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Expert Diagnosis
Our experienced spine consultants employ state-of-the-art diagnostic tools to precisely identify the root cause of your spinal concerns.
Interventional Solutions
Our comprehensive range of intervention options spans from minimally invasive procedures to advanced surgical techniques.
Personalized Care
You are more than just a patient – you are a partner in your health journey. Our team is committed to providing personalized care plans..
We at diagnostic and interventional spine consultants, provide the latest technology to make the most accurate diagnosis and thus the most effective treatment.
about
9
Years medical training
has acquired him a certificate
from American Board of Pain Medicine.
Dr. Hodroj is a specialist in pain management. His over nine year medical training has acquired him a certificate from American Board of Pain Medicine.
Dr. Hodroj is skilled in all sorts of pain management such as:
- TISSUE INJURY
- NERVE DISORDER
- MIXED PAIN
Dr. Hodroj addresses your pain wisely through different courses of treatment as needed: * medications and injections that numb the pain * advanced procedures such as radiofrequency ablation (RFA) or visco-supplementation * implant with a pain pump or a spinal cord stimulator Each patient receives the best treatment course and all the support needed though his treatment journey.
Conditions
What is a Bulging disc
A bulging disc is a common, age-related spine injury. The spine is made up of stacked vertebrae with spinal discs sitting between each one. The tough discs provide cushioning, support, and shock absorption and movement to the vertebrae. Each disc is made up of an outer ring (annulus fibrosus) and inner, jelly-like core (nucleus pulposus). Bulging Disc occurs when the nucleus shifts to press against the disc's outer ring, causing the disc to flatten and protrude into the spinal canal. Age-related wear and tear on the spine are the most common cause of a bulging disc. A traumatic accident like a car crash or sports accident can also damage spinal discs.
- • Back pain that worsens with movement, such as when sneezing.
- • Weakness and numbness in the legs and feet.
- • Reduced mobility in the legs, knees, and ankles.
- • Decreased bladder and bowel control.
- • Difficulty walking, sciatica, and reduced coordination.
- Losing weight
- Bed rest
- Exercise
- Physical therapy
- Stretching frequently
- Quitting smoking
Symptoms of a Bulging Disc include
Treatment options for Bulging Disc
What is Degenerative Disc Disease?
Degenerative disk disease is when normal changes that take place in the disks of your spine cause pain. Spinal disks are like shock absorbers between the vertebrae, or bones, of your spine. They help your back stay flexible, so you can bend and twist. As you get older, they can show signs of wear and tear. They begin to break down and may not work as well.
- • Pain in the lower back, buttocks, or upper thighs.
- • Pain that comes and goes. It could be a nagging pain or severe pain that lasts for days or even months.
- • Pain that worsens when you sit but eases when you move or walk.
- • Pain that feels better when you change position or lie down.
- Medication: which eases the pain and prevents further damage.
- Physical Therapy: In most cases, physical therapy and pain medication are enough for long-term relief.
- Steroid Shots: These have strong medications to ease pain, swelling, and inflammation.
- Surgery
Symptoms of Degenerative Disc Disease include:
Treatment options for Degenerative Disc Disease:
What is Disc Tear?
A disc tear usually happens when there is a combination of disc degeneration and trauma to a vertebral disc. When a disc tear occurs, the inner disc material pushes into the tear creating a form of disc herniation. Occasionally the material will pass completely through the outer layer of the vertebral disc leading to a full disc herniation. Because a disc tear usually requires some form of trauma they are most commonly found in the neck or lower back. This is not to say that they could not be found anywhere in along the spine, just that it would be very rare.
- • Pain in the area of the damaged disc.
- • Pain, numbness, tingling, and loss of reflexes in the affected extremities.
- • If in the neck, symptoms in the shoulder and arm; if in the lower back, symptoms in the lower extremities.
- • Symptoms worsen as the torn disc condition advances, eventually leading to full symptoms of a herniated disc.
- Rest and relaxation
- Anti-inflammatory medications
- Heat and ice therapy
- Physical therapy to bring it under control
Symptoms of Disc Tear include:
Treatment options for Disc Tear:
What is Facet Joint Disease?
Facet joint syndrome is an arthritis-like condition of the spine that can be a significant source of back and neck pain. It is caused by degenerative changes to the joints between the spine bones. The cartilage inside the facet joint can break down and become inflamed, triggering pain signals in nearby nerve endings.
- • Localized pain
- • Referred pain
- • Radiating pain
- • Tenderness on palpation
- • Effect of posture and activity
- • Crepitus
- • Stiffness
- Medication
- Physical therapy
- Joint injections
- Nerve blocks
- Nerve ablations
Symptoms for Facet Joint Disease include:
Treatment options for Facet Joint Disease:
What is Herniated Disc?
A herniated disc is a fragment of the disc nucleus that is pushed out of the annulus, into the spinal canal through a tear or rupture in the annulus. Discs that become herniated usually are in an early stage of degeneration. The spinal canal has limited space, which is inadequate for the spinal nerve and the displaced herniated disc fragment. Due to this displacement, the disc presses on spinal nerves, often producing pain, which may be severe.
- • Arm or leg pain
- • Numbness or tingling
- • Weakness
- The initial treatment for a herniated disc is usually conservative and nonsurgical.
- A doctor may advise the patient to maintain a low, painless activity level for a few days to several weeks.
Symptoms of Herniated Disc include:
Treatment options for Herniated Disc:
What is lower back pain?
The low back, also called the lumbar region, is the area of the back that starts below the ribcage. Almost everyone has low back pain at some point in life. It’s one of the top causes of missed work in the U.S.
- • These might range from a dull ache to a stabbing or shooting sensation.
- • The pain may make it hard to move or stand up straight.
- • Pain that comes on suddenly is “acute.” It might happen during sports or heavy lifting.
- • Pain that lasts more than 3 months is considered “chronic.”
- Medications
- Medical appliances
- Physical therapy
- Muscle relaxants
- Nonsteroidal anti-inflammatory drugs (NSAIDs)
- Narcotic drugs such as codeine for pain relief
- Steroids to reduce inflammation
- Corticosteroid injections
- Massage
- Stretching
- Strengthening exercises
- Back and spinal manipulation
Symptoms of Lower Back Pain include:
Treatment options for Lower Back Pain:
What is Pinched Nerve?
A pinched nerve occurs when too much pressure is applied to a nerve by surrounding tissues, such as bones, cartilage, muscles or tendons. This pressure can cause pain, tingling, numbness or weakness.
- • Numbness or decreased sensation in the area supplied by the nerve
- • Sharp, aching, or burning pain, which may radiate outward
- • Tingling, pins and needles sensations (paresthesia)
- • Muscle weakness in the affected area
- • Frequent feeling that a foot or hand has "fallen asleep"
- A physical therapist can teach you exercises that strengthen and stretch the muscles in the affected area to relieve pressure on the nerve.
- Medications that can be either given by mouth or injections.
Symptoms of Pinched Nerve include:
Treatment options for Pinched Nerve:
What is Radiculopathy?
Cervical radiculopathy is the clinical description of when a nerve root in the cervical spine becomes inflamed or damaged, resulting in a change in neurological function. Neurological deficits, such as numbness, altered reflexes, or weakness, may radiate anywhere from the neck into the shoulder, arm, hand, or fingers. Pins-and-needles tingling and/or pain, which can range from achy to shock-like or burning, may also radiate down into the arm and/or hand.
- • Sharp pain in the back, arms, legs, or shoulders that may worsen with certain activities, even something as simple as coughing or sneezing
- • Weakness or loss of reflexes in the arms or legs
- • Numbness of the skin, “pins and needles,” or other abnormal sensations (paresthesia) in the arms or legs
- Medications, like nonsteroidal anti-inflammatory drugs, opioid medicines, or muscle relaxants, to manage the symptoms
- Weight loss strategies to reduce pressure on the problem area
- Physical therapy to strengthen the muscles and prevent further damage
Symptoms of Radiculopathy include:
Treatment options for Radiculopathy:
What is sacroiliitis?
Sacroiliitis is an inflammation of one or both of your sacroiliac joints — situated where your lower spine and pelvis connect. Sacroiliitis is a common source of lower back pain or pain in the buttocks or thighs. It is often difficult to diagnose since many other conditions cause pain in the same locations.
- • Pain in the lower back, buttock, hip, or thigh
- • Pain that gets worse after long periods of sitting or standing, or getting out of a chair
- • Pain after rotating your hips
- • Feeling of sharp or stabbing, or dull and achy pain.
- Medication like: Pain relievers, Muscle relaxants, TNF inhibitors
- Physical therapy
- Surgical procedures
Symptoms of Sacroiliitis include:
Treatment options for Sacroiliitis:
What is Sciatica?
Sciatica pain is caused by an irritation, inflammation, pinching or compression of a nerve in the lower back. The most common cause is a herniated or slipped disk that causes pressure on the nerve root. Most people with sciatica get better on their own with time and self-care treatments.
- • Moderate to severe pain in the lower back, buttock, and down your leg.
- • Numbness or weakness in your lower back, buttock, leg, or feet.
- • Pain that worsens with movement; loss of movement.
- • “Pins and needles” feeling in your legs, toes, or feet.
- • Loss of bowel and bladder control (due to cauda equina).
- Applying ice and/or hot packs
- Medications like painkillers
- Performing gentle stretches
Symptoms of Sciatica include:
Treatment options for Sciatica:
What is Spinal Bone Spurs?
Spinal bone spurs often form as a result of chronic inflammation, which can develop within areas where cartilage has worn away due to spinal arthritis. This condition breaks down the cartilage that cushions the ends of bone. As your body attempts to repair this loss, it can create bone spurs near the damaged area.
- • Pain in the affected joint.
- • Pain or stiffness when you try to bend or move the affected joint.
- • Weakness, numbness, or tingling in your arms or legs if the bone spur presses on nerves in your spine.
- • Muscle spasms, cramps, or weakness.
- • Bumps under your skin, seen mainly in the hands and fingers.
- Steroid shots to help reduce joint swelling and pain.
- NSAIDs to reduce swelling, relieve pain, and relax muscles for four to six weeks.
- Physical therapy and manipulation of joints to restore flexibility and strength, improve posture, and reduce the pressure on the nerves.
- Rest.
Symptoms of Spinal Bone Spurs include:
Treatment options for Spinal Bone Spurs:
What is Spinal Stenosis?
Spinal stenosis is a narrowing of the spaces within your spine, which can put pressure on the nerves that travel through the spine. Spinal stenosis occurs most often in the lower back and the neck. Some people with spinal stenosis may not have symptoms.
- • Pain in the back.
- • Sciatica
- • Numbness, tingling, cramping, or weakness in the legs.
- • Loss of sensation in the feet.
- • Foot drop
- Exercises to strengthen your back, stomach, and leg muscles.
- Medicines and steroid injections that reduce swelling.
- Surgical treatments
Symptoms of Spinal Stenosis include:
Treatment options for Spinal Stenosis:
treatment
Epidural Injections
Offering relief for spinal pain and inflammation, epidural injections involve delivering medication into the outer layer of the spinal cord. Commonly used to address conditions like herniated disks and spinal stenosis, this procedure is part of a comprehensive pain management approach at Comprehensive Spine and Joints.
PRP Injections
Utilizing a patient’s blood cells to create a concentrated solution rich in growth factors, PRP injections accelerate healing in targeted areas, addressing conditions from sports injuries to hair loss. Notable for their versatility, PRP injections support the healing of chronic tendon injuries and other musculoskeletal conditions.
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