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North Bay Orthopaedic Surgeons specializes in evaluation and treatment of neck and back pain resulting from disc degeneration and disc herniation as well as many other spinal disorders.  Our patients receive the finest quality care available.

 



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  Orthopedic Doctors in Santa Rosa, Petaluma, and Sonoma

Disc Degeneration in the Spine

This encompasses changes of the discs with loss of disc height, loss of water, and instability, which frequently results in chronic and progressive neck and back pain.  Our team of orthopedic doctors in Santa Rosa, Petaluma, and Sonoma provide therapies for disc degeneration in the spine that include muscle stabilization, electro-surgical procedures, and where appropriate surgical fusion and stabilization procedures to reduce pain.  Individuals that are affected are usually middle-aged.  However, depending upon trauma and predisposition, we have seen individuals from their early 20s into their late 80s with problems relating to degenerative disc disease.

Disc Herniation Syndrome

Disc herniations are protrusions of discs in the cervical, thoracic, and lumbar spines.  These are most frequently seen in the lower lumbar spine and mid and lower cervical spines. 

Herniations frequently cause neck and axial skeletal pain as well as leg and arm pain.  Conservative treatment is the rule, including rest, anti-inflammatory medications, and injection therapies, including nerve root blocks, and epidural steroid injections.  If this fails and the individual still has leg and/or arm pain, then frequently a micro discecotomy approach will relieve the pain.  These syndromes are seen more frequently in individuals that have to do heavy lifting and bending and also in individuals that are addicted to tobacco.

In the cervical spine the preferred approach is conservative therapy where we achieve good results in upward of 90% of patients and thereby avoid surgery.  However, when surgery is necessary, the anterior cervical discectomy and fusion is the preferred treatment of choice, giving the best long-term results.

In the lumbar spine a disc herniation can be managed successfully without surgery in up to 90% of individuals.  However, those people who remain painful after three months of conservative therapy should be considered for a microdiscectomy.

At times a disc herniation will trigger a degenerative painful disc condition and may require fusion surgery.

Orthopedic Doctors in Santa Rosa, Petaluma, and Sonoma

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