Category Archives: Spinal Stenosis

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

NYC scoliosis doctor

Spine Doctor in New York City

Treating Spine Deformities in NYC

Treating Spine Deformities in NYC

While you may have been vaguely aware that scoliosis is a curvature of the spine, now that you or your child has been potentially diagnosed with one of the variations of scoliosis including; congenital, neuromuscular, degenerative or idiopathic, by either your pediatrician or general practice physician, you are in need of an expert NYC scoliosis doctor. Andrew Casden, MD has an extensive background from advanced education and professional affiliations to multiple licenses and certifications, but importantly, Dr. Casden is available to meet with you to discuss and examine the unique spinal treatment needs of you or your child.

 

Among the first steps in the treatment of scoliosis by NYC scoliosis doctor, Andrew Casden, MD, will first be to utilize x-rays to determine the severity of curvature in the spine and may also require a complete MRI if the patient has persistent pain.   Once these results are available, Dr. Casden can make professional determinations and recommendations regarding treatment. Your specific needs will be discussed during an examination or consultation in our office, but as a general guide if your spinal curve is less than ten degrees, it is fairly common that no treatment will be administered. A brace may be recommended for those who suffer a more moderate curve while the most severe cases may indicate need for surgery to not only improve the curve, but to reduce further progression. Additional options for adult patients of scoliosis may include exercise, physical therapy or other non-invasive treatments.

 

To find out more about our practice as well as additional services provided, the vast professional background and experience of NYC scoliosis doctor, Andrew Casden, MD or to contact us for an appointment, please visit our website. For your convenience a number of our new patient forms may also be completed from our website prior to your visit to our office. We can also be reached by telephone at (914) 946-1010 and a knowledgeable member of our professional team will also be able to schedule your visit or answer a number of your pre-appointment questions and concerns including accepted insurance plans and methods of payment.

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

 

 

 

 

 

 

NYC Spine Surgery

NYC Spine Surgery

If you suffer from spinal stenosis, there is no better NYC spine surgery specialist to visit than Dr. Andrew Casden. Spinal stenosis is a condition in which the spinal canal is slowly narrowing. The spinal canal is the area down the length of your back where your spine is located and where your nerves travel from your neck to your lower back. This narrowing of the spinal canal compresses your spinal cord and nerve, which can be very painful and also cause some weakness in your back that can inhibit your everyday activities. Spinal stenosis can develop over time, or it can be present from birth that is congenital. There are several symptoms that may indicate that you have developed spinal stenosis, and that you should schedule a visit with our NYC spine surgery specialist.

If your spinal stenosis occurs in the neck, you may notice feelings of weakness in your arms and legs, difficulty walking, difficulty with balance, or feelings of pain in your neck and arms. If your spinal stenosis occurs in your lower back, you may experience back pain, but you are more likely to experience pain in the legs when walking and a weakness in the legs. If you are experiencing these symptoms, we recommend that you schedule an appointment with Dr. Casden at your soonest convenience. During this visit, our NYC spine surgery specialist will perform a MRI in order to confirm your diagnosis.

Depending on the severity of your spinal stenosis, our NYC spine surgery specialist will recommend different treatments. If your spinal stenosis is not affecting your life in any major way, you may not need any serious treatment. If the condition is causing your significant pain and weakness, Dr. Casden may recommend epidural steroids, or even surgical treatments. Surgery in the cervical spine is often useful in decreasing the compression present in the area and therefore relieving much of the pain that you are feeling. To learn more about spinal stenosis and treatment, including in-depth explanatory video clips, we invite you to browse our NYC spine surgery specialist’s website and to contact us with any questions that you have.

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