopathic scoliosis are mild and do not require treatment.
Congenital scoliosis: Congenital scoliosis is the least common form and affects 1 in 10,000 people. Individuals may develop congenital scoliosis if their vertebrae do not form normally before birth. Since the spine forms simultaneously with the bladder, kidney and nervous system, individuals may experience issues with these systems in addition to their spinal cord.
Neuromuscular scoliosis: Neuromuscular scoliosis is another common form of scoliosis, and it results from nerve or muscular system disorders like cerebral palsy, spine bifida or spinal cord injuries. Neuromuscular conditions can cause muscles to become weak, spastic or paralyzed and unable to provide full support to the back resulting in the spine becoming curved.
Degenerative scoliosis: Degenerative scoliosis only affects adults and results from aging or conditions that occur with age, like osteoarthritis and osteoporosis.

What Causes Scoliosis in Adults?

Some forms of scoliosis have a clear cause, while others do not. Doctors divide the causes of scoliosis into structural and nonstructural causes.

For nonstructural scoliosis, the spine can function normally but has a curved appearance. Nonstructural scoliosis can result from various issues, such as one leg being longer than the other, appendicitis and muscle spasms. If you or your doctor detect these symptoms and start treatment, your scoliosis often clears as well.

In structural scoliosis, the curve of the spine is rigid due to causes like:

Genetic conditions like Marfan syndrome and Down syndrome
Cerebral palsy
Tumors
Muscular dystrophy
Infections

Family history and genetics can cause scoliosis as well. If an immediate family member has scoliosis, it’s best to undergo screening as soon as possible to determine if you also have the condition.

When Does Scoliosis Show Up?

Scoliosis is most likely to show up during growth spurts when children are between 10 and 15 years old. You can receive a scoliosis diagnosis anytime from childhood into adulthood. The greater the severity of your spine, the more likely it is to worsen, which makes it essential to detect scoliosis early and begin the proper treatment.

Can You Prevent Scoliosis?

Scoliosis is not preventable despite many rumors, such as childhood sports and carrying a heavy backpack can lead to a curved spine. Poor posture also does not affect scoliosis. However, a curved spine may cause a noticeable lean, and if you cannot stand upright, it is wise to have a doctor examine your spine.

What Makes Scoliosis Worse?

As with any condition, there is no way to predict precisely how your scoliosis will improve or worsen over time. One of the best ways to ensure your scoliosis doesn’t worsen is by getting treatment and following your doctor’s recommendations.

After your scoliosis diagnosis, your provider may speak with you about how gravity, everyday activities and regular growth spurts can all positively and negatively impact your scoliosis. As you and your doctor learn more about how the curve of your spine affects your body, you will work together to create an action plan that may include specific stretches, exercises or adapting how you perform daily activities.

How Do I Know If My Scoliosis Is Getting Worse?

One of the most obvious signs your scoliosis is worsening is noticeable changes such as uneven hips and shoulders, prominent ribs and shifting the waist and trunk to the side. If you don’t notice any symptoms, your doctor will check the curve of your spine every five years. Much like your initial diagnosis, your doctor may use a scoliometer or order an X-ray or other imaging tests to see if the curve of your spine has changed.

Find Effective Scoliosis Treatment at Desert Institute for Spine Care

At DISC, we understand scoliosis can affect multiple aspects of your life, so we provide comprehensive treatments. Depending on the severity of your scoliosis, we may offer options like observation, bracing and surgery. Our team of doctors has years of experience providing effective scoliosis treatment, and we look forward to working with you to help you regain your quality of life. To learn more, please schedule an appointment with our team today!

The post Possible Causes of Scoliosis appeared first on Desert Institute for Spine Care.

Dr. Wang Honored Listee

WebFX — Thu, 22 Feb 2024 19:14:51 +0000

Congratulations to Dr. Mark J. Wang, M.D. for being named an “Honored Listee” on the Marquis Who’s Who 2024 list!

The post Dr. Wang Honored Listee appeared first on Desert Institute for Spine Care.

Exercises to Treat Facet Syndrome

WebFX — Wed, 29 Nov 2023 16:06:02 +0000

BY MARK WANG, MD

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Lower back pain is a challenging condition for many people. The leading cause is lumbar facet joints, which account for 15% to 45% of cases. Overall, 55% of facet joint patients have cervical spine pain, 42% have thoracic spine pain and 31% have lumbar spine pain. Fortunately, there are ways to improve it.

This discussion will focus on exercise as a treatment for facet syndrome. Before beginning any exercise program, remember to consult with a healthcare professional who will evaluate your specific condition and medical history.

Understanding Facet Syndrome

The facet joints enable us to bend, twist and extend our backs. They also have another name, the zygapophyseal joints. But that’s a bit of a mouthful, so most just call them the facet.

Each facet joint has a capsule enclosure and a cartilage lining. This cartilage and a lubricating fluid within the joint allow the vertebrae to move smoothly against each other without any friction or discomfort. Facet syndrome occurs when these joints undergo degenerative changes, leading to pain.

Common Causes

Causes of facet joint pain include the following.

Aging: The cartilage in the facet joints can naturally wear down as we age, eventually leading to osteoarthritis.
Degenerative disc disease: As the intervertebral discs lose hydration and elasticity, the adjacent facet joints experience increased pressure.
Spinal injuries: Accidents or injuries can cause damage. An example is a car accident that results in whiplash.
Repetitive motion: Activities that involve excessive bending, twisting or lifting can lead to wear and tear. For example, a professional squash player has to turn and twist on the court to get to the ball.

Exercise in Facet Syndrome Management

Lumbar facet joint release techniques offer a way to relieve pain and enhance mobility by strengthening the spine so you don’t have to rely on medication or surgical interventions. You can address the symptoms and identify the condition’s root causes.

Many people also rely on pain medications, but these drugs can have side effects and limited effectiveness over time, which is why finding a long-term solution is a better option.

How Does It Help?

The muscles surrounding the facet joints weaken or become imbalanced over time. Exercise is about managing the current symptoms and preventing future issues.

Strengthening exercises contribute the most to long-term spinal health by stabilizing the spine and relieving pressure. However, stretching also adds value by improving range of motion, gently elongating the spine and surrounding muscles and improving blood flow to the area.

What exercise is best for facet joint pain? The answer varies for everyone, depending on their body and abilities. But the good news is that a health professional can tailor an exercise regimen to your specific needs and capabilities.

Stretching Exercises

Facet syndrome exercises include stretching to release tension. For example, child’s pose gently stretches your back and hips. A health professional will suggest trying:

Neck stretches
Lumbar spine stretches
Hip flexor stretches

Daily activities may become more manageable and less painful as your flexibility improves and pain diminishes.

Strengthening Exercises

You can build on spinal stability and muscle support to complement the flexibility you have gained from stretching.

Low-impact aerobic exercises: Try something low-key like walking, swimming or tai chi. These can all improve cardiovascular health without stressing out your spine. You can join a class that matches your desired intensity level or find an at-home program.

Other types of training: Strengthening your core is another area you can focus on. Ask a physical therapist for advice on how to start. Balance training is another idea, as this is a gentle way to get the core going. You can always have a chair nearby if you feel unsteady.

Importance of Consistency

Consistency is the secret to a successful exercise regimen. Even 20 to 30 minutes of sustained daily movement can give you results. Modify your exercises to match how you feel on a given day, being gentle with yourself during painful periods.

There are several ways to approach toning and strengthening your body. Don’t feel like you have to repeat the same move over and over. Ask a trainer about variations to mix things up and keep it interesting. For instance, switch to yoga or low-impact cardio if your daily walk no longer inspires you.

Seeking Professional Guidance

A physical therapist or spine surgeon can customize an exercise plan for your needs, accounting for your:

Range of motion
Strength
Medical history
Pain levels
Stage of your facet syndrome

At regular appointments, a healthcare professional will evaluate your progress and assess each stage. They can adjust the program to reflect improvements and address any challenges or setbacks you may encounter.

DISC, an orthopedic spine center based in the greater Phoenix area, can support patients with benefits such as customized exercise plans. We can give you a complete assessment and a holistic strategy. We also assist with manual therapy, pain management and lifestyle modifications.

Managing facet syndrome is challenging, but you don’t have to do it alone. The supportive experts at Desert Institute for Spine Care are ready to guide you toward a healthier, pain-free future.

The post Exercises to Treat Facet Syndrome appeared first on Desert Institute for Spine Care.

Treatment Options for Annular Tears

WebFX — Tue, 07 Nov 2023 22:41:56 +0000

BY MARK WANG, MD

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An annular tear is a discogenic condition that impacts the spine, causing lower back pain. Natural wear and tear, sports injuries, improper lifting and repetitive motions are the most common causes of annular tears, as the injury results from the fibers that make up the intervertebral disc breaking or separating.

While these tears can occur anywhere on the spine, they happen most often in the neck and lower spine, with pain ranging from mild to severe. Other symptoms can include weakness or numbness in the arms or legs and limited flexibility.

Annular tears are very common and often associated with low back pain, experienced by up to 84% of adults in the United States throughout their lifetime. Fortunately, there are many things you can do to manage pain if you have an annular tear. From physical therapy and exercise to minimally invasive procedures, here are a few ways you can find relief.

Nonsurgical Treatment Options

Your physician will begin by examining your spinal condition through an X-ray and/or magnetic resonance imaging (MRI). They will also ask you a series of questions about your health history, points of pain and specific concerns to determine the best course of action.

While larger annular tears will require treatment, a smaller one might heal on its own. However, keep in mind that once the area is torn, it’s more likely to tear again in the future. That’s why the best form of treatment is prevention — take care to avoid anything that could cause significant trauma along the spine, and work on strength-building exercises that target the upper and lower body and the core.

The first lines of treatment to manage pain and maintain mobility while a tear heals include:

Anti-inflammatory medication: You might get an over-the-counter pain medication or a prescription. If the tear or your pain is more severe, your provider might suggest a steroid injection to reduce pain and inflammation.

Ice or heat therapy: A cold or hot compress can increase blood flow to the damaged area and relieve pain.

Physical therapy: Physical therapy treatment for annular tear includes exercise, traction and other therapies with the potential to prevent the need for surgery.

Home exercises: It’s also crucial to rest for a few days and do non-impact annular tear exercises at home while the injury heals. Fixing poor posture and maintaining a healthy weight can also help you prevent and manage annular tears.

The following annular tear exercises can help you build muscle strength, increase mobility and reduce pain:

Annular tear stretching exercises like leg extensions, pelvic lifts and shoulder blade squeezes

Upper back extensions while lying on the stomach with arms placed along the body

Bicycling, swimming and walking

Various pilates or yoga exercises

Water walking laps

Lunges targeting the glutes and quadriceps

Elbow-based planks

While regular exercise can help reduce pain and aid in healing, you’ll want to avoid running, barbell squats, deadlifts and twisting exercises, as these carry a risk of aggravating your injury. A physical therapist will create a tailored exercise routine to help you heal and alleviate your pain as the tear mends.

Surgical Treatment Options

If conservative treatment methods fail to address your pain, you might explore surgical annular treatment options. Your provider will help you choose the best surgery type for your condition and preferences. Options typically include:

Endoscopic discectomy: This minimally invasive procedure safely removes disc fragments from the annular tear — without removing any bone or muscle. The surgery aims to relieve pressure, aiding in a fast and effective recovery.

Artificial disc replacement: Those with severe tears might require artificial disc replacement to replace the damaged disc with an artificial one. Health providers will use imaging tests like an MRI to locate the source of your back pain and determine if you are the right candidate for disc replacement surgery.

Endoscopic annuloplasty surgery: Surgeons can also use a laser to debride the tear, and bipolar radiofrequency to shrink and seal the tear, helping to manage pain while preventing the injury from worsening. Unlike traditional spinal fusions, endoscopic annuloplasty surgery does not damage bone and surrounding tissues during the procedure, reducing the risk of postoperative complications and pain.

Spinal fusion: This surgery is also often used for more severe tears, fusing two or more vertebrae together to eliminate painful motion. While the procedure may take away some spinal flexibility, most patients will not notice a decrease in the range of motion from a spinal fusion.

Minimally invasive surgeries mean smaller incisions, shorter recovery times and reduced risk of complications. It’s important to discuss treatment options with licensed orthopedic surgeons, as they can determine whether you are the right candidate for an endoscopic discectomy.

The Future of Annular Tear Treatments

It’s vital that you consult with experienced healthcare professionals to determine the right course of treatment for an annular tear. At DISC, our orthopedic surgeons offer various innovative treatments and always recommend the least invasive options first based on your specific condition and symptoms. Most clients can improve with conservative treatments like regular exercise, proper posture and physical therapy.

We can help you find the right lifestyle changes to minimize further tears and allow healing. We can also provide guidance on pain management medications, working with you to assist with healing and providing the best possible care. If conservative treatments don’t alleviate your pain within six to eight weeks, we can recommend minimally invasive surgery. Our team specializes in endoscopic spine surgery and can walk you through the surgery process to ensure you can make a fully informed decision.

Our innovative treatment options for disc tears include:

Endoscopic Discectomy/Annuloplasty — lumbar only

Minimally Invasive Microdiscectomy

Anterior Cervical Discectomy and Fusion (ACDF)

Minimally Invasive Spinal Fusion

Artificial Disc Replacement (for Cervical and select Lumbar cases)

Experience the future of spinal care with Desert Institute for Spine Care’s revolutionary approach to treating disc tears. We use innovative technology and techniques to target disc tears with precision, minimizing discomfort and recovery time.

Get Compassionate and Experienced Care at DISC

If you are dealing with low back pain, you’ll find various annular tear treatment options that can help you get relief. From regular exercise and physical therapy to minimally invasive procedures, managing pain and inflammation associated with annular tears is possible. Whether you require a surgical or nonsurgical option depends on the tear’s severity and your overall needs.

At DISC, we understand that spinal issues can be daunting, which is why we prioritize your well-being above all else. Our compassionate team of experts specializes in minimally invasive procedures designed to alleviate your pain and help restore your lifestyle. Our commitment to your comfort and safety ensures you receive the best care possible.

Look forward to a faster, less painful recovery and a brighter, pain-free future and request an appointment today. From minimally invasive procedures to the most complex spine surgery, we provide compassionate, innovative and effective treatments to improve your quality of life.

The post Treatment Options for Annular Tears appeared first on Desert Institute for Spine Care.

8 Questions to Ask During a Spine Second Opinion

WebFX — Thu, 07 Sep 2023 13:16:20 +0000

BY MARK WANG, MD

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If you’re considering getting a second opinion on your spinal condition, make sure to do your homework, research online and ask around to find the best spine surgeon. Remember that the goal of a second opinion is to clarify and determine if your diagnosis is accurate and the best treatment option — nonsurgical or surgical.

If you decide to pursue a second opinion, keep an open mind and prepare a set of questions to ask when you meet with the surgeon. Assuming that your diagnosis is accurate and surgery is recommended, we suggest asking the following questions before back surgery.

1. Is Your Surgeon Confirming or Changing the Diagnosis and Treatment Plan?

Often a diagnosis and the proper treatment recommendation can differ from one surgeon’s opinion to the second surgeon’s view. In a recent study, diagnoses differed 59.8% of the time from the first to the second opinion. Getting an accurate diagnosis is essential to selecting the right treatment option. However, studies have shown that treatment options for the same diagnosis differ from the first to the second opinion, which is why you’re not insulting your surgeon if you ask for a second opinion.

2. What if the Second Opinion Diagnosis and Treatment Recommendation Are Different?

Suppose the second opinion surgeon gives the exact diagnosis and recommends surgery. You can then focus on that surgeon’s experience, professionalism and skill. However, this is not always a common scenario. If the diagnosis is the same, your surgeon may offer no surgery or a different surgical treatment option.

Ask the surgeon to weigh the pros and cons of the recommendation options and why they think their opinion is better for you and your quality of life. If you still have doubts after the second opinion, consider pursuing a third opinion.

3. Should I Get a Third Opinion?

A second opinion often differs from the first opinion. When a diagnosis differs or treatment options seem too aggressive, it may be necessary to get a third opinion. The first step is to get an accurate diagnosis of what is causing your pain. Next, seek the most effective surgical procedure with the least physical impact on your lifestyle that leads you back to work and play the soonest. Always do your research and keep an open mind to prevent you from having unrealistic expectations.

4. What Are the Surgeon’s Outcomes With the Recommended Surgery?

Each surgical procedure has benefits and outcomes for treating a painful spine. Your surgeon should be able to explain their experience and outcomes for each surgery they recommend. Not every procedure is always the best way to treat a specific diagnosis. There are preferred surgical options and new, technologically advanced surgeries or less invasive ones.

Research and explore all options to ensure you are getting the least invasive yet most effective procedure that allows you to return to work and play as soon as possible.

5. Are There Any Alternative Treatment Procedures or Surgery for the Proposed Surgery?

The surgeon’s experience and training usually dictate what types of surgeries they offer. Many surgeons seek additional training when there are advances in surgical techniques and technology. However, many surgeons are creatures of habit and either don’t adapt or adapt slowly to new procedures.

Suppose your first surgeon offers a spine fusion, which you think is too aggressive. You may research and find some alternative surgical options to spinal fusion, hoping your second-opinion surgeon offers these. Beware of your surgeon downplaying new advancements as experimental. Just because they don’t provide that surgery doesn’t always mean it may not work for you.

6. What Could Happen With My Condition if I Elect Not to Have Surgery?

Other than dealing with the constant pain from not having surgery, some cases could worsen. Knowing the worst-case scenario and risks associated with choosing not to have surgery is essential.

7. What Are the Associated Risks and Possible Complications of the Surgery?

Setting realistic expectations involves thoroughly understanding all the risks and complications of a specific spine surgery. Approaching surgery with peace of mind and a positive attitude can lead to a better outcome.

8. What Is the Plan if the Surgery Does Not Work or Does Not Provide Relief?

Unfortunately, not all surgeries go as planned. Managing your expectations and understanding a surgeon’s expectations are key to patient outcomes. One study found that after one-year post-surgery, the patient satisfaction rates were 78%.

The pain you experience after surgery may be due to a separate pain generator. While you may have received some pain relief after surgery, there is yet another pain generator in addition to the one your surgeon corrected. In this case, it is vital to have a thorough workup, history and pain management diagnostic injections to determine the most accurate diagnosis.

Red Flags to Consider When Getting a Second Opinion

If you notice any of the following red flags when asking questions before spinal fusion surgery, you may want to reconsider getting treatment at the practice:

The opinion and treatment plan sounds too good to be true or claims to cure your pain completely.

The recommended intervention is advertised directly to the consumer or the practice claims to be the “ONLY practice that offers this procedure.”

The procedure is touted as painless — all surgeries have pain associated with them.

The online reviews are lackluster. It is not uncommon for a few patients to be unsatisfied and scornful, especially if there are unrealistic expectations and misunderstandings. However, multiple one-star reviews by patients with similar complaints present a red flag.

Virtual Second Opinion Benefits

When you are facing a difficult decision about your spine and quality of life, a virtual second opinion from the Desert Institute for Spine Care (DISC) provides access to our expertise to assist you in important care decisions. Our program allows you to personally connect with our world-renowned spine surgeons from the convenience of your home.

A virtual second opinion offers the following benefits:

Expert opinions from DISC surgeons

Time and cost-saving online services offered in the United States and internationally.

Up-to-date educational resources about vast spinal conditions and advanced treatment options

Convenient, expert insight into your painful spinal condition

Peace of mind when you need it most

LEARN MORE ABOUT VIRTUAL SECOND OPINION SERVICES

The Most Important Questions to Ask During a Virtual Second Opinion Appointment

If you have a limited amount of time in your virtual second opinion appointment, you’ll want to focus on getting answers to your most pressing concerns. The following four questions are most essential to ask during a virtual second opinion appointment:

Does the surgeon agree or disagree with the original diagnosis and treatment plan, and why?

What is the surgeon’s diagnosis and recommended course of action?

If the surgeon recommends an operation, what are the procedure’s associated risks and possible complications?

Are there any alternatives to the surgeon’s proposed treatment method?

The answers to these questions will provide you with the information you need to make an informed decision about spinal treatment.

Schedule a Virtual Second Opinion With DISC and Get Back to Enjoying Life Again!

If you are interested in receiving a second opinion or looking to travel for less invasive surgery, our expert spine surgeons in Phoenix, Arizona, can help you gain peace of mind and get you back to enjoying life. Our back and neck specialists are recognized leaders in minimally invasive spinal procedures. Our patients speak volumes about our compassionate and highly skilled surgeons, with over 6,000 reviews and an overall rating of 4.8 stars. Learn more about scheduling a virtual second opinion.

The post 8 Questions to Ask During a Spine Second Opinion appeared first on Desert Institute for Spine Care.

What Is Concierge Spine Medicine? A Guide

WebFX — Tue, 11 Jul 2023 16:46:17 +0000

BY MARK WANG, MD

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Through concierge medicine, patients with chronic conditions have more focused and direct access to health care professionals. Specifically, concierge spine medicine provides benefits that help patients requiring spine care.

This guide to concierge spine medicine will answer your questions by explaining what it is, how it works and why patients might consider investing in it. Read below to learn more about how concierge pain management could be beneficial for you.

Concierge Medicine Defined

Concierge spine medicine, also known as concierge spine care or concierge spine surgery, is a specialized approach to treating spinal conditions that emphasizes personalized, patient-centered care and enhanced accessibility to medical services. It is a subset of the broader concept of concierge medicine, which involves a more individualized and comprehensive approach to healthcare.

In the context of spine medicine, concierge spine medicine typically involves a close doctor-patient relationship, expedited access to medical services, and a focus on providing a high level of personalized care. This may include extended appointment times, direct communication with the physician via phone or email, same-day or next-day appointments, and a greater emphasis on patient education and involvement in the treatment process.

Concierge spine medicine aims to provide a more streamlined and convenient experience for patients seeking treatment for spinal conditions, such as back pain, herniated discs, spinal stenosis, or degenerative disc disease. It often involves a multidisciplinary approach, where the physician works closely with other specialists, such as physical therapists, pain management specialists, and surgeons, to develop a comprehensive treatment plan tailored to the individual patient’s needs.

In short, concierge medicine is a type of health care that provides comprehensive, personalized care, usually via a set fee for service cash price.

The benefits offered by concierge medicine often include:

Unlimited consultations: Unlimited office visits and remote consultations

Direct phone line: Access to the physician’s direct phone line to ask medical questions and schedule tests or visits

Expedited and personalized care: every accommodation is made to work with the patient’s busy schedule and streamline their care

With that in mind, concierge spine medicine provides direct primary care to those who have had spinal surgery, patients with spinal injuries and anyone who needs constant care for spinal conditions.

How Does Concierge Spine Medicine Work?

In large metropolitan areas, a new patient can wait an average of 26 days before getting an appointment with their doctor. When patients have specific and chronic conditions, waiting that long can be detrimental. With concierge medicine, patients can bypass the waiting and get the care they need much faster.

The concierge medicine model focuses on personalized patient experiences. Physicians who participate in direct primary care or concierge care typically have smaller patient panels, meaning they can spend more time with their patients. These care plans make it easy to get same-day and next-day appointments and improve access to advanced screenings and tests, giving you more time to discuss the results with your doctor to create a personalized care plan.

If you have a concierge care plan for spine medicine, you can contact your doctor directly to schedule a visit as soon as possible — usually within a few days — to receive the care you need. There’s no need to wait weeks to see your physician, and you can experience more focused care because your doctor likely sees fewer patients on a daily basis.

Advantages of Concierge Spine Medicine

These are the main benefits that come with concierge spine medicine:

No more waiting: Concierge spine medicine plans eliminate the need to wait for appointments. You’ll have access to spinal care whenever you need it.

Expedited access: Having expedited access to a doctor grants convenience and peace of mind to those with spinal issues. Knowing you can ask questions, get remote and physical consultations and arrange simple procedures at any time will revolutionize your spine care and recovery.

Focused personalized care: By having more dedicated one-on-one time with your doctor, you can create a personalized spine care plan. This personalization makes all the difference for long-term patients and those with chronic spine and back conditions.

Remote consultations: Concierge spine medicine allows patients to see their doctors without having to visit them in person. If you’re experiencing pain and need to ask questions, you won’t have to worry about traveling to your physician to get the advice you seek. Everything can be done remotely via video calls.

Coordination of care: Concierge medicine makes it much easier to coordinate your care. This aspect eliminates much of the stress of getting specialist care. Convenient, compassionate and quality health care is easier to access than ever before.

Disadvantages of Concierge Spine Medicine

There are some limitations that come with concierge spine medicine:

Cash fees: Cash fees for concierge medicine can be restrictive and costly. Even with concierge medicine, you may still need health insurance to cover prescriptions, hospital visits and specialist consultations.

Insurance acceptance: Most concierge practices accept insurance from many providers. However, it’s far more common for traditional health care facilities to accept insurance than concierge medicine providers.

Return on investment: Those who need more regular care and need to see their doctors frequently benefit the most from concierge medicine plans. If you don’t need continual spine care, concierge spine medicine likely won’t be worth the investment for you.

Availability: Concierge medicine isn’t as widespread as traditional health care services, so you may not be able to access these services depending on where you live.

Why Choose Concierge Spine Medicine?

Concierge spine medicine is advisable for anyone with chronic and long-term spine conditions. This cash fee for service type of health care is designed to make your health care convenient and accessible. Practices that offer concierge medicine can provide you with better care and more reasonable long-term solutions that can make your life healthier and easier.

Concierge surgery and concierge pain management are important parts of concierge medicine. When it comes to dealing with spine ailments and long-term recovery, you must know you can get the care you need when you need it. Concierge spine medicine gives you access to compassionate health care professionals who can work with you to create the best spine care plan for your situation.

Schedule an Appointment With DISC for High-Quality Spine Care

The Desert Institute for Spine Care (DISC) is an orthopedic spine center based in the greater Phoenix, Arizona, area that provides spine patients with the excellence they deserve. Our highly-trained orthopedic specialists can provide top-quality treatment for various spinal conditions. If you’re in need of comprehensive spinal care, the expert care team at DISC can work with you to create an effective and customized treatment plan.

Schedule an appointment or consultation with us today.

The post What Is Concierge Spine Medicine? A Guide appeared first on Desert Institute for Spine Care.