Back and Spine

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Dr. Doug Wilburn, Dr. Freddie Wade, and Dr. Erion Qamirani are the spine specialists at Mid-Tennessee Bone and Joint. Back and spine pain can be complex and can originate from any number of sources: specific injury, gradual wear and tear, or a degenerative condition such as arthritis. Our physicians have the training and experience to properly identify the root cause of your pain and work with you on a diagnosis and treatment plan. Together, they have over fifty years of experience in spinal surgery and treatments. For any type of back pain that may affect you, we have the doctors to help.
 
 
 
 
 

Our physicians generally maintain a conservative approach to surgery, especially concerning matters of the spine and back. Our most frequent non-operational approach to back pain is exercise and physical therapy. A walking program can also provide some pain relief, usually combined with some type of anti-inflammatory medication or muscle relaxers. Other options include epidural shots or nerve block injections. Your doctor will review your personal medical history and your symptoms to determine which of these methods is best for you and your particular situation.

The unfortunate truth is that most adults will experience low back or neck pain in their lifetime. In the majority of cases, the pain is self-limiting and resolves with conservative treatment. In some cases, surgery is the best bet for gaining pain relief or increased mobility. Some conditions that produce a pinched nerve or a narrowing of the spinal canal may require surgery. Our surgeons routinely employ a variety of procedures, including decompression, fusion, and disc replacement.

Following are a few of the spine conditions that our physicians treat. Click to read more about the causes of these conditions and how they’re treated. For information on additional back and neck disorders, please visit the American Academy of Orthopaedic Surgeons at http://orthoinfo.aaos.org/menus/spine.cfm

 
Degenerative disc disease
Sciatica
Herniated disc
Spinal stenosis
Pinched nerves
Cauda Equina Syndrome
Low back pain
Neck pain
Spondylolysis and Spondylolisthesis

 
A Caudal Epidural Steroid Injection is an injection of a steroid-anesthetic medication through an opening in the sacrum (a large, triangular bone at the base of the spine). The medication can reduce swelling and inflammation of irritated spinal nerves. The injection takes only a few minutes to complete and is typically done as an outpatient procedure.


A Lumbar Transforaminal Epidural Steroid injection is an injection of a steroid-anesthetic medication, typically done as an outpatient procedure. The medication can reduce swelling and inflammation of irritated spinal nerves. This procedure is performed to relieve pain in the lower back and pain that radiates from the back to the legs. The injection takes only a few minutes to complete.


Degenerative Disc Disease is a weakening of one or more vertebral discs, which normally act as a cushion between the vertebrae. This condition can develop as a natural part of the aging process, but it may also result from injury to the back.



The spinal column contains open spaces that create passageways for the spinal cord and the spinal nerves. Spinal stenosis is a narrowing of (or an intrusion into) these openings. This can cause a compression of the nerves. Spinal stenosis most commonly affects the cervical and lumbar regions of the spine.



Spondylosis is a degeneration of the spine that can affect the spine at any level, resulting in pain and discomfort that can grow worse over time.