White Plains Spine Surgery

Minimally invasive spine surgery in White Plains

White Plains spine surgery

White Plains spine surgery

When you need White Plains spine surgery, why not choose the top rated doctor? A renowned board-certified orthopedic surgeon, Dr. Andrew Casden is experienced in both traditional and minimally-invasive spinal surgery. His comprehensive approach takes each patient’s lifestyle and expectations into consideration, and his approach focuses on offering the most sensible treatment options for each individual. His services include minimally invasive spinal surgery, disc replacement, revision spinal surgery, spinal fusion, scoliosis, and treatment of degenerative spinal diseases including herniated discs and spinal stenosis.

He also has expertise in minimally invasive spinal surgery (or MISS), which can now be used to treat a great number of conditions in place of traditional spinal surgery. Minimally invasive procedures offer an equally effective result with a briefer hospital stay, a faster and more comfortable recovery period, and a quicker return to work. Because minimally invasive spine surgery (MISS), does not involve a long incision, it avoids significant damage to the muscles surrounding the spine. In most cases, this results in less pain after surgery and a faster recovery. Dr. Casden will recommend White Plains spine surgery only after a period of nonsurgical treatments, such as medications and physical therapy, has not relieved the painful symptoms caused by your back problem. In addition, surgery is only considered once the exact source of your pain, such as a herniated disc or spinal stenosis, has been identified. Minimally invasive techniques are beginning to be used for a wider range of spine procedures and have been used for common procedures like decompression and spinal fusion for nearly 25 years. Decompression relieves pressure put on spinal nerves by removing portions of bone or a herniated disc. Spinal fusion corrects problems with the small bones of the spine. The basic idea is to fuse together the painful vertebrae so that they heal into a single, solid bone.

When it comes to White Plains spine surgery, you want to work with a leading surgeon who inspires confidence and who has a lot of expertise in this arena. Dr. Andrew Casden will take a thorough medical history, give a complete physical examination, and order the appropriate imaging tests before discussing your surgical options with you. Together, as a team, you will decide upon a treatment plan that is best for you.

222 Westchester Avenue, Suite 101
West Harrison, New York 10604
(914) 946-1010

White Plains Sciatica

Diagnosing and treating sciatica in White Plains

White Plains sciatica

White Plains sciatica

Sciatica can be a mild, dull pain or a crippling one. If you have White Plains sciatica, come and see Dr. Andrew Casden for pain relief. Dr. Andrew Casden is a leading White Plains orthopedist. He is experienced in both traditional and minimally-invasive spinal surgery. His compassionate and comprehensive approach takes each patient’s lifestyle and expectations into account when prescribing treatment options and his approach focuses on offering the most sensible choices for each patient. Named a Top Doctor by US News and one of New York’s Best Doctors by New York Magazine, Dr. Casden treats both children and adults at his position at the Mount Sinai Hospital. His services include minimally invasive spinal surgery, treating sciatica, disc replacement, revision spinal surgery, spinal fusion, scoliosis, and treatment of degenerative spinal diseases including herniated discs and spinal stenosis.

Sciatica, also called lumbar radiculopathy, is a term that describes symptoms of pain, numbness, and/or weakness that radiate along the sciatic nerve from the lower back to the buttocks and leg. The pain from sciatica can range from a constant, dull pain to a debilitating condition. Most of sciatica symptoms result from lower back disorders between the L4 (fourth lumbar vertebra) and S1 (first sacral) levels that put pressure on or cause irritation to a lumbar nerve root. Depending on where the sciatic nerve roots are compressed, symptoms may be felt in different areas of the leg and into the foot. Most commonly, sciatica is caused by a disc problem, such as a herniated disc that is pressing against a nerve root. It can also occur when a disc degenerates, which releases inflammatory proteins that irritate the adjacent nerve. There are also times when hypertonic hip muscles, most often the lateral hip rotator piriformis muscle, compress the sciatic nerve resulting in sciatica pain. Sciatica symptoms are typically felt on only one side of the body. They may include a combination of leg and foot pain, weakness, tingling or numbness. To treat your White Plains sciatica, your best chance of recovery is with Dr. Andrew Casden.

When sciatica is caused my a herniated disc, White Plains sciatica treatment offers several options. Many herniated discs heal without surgical intervention. Rest, physical therapy, anti-inflammatory medication, and maybe an epidural steroid injection may alleviate the pain from the irritated nerve root. Surgical treatment may be necessary if the symptoms do not improve with time or if significant weakness is present. A minimally invasive technique called microdiscectomy permits the surgeon to remove the pieces of the disc causing the pressure on the nerve. Pain relief is often immediate and the patient leaves the hospital the same day. Don’t suffer with sciatica any longer. Call for an appointment today.

222 Westchester Avenue, Suite 101
West Harrison, New York 10604
(914) 946-1010

Spine Surgery in White Plains

Minimally invasive spine surgery in White Plains

Spine surgery in White Plains

Spine surgery in White Plains

When you need spine surgery in White Plains, why not choose the best doctor? A renowned board-certified orthopedic surgeon, Dr. Andrew Casden is experienced in both traditional and minimally-invasive spinal surgery. His comprehensive approach takes each patient’s lifestyle and expectations into consideration, and his approach focuses on offering the most sensible treatment options for each individual. He was named a Top Doctor by US News and one of New York’s Best Doctors by New York Magazine, Dr. Casden treats both children and adults. Dr. Casden was the Associate Director of the Spine Institute at Beth Israel Medical Center and subsequently practiced at Mount Sinai in New York City. He is now Chief of Orthopaedics and Spine Surgery at White Plains Hospital, located in White Plains, New York. His services include minimally invasive spinal surgery, disc replacement, revision spinal surgery, spinal fusion, scoliosis, and treatment of degenerative spinal diseases including herniated discs and spinal stenosis.

He also has expertise in minimally invasive spinal surgery (or MISS), which can now be used to treat a great number of conditions in place of traditional spinal surgery. Minimally invasive procedures offer an equally effective result with a briefer hospital stay, a faster and more comfortable recovery period, and a quicker return to work. Because minimally invasive spine surgery (MISS), does not involve a long incision, it avoids significant damage to the muscles surrounding the spine. In most cases, this results in less pain after surgery and a faster recovery. Dr. Casden will recommend spine surgery in White Plains only after a period of nonsurgical treatment, such as medications and physical therapy, has not relieved the painful symptoms caused by your back problem. In addition, surgery is only considered once the exact source of your pain, such as a herniated disc or spinal stenosis, has been identified. Minimally invasive techniques are beginning to be used for a wider range of spine procedures, and have been used for common procedures like decompression and spinal fusion since the 1990s. Decompression relieves pressure put on spinal nerves by removing portions of bone or a herniated disc. Spinal fusion corrects problems with the small bones of the spine. The basic idea is to fuse together the painful vertebrae so that they heal into a single, solid bone.

When it comes to spine surgery in White Plains, you want to work with a leading surgeon who inspires confidence and who has a lot of expertise in this arena. Dr. Andrew Casden will take a thorough medical history, give a complete physical examination, and order the appropriate imaging tests before discussing your surgical options with you. Together, as a team, you will decide upon a treatment plan that is best for you.

222 Westchester Avenue, Suite 101
West Harrison, New York 10604
(914) 946-1010

White Plains Spine Doctor

Herniated Discs in White Plains

White Plains Spine Doctor

White Plains Spine Doctor

Dr. Andrew Casden is a highly regarded White Plains spine doctor. He is experienced in both traditional and minimally-invasive spinal surgery. His compassionate and comprehensive approach takes each patient’s lifestyle and expectations into account when prescribing treatment options and his approach focuses on offering the most sensible choices for each patient. Named a Top Doctor by US News and one of New York’s Best Doctors by New York Magazine, Dr. Casden treats both children and adults at his position at the Mount Sinai Hospital. His services include minimally invasive spinal surgery, disc replacement, revision spinal surgery, spinal fusion, scoliosis, and treatment of degenerative spinal diseases including herniated discs and spinal stenosis.

Intervertebral discs separate each of the bones of the spinal column with the exception of the first vertebra in the neck. The discs act as shock absorbers to minimize the impact of movement on the spine. Their structure resembles that of a jelly donut with a soft central portion (nucleus pulposus) surrounded by a tough, flexible outer ring (annulus fibrosus).
A herniated disc, sometimes referred to as a slipped, bulging, or ruptured disc, can occur as the result of the stress of long-term wear and tear or develop as a consequence of a sudden injury. When a disc herniates, the softer central portion ruptures and pushes out through a crack in the surrounding outer ring. A herniated disc can irritate nearby nerves and cause symptoms of pain, numbness, tingling, or weakness. For appropriate spine care, the White Plains spine doctor recognizes the important of pinpointing the part of the body where the symptoms develop since that reflects the location of the herniated disc. When a disc herniates in the upper back area, neck pain and radiating symptoms through the shoulder and arm can develop. In the case of a lower back disc herniation, symptoms may radiate to buttocks and down through the legs. However some individuals who display evidence of a disc herniation in diagnostic tests, do not exhibit symptoms.

The most common area for a herniated disc to occur is in the lower back between the fourth and fifth lumbar vertebrae. This area is particularly susceptible as it bears the weight of the upper body and the brunt of physical stresses generated by daily activities. .
The diagnosis of a herniated disc begins with a complete medical history and physical examination. Based on the symptoms present the doctor will examine the spine and conduct a neurological examination including checking for pain, weakness, and sensory loss. Further testing may be suggested to confirm the diagnosis, determine the location of the herniated disc, and to rule out other conditions. Unless there are significant neurological deficits, the White Plains spine doctor will initially recommend conservative treatments such as rest, physical therapy, muscle-relaxant medications, pain medications, anti-inflammatory medications, and steroid injections. When conservative treatment does not relieve the symptoms, or if they have worsened, surgery may be recommended. Let us help you get back in the game and give us a call to set up an appointment with Dr. Casden.

Andrew Casden, MD
222 Westchester Avenue, Suite 101
West Harrison, New York 10604
(914) 946-1010

NYC Spine Doctor

Degenerative Disease of the Spine in NYC

NYC Spine Doctor

NYC Spine Doctor

A renowned board-certified orthopedic surgeon, Dr. Andrew Casden is experienced in both traditional and minimally-invasive spinal surgery. His comprehensive approach takes each patient’s lifestyle and expectations into consideration, and his approach focuses on offering the most sensible treatment options. Named a Top Doctor by US News and one of New York’s Best Doctors by New York Magazine, Dr. Casden, a NYC spine doctor, treats both children and adults at his position at the Mount Sinai Hospital. His services include minimally invasive spinal surgery, disc replacement, revision spinal surgery, spinal fusion, scoliosis, and treatment of degenerative spinal diseases including herniated discs and spinal stenosis.

Degenerative disc disease is a condition in which one or more of the intervertebral discs between the vertebrae become damaged, resulting in arthritis of the spine. This can occur in any area of the spine and usually is a result of the normal aging process. The damage to the discs results in narrowing and degeneration of the disc, and this transfers stress to other supporting structures. The vertebrae react with the formation of bone spurs and enlargement of ligaments. This sometimes leads to a narrowing of the area for the spinal cord and nerves. Deformity of the spine can also result. Degeneration of the spine leads to the onset pain, often developing very slowly. As the degeneration gets worse, the pain will often increase and can become severe in some patients. The symptoms may be in the cervical and/or lumbar spine. Pain radiating into the arms or legs may also occur. After a careful history and physical examination by the NYC spine doctor, x-rays will usually show the degeneration of the affected part of the spine. In addition, an MRI or CT may be ordered to confirm the diagnosis.

For most patients, non-operative care such as exercise, physical therapy, anti-inflammatory drugs and alteration of certain daily activities will eliminate or reduce the pain significantly. In some cases, surgery may be necessary and new minimally invasive techniques used by the NYC spine doctor permit a faster recovery and return to normal activity. These techniques include the X lift procedure, where a device is inserted into the spine from the side. Alternatively, a minimally invasive TLIF (transforaminal lumbar interbody fusion) may be a better choice. In certain cases, a disc replacement may be considered. In some situations the fusion is done from the front of the spine (called an anterior spinal fusion). If you are experiencing any of the symptoms of degenerative disease of the spine, call us today for an appointment with our highly skilled and experienced doctor today.

Andrew Casden, MD
222 Westchester Avenue, Suite 101
West Harrison, New York 10604
(914) 946-1010

Spinal Stenosis, NYC

Diagnosing and Treating Spinal Stenosis in NYC

Spinal Stenosis, NYC

Spinal Stenosis, NYC

A renowned board-certified orthopedic surgeon, Dr. Andrew Casden is experienced in both traditional and minimally-invasive spinal surgery. His comprehensive approach takes each patient’s lifestyle and expectations into consideration, and his approach focuses on offering the most sensible treatment options. Named a Top Doctor by US News and one of New York’s Best Doctors by New York Magazine, Dr. Casden treats both children and adults at his position at the Mount Sinai Hospital. His services include minimally invasive spinal surgery, disc replacement, revision spinal surgery, spinal fusion, scoliosis, and treatment of degenerative spinal diseases including herniated discs and spinal stenosis in NYC.

Spinal stenosis is a narrowing of the spinal canal – the space where the spinal cord and nerves travel from the neck to the lower back. The spinal cord or spinal nerve is compressed, and pain and weakness often result. Spinal stenosis results from the accumulation of spurs of bone and enlargement of the supporting ligaments of the spine as the spine ages and degenerates over time. If spinal stenosis occurs in the neck symptoms can include weakness of the arms or legs, difficulty walking, balance issues and pain in the neck or arms. In the lower back the symptoms are usually leg pain with walking and weakness of the legs. Back pain may or may not be present. An MRI scan will confirm the diagnosis in the cervical and lumbar spine. The severity of spinal stenosis in NYC may affect the treatment suggested. If the symptoms of stenosis are mild and not interfering with the patient’s quality of life, medical treatment may not be needed. Sometimes epidural steroids may be of value. Surgery in the cervical spine may be needed to relieve the pressure on the spinal cord or spinal nerves. This can be done in several different ways depending on the location of the compression and the severity. In some cases, the surgery is performed from the back of the spine – this involves a laminectomy with removal of the bone, which may be combined with a fusion. In the lumbar spine, the surgery consists of relieving the pressure on the spinal nerves and can now be done by minimally invasive techniques. The X lift procedure increases the space for the nerves through a minimally invasive surgery performed from the side of the spine. In other situations, a laminectomy with removal of bone and ligament to make room may be a better choice. The removal of the compression results in relief of the symptoms.

Back pain can alter your quality of life if it is severe enough. To treat spinal stenosis in NYC, your best health care decision is choosing Dr. Casden as your doctor.

Andrew Casden, MD
222 Westchester Avenue, Suite 101
West Harrison, New York 10604
(914) 946-1010

Spine Deformity NYC

Micro disectomy in NYC

Spine deformity NYC

Spine deformity NYC

Are you suffering from a spine deformity NYC and need treatment as soon as possible? Andrew Casden, MD is here to help with all of your spinal issues. Are you curious about the process of the micro discectomy in particular? We are here to answer all of your questions and respond to all of your concerns so that you can confidently go in to your next procedure feeling informed about the future of your spine. The spine is an absolutely crucial structure within the framework of your body, which is why it must receive only the most sophisticated and high quality levels of care available within modern medicine.

At the office of Andrew Casden, MD, we believe that anyone struggling with spine deformity NYC can find the solutions they need to begin living a more comfortable life. The micro discectomy is one possible procedure that can bring about this relief. The micro discectomy is actually a type of surgery that involved moving the lower back, or lumbar, herniated disc material so that it is no longer pressing down on you spinal chord or a nerve root. A highly specialized microscope is used to view the nerves and disc during this extremely complex procedure. Let us be the experts who give you the special treatment you need while you await your new future with a more comfortable spine.

Contact the office of Andrew Casden, MD today so that you can address your spine deformity NYC without any further delay. We are prepared to offer you only the highest quality in micro discectomy procedures using state of the art procedures and friendly, experienced doctors in the process. We have been proudly servicing New York City and its surrounding areas in all of its back care needs for years, and we hope to become your trusted source for all spinal treatments. Visit our full website today to obtain more information.

222 Westchester Avenue, Suite 101
West Harrison, New York 10604
(914) 946-1010

Spine Deformity NYC

Spine Doctor in NYC

Spine Deformity NYC

Spine Deformity NYC

The spine is what makes human vertebrates and keeps us erect and mobile. The spine is also the central hub for the nervous system relaying nerve impulses to and from the brain to the extremities. When this important structural part of the body has a problem such as a spine deformity NYC it takes a specially trained spine doctor such as Dr. Andrew Casden, MD, an orthopaedic surgeon that specializes in treating the spine to diagnose and relieve the pain that often accompanies spine problems.

Spine deformity NYC can happen when unnatural curvature of the spine occurs. These unnatural curves can occur due to several reasons and include conditions as scoliosis (side-to-side curvature), kyphosis (forward curvature) and Scheuermann’s disease (front-to-back curvature). It also occurs due to defect or damage to the spine. Deformities do not commonly cause pain unless the change in structure restricts movement or reduces room in the spinal canal and puts pressure on the nerves there. Scoliosis is a common spinal deformity characterized by an abnormal side-to-side curvature of the spine. The spinal curve may develop as a single curve (shaped like the letter C) or as two curves (shaped like the letter S). In children and teens, scoliosis often does not have any noticeable symptoms and may not be noticeable until it has progressed significantly. Our doctor treats scoliosis by the use of a back brace or surgery depending on the degree of deformity.

Another spine deformity NYC is kyphosis, where the normal contours of the spine are exaggerated especially when viewed from the back, which is why the deformity is often referred to sway back. Kyphosis can affect both teens and adults but stems different causes. In teens the deformity is caused by a growth disturbance in the vertebrae while in adults it is a result of compression. If the deformity progresses too far in a teen it is treated with a brace or in severe cases surgery. In adults non-surgical treatments are usually prescribed. If you suffer from back or spine issues call our office for an appointment.

Andrew Casden, MD
222 Westchester Avenue, Suite 101
West Harrison, New York 10604
(914) 946-1010

Herniated disc treatment in NYC

NYC Certified Orthopedic Surgeon

If you need herniated disc treatment in NYC you will want to be familiar with the name Andrew Casden, MD. Dr. Andrew Casden is a board-certified orthopedic surgeon who is experienced in both traditional and minimally-invasive spinal surgery. He evaluates each patient’s condition, including their lifestyle and expectation, and develops the most reasonable treatment options. Dr. Casden is also named a Top Doctor by US News. One of the areas he specializes in is treatment of lumbar herniated discs.

When you come to our practice for herniated disc treatment in NYC, you will learn a lot about your condition. Andrew Casden, MD explains that a herniated disc occurs when the soft inner core of the disc breaks out through a tear in the outer shell of the spine. This puts pressure on the spinal never root in the lower back. A herniated disc is commonly referred to as a slipped or ruptured disc. This condition causes pressure on the nerve, and is referred to as sciatica. Sciatica pain is often felt traveling down the leg.

Andrew Casden, MD, a great doctor for herniated disc treatment in NYC, describes the symptoms of a herniated disc. Usually there is pain, numbness, and sometime weakness on one or both legs. There may or may not be back pain. Pain can worsen when sitting or standing, and symptoms will easy when you are lying down. In order to confirm the diagnosis, Dr. Casden will order an MRI. The MRI will reveal the extent of the herniation, and may point to certain types of treatment over others. Dr. Casden’s experience shows that many herniated discs will heal without any type of surgery being involved. Rest, physical therapy, and medications can help the pain ease at the nerve root. Dr. Casden will begin to evaluate the benefits of surgery if the patient’s symptoms do not improve, or if there is persistent limb weakness. Microdiscectomy is a minimally invasive surgical procedure during which the surgeon removes pieces of the disc causing pressure on the nerve. The patient often has immediate pain relief, and can leave the hospital that same day. If you suffer from a herniated disc, and want to speak to Dr. Casden about your options, call our practice today to schedule an appointment.

Herniated Disc Treatment NYC
222 Westchester Avenue, Suite 101
West Harrison, New York 10604
(914) 946-1010

Spine Doctor Manhattan NY

Scoliosis in Manhattan NY

Spine doctor Manhattan NY

Spine doctor Manhattan NY

Our spine doctor in Manhattan NY understands that scoliosis can be a scary condition and that’s why Dr. Casden works closely with you or if it’s your child, with both of you, to diagnose, evaluate, and treat it effectively.

Although most commonly associated with occurring in the teen years, scoliosis may actually develop at any time. Females, however, are far more prone to it than males are. The reason for the onset of this condition in teens is not known. In adults, though, it might be related to excessive wear, and is thus referred to as degenerative scoliosis. The effects of it, curvature of the spine, can range from minimal to severe. Scoliosis is typically screened for in young children of school age. When it forms and progresses in a teenager, it is generally without pain, though not always. Adults, on the other hand, are considerably more likely to experience pain along with the development of it. The pain tends to be more noticeable when you stand, and subsides when you sit down. For anyone, teen or adult, who is experiencing signs of scoliosis, the first step is to be examined by our spine doctor in Manhattan NY. As part of a comprehensive checkup, Dr. Casden will probably order x-rays, which will reveal the curvature. If pain is indicated, an MRI of the whole spine will be taken. Treatment for teens ranges from none at all in the most mild cases, to braces and surgery for the more severe instances. What will determine treatment is the degree of curvature. Adults are usually treated with physical therapy and exercise, though surgery may be considered when the curvature is extreme.

Don’t hesitate to call our office when you or your child is showing signs of scoliosis. Our spine doctor in Manhattan NY can help.

222 Westchester Avenue, Suite 101
West Harrison, New York 10604
(914) 946-1010