- 1Conservative carePhysical therapy, chiropractic, occupational and hand therapy
- 2Interventional painDiagnostic injections, nerve blocks and ablation
- 3Regenerative medicineShockwave, PRP and bone marrow concentrate
- 4Minimally invasiveSmall-incision spine and joint procedures
- 5NeuromodulationSpinal cord and nerve stimulators
- 6SurgerySpine and orthopedic surgery when it's the better option
Procedures
Longer-lasting relief without major spine surgery
- Percutaneous tenotomy
- Percutaneous trigger finger release
- Percutaneous carpal tunnel release
- Basivertebral nerve ablation
- Tubular (endoscopic) rhizotomy
- Kyphoplasty
- Percutaneous discectomy
- Minimally invasive laminotomy
- Percutaneous sacroiliac joint fusion
Why minimally invasive
Minimally invasive procedures use small incisions or needle punctures, X-ray or camera guidance, and specialized tools to treat the source of pain while disturbing less muscle and bone than open surgery. Many are outpatient, so you go home the same day. They aren't right for every problem, and our team also offers spine surgery when it's the better option.
Conditions we treat this way
- Vertebrogenic low back pain
- Facet joint pain
- Spinal stenosis
- Disc herniations
- Sacroiliac joint pain
- Spinal compression fractures
How it works
- Evaluation. A physician reviews your history, exam and imaging.
- Diagnosis first. Diagnostic injections often confirm the pain source before a procedure.
- Procedure. At Universal Care Surgery Center, Advanced Surgery Center or Garden City Hospital, depending on the procedure and your physician, usually with sedation.
- Recovery. Follow-up visits and physical therapy as needed.
Where
Consultations are at our spine and pain offices in Dearborn, Sterling Heights and Garden City.
Eduardo José Otero Loperena, MDInterventional pain medicine
Mohamed Osman, MDPain management
Aaron Greenberg, DOPhysical medicine and rehabilitationWho performs procedures, and where:
- Dr. Eduardo José Otero: Universal Care Surgery Center
- Dr. Mohamed Osman and Dr. Aaron Greenberg: Universal Care Surgery Center and Advanced Surgery Center
- Dr. Roy Torcuator: Advanced Surgery Center and Garden City Hospital
Office injections are done in our offices. Your physician confirms who performs your procedure, and where, at your consultation.
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