Miami Neck Specialists is a team of doctors, physician assistants, orthopedic spine surgeons and pain management specialists who specialize in neck pain.

 

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WHAT WE DO | SPINE SPECIALISTS

We evaluate patients right away and obtain appropriate imaging. The patient follows up and is given a proper diagnosis and treatment plan.




DR. SETH KAUFMAN
INTERVENTIONAL PAIN SPECIALIST
Learn More About Dr. Seth Kaufman

Dr. Seth Kaufman specializes in non-surgical and minimally-invasive approaches to neck pain. A physiatrist who is board-certified by the American Board of Physical Medicine and Rehabilitation, he attained his medical degree from New York College of Osteopathic Medicine in Old Westbury, New York. After receiving his medical degree, Dr. Kaufman completed two medical internships. Following the completion of a rotating internship, his second internship was completed at St. Barnabas Medical Center in Livingston New Jersey. After this training, he finished his residency at The Boston University Medical Center in Physical Medicine and Rehabilitation.
In addition to this extensive education and training, Dr. Kaufman also gained experience at Harvard Medical School’s Spaulding Rehabilitation Hospital, where he worked alongside and gained praise from some of the top medical professionals in his field. A fellowship in Annapolis, MD at the Kahan Center for Pain Physiatric Rehabilitation followed, where he was under the direct tutelage of top doctor Dr. Brian Kahan himself.





DR. GEORGIY BRUSOVANIK
MINIMALLY INVASIVE SURGERY SPECIALIST
Learn More About Dr. Georgiy Brusovanik

When therapy and injections fail to help or if the effect doesn’t last, motion preservation and minimally invasive surgery may be an option. We refer our patients to Georgiy Brusovanik, MD. Dr. Brusovanik trained at Duke University with both orthopedic and neurosurgical departments. He is the spine consultant for the Miami Dolphins, the Miami Heat and Sony Open Tennis. He is the official physician for the United States Kickboxing Association and the head of spine surgery for the Miami Medical Center. He is affiliated with the Baptist, HCA and Tenet hospitals as well as Jackson Memorial health system. He is a specialist in motion preservation, minimally invasive approach, robotic and computer assisted spine surgery.




Neck Pain Treatment in Miami

Miami Neck Specialists treat neck and arm pain in Miami. Neck pain can be caused by a variety of conditions, including cervical dystonia, cervical spondylosis, fibromyalgia, disc herniation, or osteoarthritis. Sometimes the cause has to do with lifestyle habits, such as carrying a heavy bag on a shoulder, cradling the phone between the shoulder and neck, emotional stress, muscle strain, or poor posture. Emotional distress often causes tension in the neck and shoulders and can lead to neck pain. Sleeping on one’s stomach can also cause neck pain. Traumas from accidents, including whiplash, can cause pain to occur in the neck as well.

The Miami Neck Specialists will begin by diagnosing the condition is causing the neck pain through an MRI, and then outline a treatment plan. The specialists prefer to use targeted pain management and non-surgical techniques to treat the pain of their clients. They have found that most cases of neck pain are caused by neck strain, which can be treated without surgery. Sometimes rest is all that is needed to relieve the pain. These specialists are skilled in minimally-invasive surgical procedures and will use them in serious cases requiring surgery. If you are experiencing neck and back pain in Miami, call the Miami Neck Specialists today to start your treatment plan.

Anterior cervical discectomy and fusion

Anterior Cervical Discectomy and Fusion {ACDF) is a type of minimally invasive neck surgery, designed to treat nerve root and spinal cord compression. The surgeon performs a discectomy to the cervical spine in order to remove a herniated or degenerative disc and decompress the nerve roots and spinal cord to stabilize the vertebrae. Through this procedure, pressure on the area is relieved, and the corresponding pain and numbness is alleviated.

ACDF surgery uses specific instruments in order to avoid cutting into the soft tissues, and therefore causes less pain than traditional methods of surgery. The minimally invasive procedures used in this type of surgery are safer, quicker, and allow for a faster recovery time. In fact, most of these surgeries are performed in an outpatient setting, and patients are able to return home the same day of the surgery.

With ACDF, the incision is much smaller, so there is less blood loss and less pain that occurs. Because of this, the need for post-op pain medication is reduced.

Who Needs ACDF Surgery?
This minimally invasive procedure may be an option for patients suffering from cervical radiculopathy, a herniated or degenerative disk in the neck, cervical spinal, stenosis, and cervical spinal fracture.

Miami Neck Specialists can perform this surgery on patients suffering from disc herniation, spinal stenosis, and other spine and neck problems in Miami. Call for a consultation to find out if ACDF surgery is right for you. For those patients who do not have significant degenerative changes, disk replacement is another option and can provide the same great relief without the loss of motion.

The Sources of Neck Pain

Neck pain can have a variety of causes, from bad posture to tumors in the spine. Fortunately, the more common causes of neck pain can be treated and resolved.

Neck and Back Pain Causes: Whiplash and Spinal Stenosis
Whiplash happens when the head is snapped backward then forward or forward then backward. It often happens to a driver or passenger in a car that is rear-ended. It is also a risk in contact sports and amusement park rides. Women and girls are more susceptible to whiplash than men and boys.

The symptoms of whiplash are different for different patients and may develop immediately or days after the accident. In some cases, the symptoms develop weeks after the accident. Symptoms occur because the muscles, tendons, and ligaments in the patient’s neck are strained or torn. They include:
• Pain in the back or front of the neck. The pain can be in the front and back of the neck simultaneously.
• Stiff neck
• Pain that may shoot down the arm, the lower back or the shoulder. An arm may also be weak, feel heavy or have numbness and tingling.
• Headache
• Blurred vision
• Ringing in the ear
• Insomnia because of the pain
• Trouble concentrating
• Memory problems

Spinal Stenosis
This is a condition that occurs when the space in the vertebrae that allows the spinal cord to pass narrows. This compresses the cord and the roots of the nerves that radiate out of it. The symptoms of spinal stenosis often start slowly and get gradually worse. The symptoms may be intermittent and are made worse when the person stands up or walks. Symptoms include:
• Pain in the neck and shoulders. This pain occurs when the spinal stenosis affects the neck vertebrae.
• Cramping in the arms.
• The arms may also be weak or numb.

Though most people acquire spinal stenosis because of arthritis or, less commonly, a herniated disc, some people are born with it. This is called congenital/primary spinal stenosis and is rare.

Headache and Jaw Pain

There are eight nerve roots that branch off of the spinal cord in the cervical spine/neck. They are known as C1-C8. Each nerve follows a distinct pattern and innervates different muscle groups. When a nerve in the cervical spine becomes pinched, the patient experiences pain in the pattern of that nerve. Nerves C1 though C4 radiate to the head and jaw causing headaches or jaw pain. Therefore, it is common for patients to feel headaches and jaw pain pain that is coming from an issue in the neck. In Dr. Brusovanik’s office, this is something he encounters on a daily basis. He is trained in distinguishing between these two types of pain and determining whether a patient’s pain is coming from his/her neck or another location. This is achieved by obtaining a detailed history, doing a thorough physical exam and attaining the proper imaging.

Shoulder Blade Pain

There are eight nerve roots that branch off of the spinal cord in the cervical spine/neck. They are known as C1-C8. Each nerve follows a distinct pattern and innervates different muscle groups. Nerves C3 though C8 pass through the shoulder. When a nerve in the cervical spine becomes pinched, the patient experiences pain in the pattern of that nerve, this is called cervical radiculopathy. Therefore, it is common for patients to feel shoulder pain and shoulder blade pain that is coming from an issue in the neck. In Dr. Brusovanik’s office, this is something he encounters on a daily basis. He is trained in distinguishing between these two types of pain and determining whether a patient’s pain is coming from his/her shoulder or neck. This is achieved by obtaining a detailed history, doing a thorough physical exam and attaining the proper imaging.

Benefits of Cervical Total Disc Replacement (TDR) versus Anterior Cervical Discectomy and Fusion (ACDF)

The procedures TDR and ACDF are similar in that they are both approached through the front of the neck. Dr. Brusovanik accesses the spine using minimally invasive technique. He does a small incision in the neck that is made on the front left side usually over a neck crease. With this technique there is no muscle injury. The disc is removed in both the TDR and ACDF.

In an ACDF (CPT code: 22551) an interbody device with bone graft is placed with a plate and four screws to hold it in place. Over the next few months, bone grows in the disc space connecting the two vertebrae causing fusion and stopping movement at this level.

In the Total Disc Replacement (CPT code: 22856) an artificial disc is placed in the disc space therefore normal motion of the neck is preserved at this level.

Common post operative symptoms in both procedures include soreness in the back of the neck and painful swallowing, sometimes these symptoms are less with a total disc replacement. Patients can walk the same day after surgery, they usually leave the hospital the next day. The day after surgery patients are able to go back to their activities of daily living 1-2 days after surgery.

According to the The American Academy of Orthopedic Surgery (AAOS), studies have shown that risk of adjacent level disease, which is breakdown of a disc level above or below, is less with total disc replacement than with fusion.

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