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.




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.

Neck Doctor Miami X Ray

Back pain is a common problem. This pain can be truly debilitating. You dont need to rush into surgery. Its true, the surgical approach has changed dramatically. With motion preservation and minimally invasive technique, we can help most patients, but as I tell my patients – IF you were my family, I would tell you to try spinal epidural injections first. These injections are not a cover up.In many cases they allow my patient to postpone or avoid surgery. Dont hesitate, call 305 467 5678 and come for an evaluation today.

Facts to Know About Minimally Invasive Surgeries

If you or someone you know suffers from neck and back pain, you might be looking for an effective treatment option. The treatment depends on the nature or source of the neck or back pain. Recent advances in the medical field have ushered in the “superior” minimally invasive surgery (MIS). Read on to learn more about the benefits of this treatment option.

Benefits of MIS technique
+ LESS PAIN
Nerve pains can be your worst nightmare. Subjecting yourself to additional pain can be equally devastating. Minimally invasive surgical techniques can take care of these nerve pains. Patients that have undergone a spinal operation in Miami can attest to the fact that MIS is less painful since no muscle cutting is involved vs stripping the muscles wide open with the old fashioned techniques.

+ LOW CHANCES OF DEVELOPING COMPLICATIONS
Minimally invasive surgical practices reduce the likelihood of suffering from postoperative complications. This is attributed to the fact that incisions made on the patient during the operation are very small. Notwithstanding, the success rate is also high, and patients can start moving and walking around immediately after the surgery.

+ REDUCED SURGICAL TIME
Ideally, shorter operation times mean better efficiency and patients also spend less time under anesthesia than in open surgeries. However, the time taken depends on the proficiency or experience of the doctor. For instance, the duration of a compressive fracture surgery should take anything between 30-45 minutes.

+ MIS vs. Open surgeries
Any experienced surgeon should look at the pros and cons of having a minimally invasive surgery over an open one. In most instances, MIS is highly preferred over an open surgery. That said, MIS techniques are superior to open surgeries. It is important to note that MIS procedures are surgical operations, and therefore have some risk involved. Also, the surgeon might be forced to convert an MIS to an open one if the circumstances dictate.

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