Spine, Back & Neck Conditions in Maryland & the DC Metro Area

Our spine team takes a conservative-first approach, using the least invasive treatment necessary to relieve pain and restore function. Serving patients across Maryland and the DC Metro Area, our spine surgeons and interventional pain management physicians provide comprehensive care from epidural injections to minimally invasive surgery.

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Understanding Spine Conditions

The spine is made up of 33 vertebrae that protect the spinal cord and provide structural support for the entire body. Spine conditions can cause pain, numbness, weakness, and reduced mobility, ranging from mild muscle strains to complex nerve compression and degenerative disease. At Precision Orthopedics & Sports Medicine, our spine surgeons and interventional pain management physicians serve patients across Maryland and the DC Metro Area, providing comprehensive care from epidural injections and nerve blocks to minimally invasive spine surgery.

Symptoms, Conditions & Treatment

Some common symptoms of spine conditions include back or neck pain that persists more than two weeks, pain that radiates into the arm or leg, and numbness or tingling in the hands or feet. Other symptoms to watch for include:

  • Back or neck pain lasting more than two weeks
  • Pain that radiates into the arm or leg
  • Numbness or tingling in the hands or feet
  • Muscle weakness in the arms or legs
  • Pain that worsens with sitting or bending
  • Loss of bladder or bowel control (seek immediate care)

Some common conditions of the spine include herniated discs, spinal stenosis, and degenerative disc disease. Other conditions include:

  • Herniated discs
  • Spinal stenosis
  • Degenerative disc disease
  • Sciatica
  • Facet joint arthritis
  • Spondylolisthesis
  • Radiculopathy

Some common treatment options for spine conditions include physical therapy, anti-inflammatory medications, and epidural steroid injections. Interventional and surgical options include:

  • Physical therapy and activity modification
  • Anti-inflammatory medications
  • Epidural steroid injections
  • Nerve blocks and radiofrequency ablation
  • Spinal cord stimulation
  • Microdiscectomy
  • Spinal fusion and decompression
  • Intrathecal pain pump

Frequently Asked Questions

See a spine specialist if back or neck pain persists for more than 2 weeks despite rest, radiates down the arm or leg, causes numbness or weakness in the arms or legs, or followed a fall or trauma. Seek immediate care for sudden bowel or bladder dysfunction, progressive leg weakness, or numbness in the groin area.
Common causes include herniated discs, spinal stenosis, degenerative disc disease, sciatica, muscle strains, and facet joint arthritis. Both traumatic injuries and age-related changes can contribute to spine pain.
Sciatica is pain that radiates from the lower back through the buttock and down one leg, caused by irritation or compression of the sciatic nerve. Common causes include herniated discs and spinal stenosis. Treatment ranges from physical therapy and injections to minimally invasive surgery when conservative care does not provide relief.
Surgery is typically considered after conservative treatments such as physical therapy, medications, and injections have not provided adequate relief over several weeks to months, or when neurological symptoms like progressive weakness or bowel and bladder changes are present. Our spine team always exhausts non-surgical options first.
  • Spinal Fusion: Light activity at 4 to 6 weeks; full recovery 3 to 6 months; bone fusion solidifies over 12 months.
  • Microdiscectomy: Return to desk work in 1 to 2 weeks; full activity at 4 to 6 weeks.
  • Epidural Injection: Relief may begin within 2 to 7 days; effects can last weeks to months.
  • Spinal Cord Stimulator: Trial period of 5 to 7 days; permanent implant recovery 1 to 2 weeks.

Our Spine Team

Warren Yu, MD
Spine
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Mir Namath Ali, DO
Pain Management
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Michael Jacobs, MD
Pain Management
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Vipul Mangal, MD
Pain Management
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Our Clinics Where We Treat Spine Conditions

Laurel, MD
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Cumberland, MD
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Gaithersburg, MD
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La Plata, MD
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Oxon Hill, MD
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Waldorf, MD
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Spine surgical suite at Precision Orthopedics

Related Specialties

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