Conditions We Treat
NJNBI offers a wide range of treatment options for common conditions affecting all aspects of the spine including:
Spondylolisthesis occurs when one of the vertebrae of the spine slides out of place, with the most common occurrence in the lower back (lumbar) region.
Cervical spondylosis is the result of degenerative disc disease, where the facet joints within the spine begin to develop arthritis from increased pressure.
Cervical spondylotic myelopathy (aka spinal cord compression) is a condition where narrowing of the spinal canal occurs due to wear and tear over time.
Degenerative disc disease is not a disease but rather a term used to describe the normal changes in the spinal discs over the course of time.
Also known as adult onset scoliosis, degenerative scoliosis is when the curvature of the spine is caused by the degeneration of the facet joints.
A herniated disc, also known as a slipped or ruptured disc, is one of the most common spinal injuries. Learn about the causes and diagnosis here.
While there are a variety of causes for lower back pain, the majority of them result from the natural degeneration of parts of the spine.
Lumbar spinal stenosis is a condition where the spinal canal narrows, compressing the spinal cord and nerves in the lower back.
Neck pain is a common problem categorized as discomfort in the neck area. Read more about the common symptoms and treatment options available.
Radiculopathy is a condition that causes radiating pain into the extremities along the course of a spinal nerve root, commonly in the lower back and neck.
Sciatica is a condition that causes pain that radiates through the sciatic nerve, which runs through the lower back then splits and travels down each leg.
A spinal tumor is an abnormal tissue growth typically associated with cancer. Learn about the 3 types of spinal tumors as well as diagnosis and treatments.
Also known as adult onset scoliosis, degenerative scoliosis is a term used to describe a curvature of the spine caused by the degeneration of the facet joints. Facet joints link the vertebrae together and form a hinge between them, giving the spine flexibility. This condition occurs in up to 68 percent of adults over the age of 65.
Degenerative scoliosis is caused by the degenerative facet joints placing pressure on the overall spine, resulting in an otherwise normal spine curving to one side.
Symptoms of Degenerative Scoliosis
Patients with degenerative scoliosis may experience symptoms, including:
- Gradual pain that worsens over time and is exacerbated by activity
- Pain in one or both legs when walking/standing
- Pain that tends to be worse in the morning and night
- Sensation where sitting feels better than walking or standing
Any pain associated with this condition is the result of inflammation of the cartilage that protects the facet joints and is not due to the curvature of the spine itself. Pain may also be associated with the spinal stenosis that is typically also present.
How Is Degenerative Scoliosis Diagnosed?
To effectively diagnose this condition, Dr. LaRocca will conduct a physical exam after taking a detailed medical history. During the exam, flexibility and any rib deformity will be measured. In addition, testing for neurological deficits may also be conducted to assess sensation, reflexes and strength of muscles.
Following the exam, additional testing may be recommended, including:
- Computed tomography (CT) scan for a more detailed look of the vertebrae
- Magnetic resonance imaging (MRI) scan to assess the spinal cord
- X-ray to confirm a diagnosis of scoliosis and to assess the severity of the curving
What Treatment Options Are Available for Degenerative Scoliosis?
With years of experience and training, Dr. Sandro LaRocca and the specialized team at New Jersey Neck & Back Institute (NJNBI) create a customized treatment plan for patients with treatment options, including:
- Epidural or facet injections with anti-inflammatories or numbing agents
- Oral pain relievers, such as anti-inflammatory medications or ibuprofen
- Physical therapy routine to strengthen muscles and keep tissues/joints supple
- Recommendations for weight loss
- Scoliosis fusion surgery
- Spinal decompression surgery