Cervical Center
Non Surgical Options
The Cervical Center works with the team at Spine Options to provide non operative care for patients. Most patients who present with some form of neck pain, upper extremity weakness or numbness, or lower extremity weakness or numbness within the diagnosis of cervical spine disorders will not need surgery. Most symptoms improve over time with conservative treatment.
Physical therapy
We develop personalized physical therapy prescriptions based on your specific needs and refer you to experienced local providers. These programs improve strength, flexibility, and posture, helping to reduce pain, enhance mobility, and promote long term spinal health.
Epidural injections
For patients who may benefit from epidural steroid injections, we provide expert evaluations and referrals to trusted local physicians who specialize in pain management. These injections can reduce inflammation and nerve related pain caused by conditions such as disc herniation or foraminal stenosis, offering relief with minimal downtime.
Medication
Most neck pain improves with non steroidal anti inflammatory agents such as Motrin, Aleve, Advil, and Tylenol. Any patient with numbness or weakness is a more urgent matter and should undergo an MRI of their cervical spine regardless of pain level.
Acupuncture
Acupuncture is extremely helpful for patients with persistent muscle spasms without nerve root compression and without myelopathy. Constant neck pain can keep the muscles of the neck and shoulders in continued spasm, and acupuncture helps in this situation.
When to consider surgery
Patients who present with a neurological deficit are candidates for surgery sooner than later. This includes severe weakness of the upper extremities from a pinched nerve, or progressive cervical stenosis causing cord compression. Any other patients with mild to moderate symptoms are evaluated based on the extent of any deficits, length of symptoms, and overall function.
Sources and further reading
Patient questions
What should I know about non surgical options?
Candidates typically have persistent arm or leg symptoms, a matching abnormality on MRI, and limited improvement after structured non surgical care. Patients with progressive weakness or spinal cord compression may need earlier surgical evaluation.
A fusion joins two or more vertebrae so they heal into one solid unit, which stabilizes the segment but removes motion at that level. Motion preserving surgery, such as an artificial disc replacement, relieves the same nerve pressure while keeping natural movement. Fusion suits instability and certain causes of pain, while motion preservation suits selected patients with good alignment and mainly nerve related symptoms.
Often, yes. Most one level and two level procedures are performed on a same day basis, and patients go home the same day. A three level surgery, or a patient who lives far away or alone, may warrant an overnight stay. Your surgeon confirms the plan with you beforehand.
The clearest improvement is usually in the radiating arm or leg symptoms caused by a compressed nerve. Axial neck or back pain can improve too, though it may respond more gradually. Walking is the main activity for the first four weeks, and most patients return to everyday activity within weeks, with heavier work taking longer.
Bring any prior imaging such as MRI, CT, or x ray studies, ideally on a disc, along with the reports. Bring a current medication list, a short summary of your symptoms and what makes them better or worse, and a note of treatments you have already tried. Writing your questions down in advance, and bringing someone with you, makes the visit more useful.
Get in touch
Contact us today.
Office
Institute For Spine Surgery244 Westchester Avenue, Suite 209
West Harrison, NY 10604
Phone
(914) 948 3008Start your recovery
What should I do next for spine care?
Take the first step toward a pain free life. Schedule a consultation to explore advanced spine surgery options at the Institute For Spine Surgery. Our expert team guides you through a personalized plan for optimal recovery.
- Board certified neurosurgery
- 4,000+ spine surgeries performed