Spine Care & Treatment in North Carolina

Spine-related diseases can range from herniated discs and spinal stenosis to more severe conditions like scoliosis and spinal tumors, creating the need for effective spine care and treatment. Neurosciences & Spine Center offers several treatment options depending on your condition, including physical therapy, medication, non-surgical procedures, and surgery.

Comprehensive Spine Treatment Services

The spine is an essential part of the human body, supporting its structure and enabling flexibility and movement. It also protects the spinal cord, which is crucial for transmitting messages between the brain and the body.

Spine care and treatment can entail one or more of the following:

  • Back Pain Care – Focuses on diagnosing and treating acute or chronic back pain using both non-surgical and surgical methods, tailored to each patient’s needs
  • Minimally Invasive Spine Surgery – Uses advanced techniques to reduce recovery time and minimize the impact on surrounding tissues, targeting specific spine conditions
  • Radiculopathies – Address nerve root disorders that can cause pain, weakness, or numbness, often involving physical therapy, medication, or surgery for relief
  • Reconstructive Spine Surgery – Aims to correct spinal deformities or injuries, restoring alignment and function through complex surgical procedures
  • Spinal Cord Tumors – Focuses on the management of benign and malignant growths within or adjacent to the spinal cord, often requiring specialized surgical techniques
  • Spinal Fusion – A surgical technique to join two or more vertebrae to stabilize the spine and alleviate pain caused by movement
  • Spinal Stenosis – Treatment options aiming to relieve pressure on the spinal cord or nerves. May include medication, physical therapy, or surgery
  • Spinal Injuries – Providing acute and rehabilitative care for spinal injuries, focusing on minimizing long-term impact and enhancing recovery
  • Spondylolisthesis – Targets the displacement of a vertebra, often involving physical therapy, bracing, or surgery to relieve pain and restore function
  • Vascular Abnormalities of the Spine – Involves the diagnosis and treatment of blood vessel conditions affecting the spine, which may require surgical intervention for relief

Bulging and Herniated Disc Care in North Carolina

Bulging and herniated discs are among the most common causes of back pain, neck pain, numbness, and radiating nerve symptoms. While the terms are often used interchangeably, they are not the same condition. A bulging disc occurs when the outer portion of a spinal disc extends beyond its normal boundary, while a herniated disc develops when its inner material pushes through a tear in the outer layer. Both conditions can place pressure on nearby nerves and significantly affect daily activities.

At North Carolina Neurosciences & Spine Center, our specialists take a conservative-first approach to disc treatment whenever possible. Rather than immediately recommending surgery, we begin with a comprehensive evaluation that may include advanced imaging and consultation with our spine specialists, pain management team, and spine-focused physical therapists. Because all of these services are available within our practice, patients benefit from coordinated care without being referred to outside therapy providers.

Your disc treatment plan may include:

  1. Diagnostic imaging and specialist evaluation to identify the source of symptoms
  2. Targeted physical therapy and anti-inflammatory treatment strategies to reduce pain and improve function
  3. Minimally invasive surgical options when conservative treatments are no longer providing adequate relief

Already have an MRI? Get a second opinion from our specialists and learn which treatment options may be right for you. 

Expert Spine Diagnostic Procedures

Diagnostic strategies for spinal issues provide accurate assessments for planning treatments. Each procedure below has a specific role and will be selected based on the suspected condition and the patient’s symptoms, giving a targeted approach to spine care. Depending on your situation, we may advise you to take one or more of these diagnostic procedures before or after your initial consultation with our medical team:

  • MRI (Magnetic Resonance Imaging) provides detailed images of the spine’s soft tissues, like discs and nerves.
  • CT scans (Computed Tomography scans) offer precise images of the bone structure.
  • X-rays highlight alignment and detect fractures.
  • Electromyography (EMG) measures muscle response to nerve stimulation, identifying nerve damage.
  • Discography injects dye into spinal discs to pinpoint pain sources.
  • Myelograms use dye and X-rays to reveal spinal canal issues.
doctor and patient examining spine xrays

Why Patients Trust Our Spine Specialists

Our team consists of highly skilled and board-certified specialists who have undergone rigorous training in their respective fields. They remain committed to staying up-to-date with the latest techniques and advancements to enhance the quality of your care.

Collaboration is at the core of our approach. When necessary, we work closely with other specialists within the UNC REX and UNC network to provide you with a comprehensive and well-coordinated treatment plan. We believe effective communication is vital, and we maintain a strong line of contact with you and your referring physician throughout your care journey.

Our ultimate goal is to facilitate your recovery and return you to your primary physician’s care as soon as medically feasible. By focusing on teamwork, innovation, and personalized care, we aim to deliver the best possible outcomes and ensure your well-being throughout the entire treatment process.

Frequently Asked Questions About Spine Care

What are some early signs that I may need spine care?

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Early warnings include persistent back pain, numbness or weakness in the limbs, and difficulty maintaining posture. If these symptoms interfere with your daily activities, consulting a specialist is recommended.

How can I prepare for my first spine care consultation?

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If available, bring a detailed medical history, including previous imaging or diagnostic results. Be ready to discuss your symptoms, lifestyle, and any prior treatments you've received. Writing down questions or concerns beforehand can also help ensure all your issues are addressed during the visit.

What is the recovery time for minimally invasive spine surgery?

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Recovery times vary depending on the procedure. However, minimally invasive techniques generally allow for faster recovery compared to traditional surgery.

Can spine conditions be prevented?

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While not all conditions are preventable, maintaining good posture, staying active, and avoiding heavy lifting can reduce the risk of spine-related problems. Regular check-ups can help detect issues early.

What should I do if I experience sudden and severe back pain?

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Seek immediate medical attention, especially if the pain is accompanied by weakness, numbness, or a loss of bladder or bowel control. These symptoms may indicate a serious condition requiring urgent care.

Supporting You All The Way

Contact our medical team for spine care & treatment at Neurosciences & Spine Center if you’re experiencing any of these issues. We’re ready to help you with solutions for your spine health.

Patient Testimonials

Nat Lambeth
I am a former patient of Dr Koolevelt, hate he retired am of the opinion he is a great doctor. I had a very good result from my surgery last April. I have encountered a new problem. I called and got an appoint ment to see Daniel Ingram he to is great. He listen to my complaint(s), then examined me. He sent me for xrays, and gave me a recomended treatment plan. Within hours of having my xrays he called me back with the preliminary results. He said he would get me seen for an injection to rule out possible other issues. He is a warm friendly professional. Great bedside manner. You don't find medical professionals of his quality in every practice. UNCRex Neuroscience is lucky to have him.
Dennis Hlad
Everyone was pleasant & efficient. Daniel Ingram, PA went over the previous MRI showing me where the problem is. Then we discussed the options. He suggested if the symptoms changed to contact him.
Jill Schade
I have known Dr Koeleveld and his team over 19 years and due to the nature of my back history L5/S1. There is NO one else I would trust but Dr K, Dan, Judy and his wonderful team. I should have written this sooner as I am 2 years post fusion and doing wonderful. Their expertise, care and compassion is second to none.
Katy TwoJsMom
Amazing. Mom needed nerve ablation on the back. She has a pacemaker and these folks were wonderful.
Kristian Brock
Best experience I had even Surgery went great, Dr.Lacin knew exactly what needed to be done.
Catherine Raspet
When I had stenosis quite a while ago, he performed surgery,and I woke up with no pain. What an extreme relief.
Raymond Baule
Great job Dr. Buttram!
Whitney Moore
John A. Engler, MD was amazing! I've been having back pain for years (had surgery in 2011) and was good for awhile. However I started going to a pain management clinic 3 years ago when it started up again. After an incident that cause me to go the the ER I was referred to Dr. Engler. He was extremely nice and informative. He took the time to explain everything to me. Extremely satisfied with the care I received will update after everything is said and done.
Mary Roby
I am now pain free and well on my way to a full recovery thanks to Dr. Lacin. Both he and his staff are knowledgeable, compassionate, caring and professional. Dr. Lacin performed back surgery on me as well as my mom and we will both be forever grateful.
Jeff Wiblitzhouser
Dr. Lacin's skill and dedication gave me a new lease on life. As a designer and builder of custom homes and remodels, I depend on my ability to get in and out of houses, tight spaces, etc., and my back had gotten to the point where the pain was intolerable. I didn't hire Dr. Lacin to tell me what I wanted to hear, I hired him to help me regain functionality. Thank You Dr. Lacin and your staff!!
Joann
My primary care doctor referred me to Dr Engler for a second opinion. First, I would like to say I would highly recommend seeing Dr Engler. He was patient, very thorough, and really took the time listening to me when I explained the pain I been experiencing. I was so relieved when he immediately pinpointed the cause of my pain. Dr Engler not only told me my options, but he explained them in-dept to me, and answered all my questions. I was truly satisfied with my visit. I Couldn't have asked for a better doctor.
Sharon Greene
Superb care from Dr Lacin and staff. Dr Lacin repaired my cervical disc, and with each visit I felt as if my care was most important to him and he Treated me like I was his only patient. Great bedside manner and Excellent surgeon. Highly recommended!!!
Brooke Weisner
Dr. Buttram was amazing, he helped me recover from a severely herniated disc, which ultimately had to have surgery on. his staff is super sweet and friendly, I would recommend him to anyone who is having back pain.