Dr. Naraghi provides comprehensive care for individuals suffering from spinal pain caused by Facet joint disease. This condition is traditionally called facet syndrome. It is caused by injury, inflammation, or degeneration of the facet joints. Patients who come to us with these conditions often feel neck pain or back pain. Usually there is no associated arm or leg pain or numbness with facet conditions, although it is not uncommon to have a combination of facet disease and disc disease causing a variety of pain patterns.
Although Dr. Naraghi is a leader in endoscopic spine surgery, he also provides other options of treatment depending on each individual's unique condition. It is our belief that treatment begins with proper and accurate diagnosis as well as by understanding each of our patient's needs and the journey they have been through already.
Dr. Naraghi’s Treatment Algorithm: Dr. Naraghi believes that currently 5 options are available for treatment of spinal conditions causing pain. Depending on the severity of the individual’s condition, one individual may start off at a different option than another. Here are the different steps:
The 5 Options for Treatment for Back and Neck Pain:
Option 1 6-8 weeks of conservative treatments: including medications, physical therapy exercises, and possible other treatments (chiropractic treatments, acupuncture, etc.).
Option 2 1 to 2 Selective spinal steroid injections, epidural or facet injections (under x-ray guidance).
Option 3 Minimally-invasive Spinal Surgery (DTrax, endoscopic, laser, radiofrequency, ablation)
Option 4 Open spinal surgery (microdisectomy, laminectomy, spinal fusions, total disc replacement, interspinous fusion)
Option 5 Chronic pain options: spinal cord stimulator, spinal narcotic pumps, chronic opiate pills and pain management. Dr. Naraghi looks forward to determining what causes your pain and where we can start to help you in regards to your pain treatment process.