Category Archives: Herniated Discs

Herniated Disc in White Plains

Diagnosing and treating herniated discs in White Plains

Herniated disc in White Plains

Herniated disc in White Plains

At some point in nearly everyone’s life, we experience back and neck pain. It is the major reason people visit their doctors and miss work. If you are looking for the best back pain treatment, there is only one doctor to see. Dr. Andrew Casden is a respected board-certified orthopedist experienced in both traditional and minimally-invasive spinal surgery. His holistic 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. His services include minimally invasive spinal surgery, treatment for herniated disc in White Plains, disc replacement, revision spinal surgery, spinal fusion, scoliosis and kyphosis, and treatment of degenerative spinal diseases.

Dr. Casden can treat and help you recover from a herniated disc in White Plains. 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 surrounded by a tough, flexible outer ring. 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 of herniated discs, it is important to recognize 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.

Once a thorough physical examination has been performed and all imaging tests have been interpreted, Dr. Casden will discuss all the treatment options with you for your herniated diss in White Plains and individualize a plan that works best for you. His mission is to give you back an active, healthy life where you have control over the choices you make. Give us a call today, and take the first step to treating your debilitating back pain.

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

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 Specialist in NYC

Disc pain treatment in NYC

Spine Specialist in NYC

Spine Specialist in NYC

Disc pain can have a huge negative impact on your ability to go about your work and your leisure activities. A herniated or bulging disc is typically the cause of this pain and it is generally brought on by either an injury or the effects of age. At the office of Andrew Casden, MD, it is our goal to diagnose and treat your disc pain so that you can experience relief. Our spine specialist in NYC is highly skilled and experienced and you can have complete confidence in getting a positive results.

Under normal circumstances, your discs act as a way to cushion the bones that are part of your spine, keeping it flexible. As the result of getting older, your discs may lose some of their natural spongy texture. This causes them to dry out and cease to do their usual work of cushioning your spinal bones. Or because of injury, your discs can develop cracks in their outer layers. They have a viscous gel inside them and the cracks allow it to escape. You end up with a bulging or herniated disc. In either case, your disc may press on the roots of your nerves, causing the all too familiar pain that can be felt in your lower back as well as in your backside and your legs. That’s when you want to call us and schedule an exam with our spine specialist in NYC.

How is a herniated or bulging disc treated? The good news is that it may heal on its own, without need for invasive surgery. Methods that are effective in addressing disc pain include such varied options as applying heat or ice, rest, exercise, and physical therapy. In some instances, our spine specialist in NYC may prescribe pain medication. The best course of action will be dependent on your individual circumstances and level of pain. Nonsurgical treatment has the best chance of being effective the earlier it’s used, so if you’re noticing discomfort at any level, don’t hesitate to seek us out. Of course, if surgery is required, we will ensure that you’re fully informed about the pros and cons. In the end, what matters is finding the safest and most efficient way to help you to feel better again.

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

Micro disectomy in NYC

Manhattan Spine Doctor

Micro disectomy in NYC

Micro disectomy in NYC

If you have a herniated disc, it’s undoubtedly causing you pain, possibly severe. Our spine doctor, Andrew Casden, MD, understands that quick relief is your highest priority, but that you also want a solution that is safe and effective. That’s possible with our micro disectomy in NYC, a procedure in which a special microscope is used, allowing Dr. Casden to get a clear view of the disc and the surrounding nerves. It’s a more advanced and less invasive version of the disectomy. The object is to relieve the pressure on the nerve root and/or spinal cord that is the cause of your pain.

One of the benefits to micro disectomy in NYC is that it allows our spine doctor to make a smaller incision thanks to the better view that is possible with the microscope. As a result, there is less trauma caused to the surrounding tissue. Sometimes, as part of the process, a laminetomy is also done. This is where a small piece of the laimna bone is removed in order to permit better and less obstructed access to your herniated disc. The procedure is typically done in a hospital setting and most often requires an overnight stay.

Another advantage of the surgery is that you won’t need to be inactive for any significant period of time. In fact, as soon as the numbness from your anesthesia wears off from our micro disectomy in NYC, you should be able to get up and walk around. It is helpful to your recovery and recommended. Prescription pain relievers may be necessary during your healing. Over time, you’ll begin to exercise again and engage in other normal activities. Depending on your unique circumstances, your recovery may include physical therapy and/or exercises that you can do on your own at home.

Within a few weeks, you should be able to return to work (although if you do a physical job, it could be as long as a couple of months). Our micro disectomy in NYC has an impressive rate of success. Dr. Casden will discuss with you whether this surgery is right for you along with the risks involved, as in the case with any kind of procedure.

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

New York City Spine Surgeons

Disc Herniation Surgery New York City

A herniated disc is when your normal disc ruptures, the tissue comes out, and puts pressure on your nerve. When it is in the cervical spine, it is referred to as a cervical disc herniation. Our New York City spine surgeon, Andrew Casden, MD, explains that there are two ways a herniated disc can occur in the cervical spine. If it pushes out towards the front, it is not that severe and you may have some neck pain for a while. However, if it herniates out towards the back, it hits a nerve, either the spinal cord or nerve root, and then you get symptoms. Symptoms can include numbness, weakness, tingling, pain, or all the above.

Some of our patients have describe a pop, or a sensation of burning in the neck, and our New York City spine surgeon believes that is the first start to the herniation. Dr. Casden suggests that you view the herniation as a process, initially just pain, but usually progresses to more symptoms into your arm, within a day or two. Because the herniated disc is putting pressure on your nerve, you are not only going to feel nerve pain, but a weakness in your arm. Typically in one arm, but it can also be in both arms. If the herniated disc is more towards the center part, and you have pressure on your spinal cord, you are going to have other symptoms.

These symptoms are of greater concern, such as difficulty walking, loss of bowel or bladder control, or numbness into your feet, legs or your buttock area. In this case, it is important to contact our New York City spine surgeon. It’s also recommended that you call Dr. Casden right away if you experience progressive numbness or weakness into your arm or hand. This may be a sign that the herniated disc is so large that is putting pressure on your spinal cord in a way that could be dangerous for you. More than likely, we will do an MRI scan or a CAT scan of your neck, confirm the diagnosis, and recommend treatment. This is very rare, however, and typically, the symptoms of the cervical herniated disc are pain into your arm with some numbness and tingling. Arm pain from a cervical herniated disc is one of the more common cervical spine conditions. It usually develops in the 30-50 year old age group, and although a cervical herniated disc may originate from some type of trauma, or injury to the cervical spine, the symptoms usually start spontaneously.

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

NYC Spine Surgeon

New York City Microdiscectomy

Andrew Casden, MD is your go-to NYC spine surgeon. Dr. Casden is Board Certified and has a wealth of experience in both traditional and minimally-invasive spinal surgery. Dr. Casden treats both children and adults from the Mount Sinai Medical Center. When you come in for treatment you will immediately notice Dr. Casden’s comprehensive approach. You will also notice how each patient’s needs, lifestyle and expectations are taken into consideration. All of this goes into the careful and caring treatment of each patient, as the most conservative. Whether you are coming in for disc replacement, spinal fusion or herniated disc surgery, Dr. Casden (named a Top Doctor by US News and one of New York’s Best Doctors by New York Magazine) is your go-to NYC spine surgeon.

Herniated disc surgery is one of the many specialties of Dr. Casden. A herniated disc is when there is a problem with one of the rubbery cushions (discs) between the individual bones (vertebrae) that make up your spine. Sometimes called a slipped disc, or ruptured discs, a herniated disc can irritate the nearby nerves and result in pain, numbness or weakness in an arm or leg. Surgery on a herniated disc is needed if the pain and numbness persists. If the patient is having prolonged trouble with standing or walking, and other treatment methods have not helped to alleviate these symptoms, then surgery with our trusted NYC spine surgeon may be necessary.

Dr. Casden may choose to remove just the protruding portion of the disc, but in some cases the entire disc needs to be removed. In cases where the disc must be removed, metal hardware will provide the necessary stability to the patients spine. With a minimally invasive treatment Dr. Casden is able to remove the pieces of the disc that are causing the pressure on the nerve. The pain relief for the patient is almost immediate and often the patient is able to leave the hospital the same day as the surgery.

Dr. Casden prides himself on his ability to treat herniated discs in a conservative yet effective manner. Even when surgery is needed the minimally invasive, microdiscectomy, allows our NYC spine surgeon to operate completely and safely, and allow the patient to heal faster. If you or a loved one is experiencing the chronic pain, numbness, sleepless nights, and/or difficulty walking associated with herniated spinal discs, make an appointment to see Andrew Casden, MD as soon as possible.

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

NYC Minimally Invasive Spine Surgery

10029 Spinal Disc Herniation Surgery

When one of our patients has experienced a herniated disc, also referred to as a “slipped disc”, our dedicated staff understands the pain and dependence it can cause. The pain you experience is often agonizing and you can’t seem to move without making it worse. Andrew Casden, MD knows that acknowledging your injury is the first step and then you must take the proper action to alleviate the pain and spinal disc herniation can be corrected with NYC minimally invasive spine surgery. Some conditions of the spine that may prompt you to consider minimally invasive spine surgery include bone spurs, degenerative disc disease, a herniated disc, a bulging disc, or ligament hypertrophy. All of these conditions cause compression of your nerve root. The goal of the surgery is to relieve any stress on the nerves.

Minimally Invasive Spine Surgery 10029

Minimally Invasive Spine Surgery 10029

Securely rooted between your vertebrae, discs are held in place by the ligaments connecting the spinal bones and the surrounding muscle. The blood supply to the disc has stopped by early adulthood, the soft inner material has started to harden, and the disc is not as elastic. Unavoidable due to aging, these changes make the outer protective lining weaker and the disks prone to injury. Without the need to make large incisions, NYC minimally invasive spine surgery is a type of procedure used to treat conditions in the cervical, lumbar, or thoracic regions of your spine. Dr. Casden achieves this using a thin tube to access the site, and is called endoscopy. Specific tools, including a video camera, light, and a laser, are fed through the tube to treat the affected area of your spine. Endoscopy enables Dr. Casden to perform surgery without trauma to your muscles, including tearing or cutting.

Dr. Casden may suggest cervical disc replacement surgery if your pain has not lessened after several months of conservative treatment. A cervical disc replacement is an NYC minimally invasive spine surgery performed by Dr. Casden. He will replace the unhealthy disc with a new, artificial disc as an alternative to a fusion, which allows you to maintain your full range of motion. Besides a very small incision and muscle preservation due to endoscopy, another benefit of NYC minimally invasive spine surgery is decreased recovery time. With a smaller incision and decreased muscle/ligament trauma, you will be able to return to your full, regular activity faster.

Cervical Disc Replacement Surgery NYC
222 Westchester Avenue, Suite 101
West Harrison, New York 10604
(914) 946-1010

New York Spine Surgeon

Spinal Surgery 10029

One of the most common conditions that our expert New York spine surgeon, Dr. Andrew Casden, treats in his patients is the lumbar herniated disc. Herniated discs are sometimes referred to as a slipped disc, a ruptured disc, or a prolapsed disc. A herniated disc develops when the soft inner part of the intervertebral disc breaks out because of an existing tear in the outer shell. This puts an increased amount of pressure on the spinal nerve root, located in your lower back. This increased pressure on the nerve results in a pain that is called sciatica, which travels down the leg in the located of the nerve that is affected. Sciatica is one of the main symptoms associated with a lumbar herniated disc. The patient also typically experiences pain, numbness, and sometimes weakness in one or both of the legs. In some cases, there is back pain involved, but not always. For some patients, the pain is worse while sitting or standing, and is relieved when lying down.

If you are experiencing any of the symptoms associated with a lumbar herniated disc, you should schedule an appointment with our New York spine surgeon as soon as possible so that Dr. Casden can do an evaluation. When it comes to diagnosis, it will depend on your medical history and a physical examination, and we will also use an MRI in order to confirm. The MRI is useful because it shows the severity of the herniation and how severe the increased pressure is. How Dr. Casden decides to treat your lumbar herniated disc will depend on your individual case. For some people, surgical methods are not necessary, and the problem can be addressed with medications, rest, and physical therapy.

If you would like to learn more about herniated discs or any of the other conditions that our New York spine surgeon treats, we encourage you to browse through the additional information provided on Dr. Casden’s main website. If you have any questions or concerns regarding our services or another related topic, feel free to contact our staff by phone or online. We look forward to working with you.

Minimally Invasive Spine Surgery NYC
222 Westchester Avenue, Suite 101
West Harrison, New York 10604
(914) 946-1010

Manhattan Spine Surgeon

Manhattan Spine Surgeon

One of the most common medical issues that our Manhattan spine surgeon, Dr. Andrew Casden, sees and treats is his patients is when the patient has a cervical herniated disc. When you have a cervical herniated disc, which is a herniated disc in the neck, it can increase the pressure on your spinal cord or the sensitive cervical nerve roots. Similar to having a herniated disc in your lower back, having a cervical herniated disc involves the material from the affected disc protruding from the disc itself and infiltrating into the spinal canal, resulting in the uncomfortable pressure and irritation of both the spinal cord and nerve root.

Herniated Disc Surgery Manhattan

Herniated Disc Surgery Manhattan

There are several possible symptoms that can alert you to having a cervical herniated disc that needs the attention of our Manhattan spine surgeon. These symptoms may include but are not necessarily limited to: weakness of the arms or legs, a sudden feeling of pain or numbness that travels from your neck all the way down your arm (this means that it is following the pathway of the nerve that has been irritated as a result of the herniated disc), difficulty walking, trouble with your balance, and possible neck pain. If you are experiencing any of these symptoms, you should visit our Manhattan spine surgeon right away.

During your appointment, Dr. Casden will be able to evaluate your symptoms and medical history in order to propose a diagnosis. The diagnosis of having a cervical herniated disc will need to be confirmed with an MRI. If you do end up having a confirmed diagnosis, our Manhattan spine surgeon will then recommend the treatment that is best for you. Often, symptoms can improve with time, but there are treatments that can help quicken the relief, including physical therapy, anti-inflammatory medication, and steroids. If these treatment options are not effective for you, Dr. Casden may suggest surgical methods.

If you are interested in learning more about the conditions we treat and our treatment methods, we invite you to visit our Manhattan spine surgeon website for additional information, including informative videos. If you have any questions or concerns regarding our services or any other related topic, do not hesitate to contact us by calling our office or sending us a message using the form on our website. If you would like to schedule an appointment with Dr. Casden, either call our office directly or request your desired appointment date and time online.

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