Philosophy: Treat the Source, Not the Symptom
Too many spine patients receive band-aid solutions. Epidural steroid injections numb pain without addressing why the nerve is inflamed. Muscle relaxers mask symptoms while atrophy worsens. Surgery-sometimes necessary-removes tissue without restoring the biological capacity of what remains. We can't cut out pain. We have to address inflammation, biology, and resourcing of the natural repair cycles. I treat the source.
The spine has three interdependent columns: the anterior column (vertebral bodies and discs), the facet joints and nerves, and the posterior soft tissue-muscles, tendons, ligaments, and fascia. I use all three columns to understand each patient and to make a personalized treatment plan that includes the right tools for the specific needs of each individual person. If your disc is dehydrating because load is being transferred to incompetent facet joints, we stabilize the facet joint and restore disc mechanics. If your ligament has lost proprioceptive innervation and elastic recoil, we stimulate fibrocyte proliferation. If your paraspinal muscles have atrophied and the fascia has scarred, we address the soft tissue that's failing to stabilize the spine.
We also interrupt pain patterns so that the patient can heal and repair. Pain isn't just a symptom to manage-it's a biological state that blocks the repair cycle. Turning off the pain signal is therapeutic, not just palliative. This takes more time than a quick injection, and it requires a physician who's willing to spend time understanding your specific anatomy. It's how I practice.