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Non-Surgical Treatments

Neck, back, and joint pain are common and often debilitating. Most of the time, they can be relieved without surgery. We offer a full range of non-surgical and minimally invasive treatments that relieve pain and improve quality of life, and we view surgery as a last resort.

Physical therapist treating a patient's lower back pain without surgery

Our Approach To Non-Surgical Care

Minimally invasive, non-surgical procedures focus on minimizing disruption to the body’s surrounding tissue, for a quicker recovery and better results. They can typically be performed as outpatient procedures, and by minimizing tissue damage, the risk of complications is reduced.
 
At Total Spine and Orthopedics, we typically view surgery as a last resort and recommend it only when other options have failed or are not viable. When surgery is needed, minimally invasive alternatives such as endoscopic spine surgery offer many of the same benefits.

Non-Surgical Treatment Options

Explore our non-surgical treatments:

Physical therapyStrength, flexibility, and mobility without drugs or surgery. BracingSupports and stabilizes the spine. Epidural steroid injectionsCalm inflamed spinal nerves. Facet and SI joint injectionsTreat painful spinal joints. Nerve blocksDiagnose and treat nerve pain. Trigger point injectionsRelax painful muscle knots. Radiofrequency ablationLong-lasting relief for joint pain. Diagnostic imagingX-ray, CT, and MRI to find the source.
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Finding The Right Plan

Every plan starts with an accurate diagnosis: a history, an examination, and imaging when needed. From there, we begin with the least invasive treatment likely to work and advance only as needed.
 
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How Care Progresses

Most patients follow a stepwise path:

  1. 1

    Conservative care

    Activity modification, medication, and physical therapy.

  2. 2

    Targeted injections

    Image-guided injections to diagnose and treat the source of pain.

  3. 3

    Longer-lasting procedures

    Radiofrequency ablation for confirmed joint pain.

  4. 4

    Minimally invasive surgery

    Only when other options have failed or are not viable.

Frequently Asked Questions

Can back and neck pain be treated without surgery?

Yes. Most back and neck pain is treated without surgery, using physical therapy, medication, bracing, and minimally invasive injection procedures.

When is surgery recommended?

We typically view surgery as a last resort and recommend it only when other treatment options have failed or are not viable.

What are minimally invasive non-surgical procedures?

They are needle-based and injection procedures, such as SI joint, trigger point, and nerve block injections, that minimize disruption to surrounding tissue and are usually outpatient.

What are the benefits of non-surgical treatment?

Non-surgical and minimally invasive procedures minimize tissue disruption, allowing quicker recovery, fewer complications, and outpatient care.

How long should I try conservative care?

It depends on the condition and severity. Many people try conservative care for several weeks to a few months before considering more advanced options, unless there are red-flag symptoms.

What if non-surgical treatment does not work?

Minimally invasive surgical alternatives, such as endoscopic spine surgery, offer many of the same benefits, including faster recovery and less tissue damage than open surgery.

Do I need imaging first?

An examination guides the plan, and imaging such as MRI is often used when symptoms persist or involve a nerve. Our free MRI review can help.

How do I get started?

Schedule an evaluation to build a treatment plan. Call (321) 499-4646.

Benefits Of Non-Surgical Care

Non-surgical and minimally invasive procedures offer:

  • Minimal tissue disruption and quicker recovery.
  • Outpatient care or very short stays.
  • Fewer complications than open surgery.
  • Drug-free options such as physical therapy.
  • A path that avoids surgery for many patients.
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Related Treatments

Physical Therapy

Physical therapy is an advanced form of extended care that focuses on the diagnosis, treatment, and management of musculoskeletal conditions to help relieve chronic pain and other symptoms.

Epidural Steroid Injections

Epidural steroid injections are commonly used to diagnose and treat neck and back pain. These injections are placed in the epidural space of the spine, which is located between the vertebral bones and the protective covering of the spinal cord.

Radiofrequency Ablation (RFA)

Radiofrequency Ablation (RFA) is a minimally invasive pain management treatment option proudly offered by Total Spine and Orthopedics.

Pain Management Injections

Several types of injections can be used to diagnose and treat back pain. In many cases, injections are used for both purposes at the same time.

Facet Injections

Facet injections are a common treatment for patients with back pain that manifests in the facet joints, the joints that connect two vertebrae and allow the spine to perform bending and twisting motions

Facet Ablation

Our minimally invasive facet ablation procedure is aimed to treat arthritis in the spine. Your spine has a series of facet joints on the outside of your spinal cord that lay closest to your skin.

Medial Branch Blocks

Experiencing chronic back or neck pain can significantly impact your quality of life. Medial Branch Blocks offer a minimally invasive solution, targeting the nerves responsible for transmitting pain signals to the brain.

Caudal Injection

Lower back pain, leg pain, and sciatica are all relatively common conditions that can severely limit your daily activities and negatively impact your quality of life. Caudal Epidural Steroid Injections offer a minimally invasive solution, delivering steroids directly to the epidural space to reduce inflammation and alleviate pain. On this page we will dive into the intricacies of the caudal injection procedure, its benefits, and answers to common questions, helping you understand if it’s the right option for you.

Nerve Block Injections

Selective nerve root block injections (SNRB) are commonly administered to patients experiencing pain resulting from a compressed spinal nerve root.

Sacroiliac (SI) Joint Injections

Sacroiliac (SI) joint injections can be performed to diagnose and/or treat SI joint dysfunction. Located in the lower back and pelvis, the sacroiliac joints can become inflamed as a result of several common conditions. Degenerative spine disease, arthritis and traumatic lower back injuries can all lead to SI joint pain.

Our Patients Stories

Hear our patients share their experience with us, All in their own words.

Why Choose Total Spine and Orthopedics

Expert, ultra-minimally invasive spine and orthopedic care, close to home.

  • Ultra-minimally invasive and endoscopic techniques

    We specialize in procedures performed through incisions smaller than a dime, sparing muscle and supporting a faster recovery.

  • Same-day, outpatient procedures

    Most patients walk in and return home within hours, rather than facing an overnight hospital stay.

  • Board-certified, fellowship-trained surgeons

    Our team includes early leaders in endoscopic spine surgery.

  • A complimentary MRI review

    Understand your diagnosis and options from a board-certified specialist before committing to any treatment.

  • Trusted by our community

    More than 1,100 patient reviews at a 4.6-star average, and over 50,000 patients treated.

  • Surgery as a last resort

    We recommend surgery only when other treatment options have failed or are not viable.

  • Comprehensive spine and orthopedic care

    From injections to advanced procedures, your full continuum of care is handled in one place.

  • Convenient locations across the Space Coast and Orlando

    Care close to home in Melbourne, Orlando (Lake Nona), and Titusville.

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