Category Archives: Spinal Surgeon

Westchester Spine Surgeon Expert

Scoliosis in Westchester

Westchester Spine Surgeon Expert

Westchester Spine Surgeon Expert

When you need a Westchester spine surgeon expert, Dr. Andrew Casden is that 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.

This Westchester spine surgeon expert is skilled at treating both children and adults with scoliosis. Scoliosis is a deformity of the spine in which the straight spine develops a curve when viewed from behind. This curve can be either very subtle or quite severe. Scoliosis most commonly occurs in the thoracic area of the spine, but can also occur in the lumbar back. It is usually noted in the early teens but can present at any age, and it is also much more common in girls than boys. Children are screened by their pediatrician and at school for scoliosis and are referred to a specialist for diagnosis if there is any question as to whether they have the condition. In most teenagers, no cause for the scoliosis is noted and this is called “idiopathic” scoliosis. In adults, the scoliosis may be due to excessive wear and is called “degenerative scoliosis.”

Scoliosis in teenagers is usually not associated with pain, and if pain is present further testing is required. Adults do frequently present with pain that may be worse with standing and relieved with rest. A careful physical examination by your Westchester spine surgeon expert will detect scoliosis in the majority of teenagers and adults, but an x-ray is usually required to determine the severity of the curve. If pain is present, an MRI of the entire spine may be required. The treatment of scoliosis in children and teenagers depends on the age of the patient and the degree of the curvature. Curves less than 10 degrees are not even considered scoliosis and no treatment is required. Moderate curves may require a brace, and more severe curves may need surgery. Spinal surgery for scoliosis is done to improve the curve and stop the progression. Most adults are managed with physical therapy and exercise. However, if the curve is severe and painful then surgery may be indicated. For a proper evaluation and diagnosis of your scoliosis, call for an appointment today.

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

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

Spine Surgeon in East Harlem

Spinal Surgery in East Harlem

Spine Surgeon in East Harlem

Spine Surgeon in East Harlem

If you are looking for an expert orthopedic spine surgeon, you should visit us at our practice, Andrew Casdan, M.D. Our expert and highly trained spine surgeon in East Harlem, Dr. Andrew M. Casden, will be able to provide you with many different types of surgical spine care.

Dr. Casden is a board certified orthopedic surgeon who specializes in both traditional and minimally invasive spine surgery. When you come to see our spine surgeon in East Harlem, your spine situation will be thoroughly assessed by our doctor. Then our surgeon will take your lifestyle and expectations into consideration before he determines which the most sensible treatment options are for you. Our highly esteemed spine surgeon specializes in minimally invasive spine surgery, disc replacement surgery, revision spinal surgery, spinal fusion surgery, and treatment of scoliosis. Our spine surgeon also provides excellent treatment for degenerative spinal diseases which include herniated discs and spinal stenosis. When a patient has spinal stenosis it means that they have a narrowing of the spinal canal. The spinal canal is the area where the spinal cord and nerves travel from the back of the neck to the lower back. When the spinal canal is narrowed, spinal nerves can be compressed and pain and weakness can result in the patient. Spinal stenosis can cause an accumulation of spurs of bone and enlargement of the supporting ligaments of the spine as a spine deteriorates; this deterioration of the spine is usually due to the normal aging process. Some patients may even be born with a small spinal canal that results in congenital spinal stenosis. Our spine surgeon is highly acclaimed in his field, and you can be sure that you can receive no better treatment than the treatment that you will receive at our spine surgery practice.

For an appointment to see our spine surgeon in East Harlem, contact us today.

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

West Harrison Spine Doctor

Spinal fusion in West Harrison

West Harrison spine doctor

West Harrison spine doctor

If you are experiencing spine problems and are looking for an expert spine doctor, we strongly suggest that you make an appointment to see our spine doctor, Andrew Casden, MD. Our West Harrison spine doctor, Dr. Andrew Casden, will be able to thoroughly evaluate your spine situation and let you know which type of treatment will work best for you, including spinal fusion if necessary.

Our West Harrison spine doctor is a board certified orthopedic surgeon who is experienced in traditional and minimally invasive spinal surgery. When our spine doctor assesses your individual situation he will be sure to take your lifestyle and expectations into consideration, and then let you know which the best treatment option for you is. Our spine doctor specializes in the treatment of herniated discs, spinal stenosis, spondylolisthesis and degenerative diseases of the spine. Before recommending a treatment such as spinal fusion he will make sure that all non-surgical treatment methods have been exhausted including epidural injections which are often effective in relieving back pain. When necessary, our expert spine doctor is able to provide patients with spinal fusion. When spinal fusion is performed, two or more vertebrae in the lower back are fused together. This type of surgical procedure will generally last for several hours and is major surgery which is performed in a hospital. There are different ways that spinal fusion can be performed and our doctor will discuss the way that your spinal fusion operation should proceed. Patients are usually required to remain in the hospital for several days after surgery. However, once you get home you will not usually be required to have bed rest. Spinal fusion is meant to relieve pain as well as to strengthen the spine. Other back operations that are performed by our spine doctor are minimally invasive spinal surgery, disc replacement, and revision spinal surgery.

For an appointment to meet with our West Harrison spine doctor, simply contact our office today.

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

Minimally Invasive Spine Surgery in NYC

Spine Doctor in NYC

Minimally invasive spine surgery in NYC

Minimally invasive spine surgery in NYC

Many of our patients come to see Andrew Casden, MD because we are sensitive to the needs of our patients when they are in pain and requiring help. Our spine doctor, Dr. Casden, will examine the structure and function of the spine and determine specific treatments, helping our patients achieve optimal health through safe, effective, and minimally invasive services, such as minimally invasive spine surgery in NYC.

Spine surgery is traditionally done as “open surgery,” meaning the area being operated on is opened with a long incision to allow the surgeon to view and access the anatomy. In recent years, however, technological advances have allowed more back and neck conditions to be treated with a minimally invasive surgical technique. Because minimally invasive spine surgery in NYC 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. Spine surgery is typically recommended only when a period of nonsurgical treatment has not relieved the painful symptoms caused by your back problem. In addition, surgery is only considered if your doctor can pinpoint the exact source of your pain, such as a herniated disk or spinal stenosis. 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 disk. Spinal fusion corrects problems with the small bones of the spine (vertebrae). The basic idea is to fuse together the painful vertebrae so that they heal into a single, solid bone.

At the office of Andrew Casden, MD, our approach to your treatment revolves around paying attention to all the details of the body, not to just the problematic part. If you are experiencing back pain, which is the most common reason our patients seek our care, an examination from us could help reveal the underlying cause of your pain. Be hands-on with the health of your neck, back, and spine– call our offices today if you have any questions regarding minimally invasive spin surgery in NYC, or to schedule an appointment with our spine doctor, Dr. Casden.

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

Scoliosis NYC

Spine Care in NY

Scoliosis NYC

Scoliosis NYC

Most of us will experience some type of scoliosis after we reach our 60s. According to the U.S. National Library of Medicine, 68 percent of people older than 60 show signs of degenerative, adult onset scoliosis. And that doesn’t even account for those whose childhood scoliosis continues to progress a degree or two per year. If you are looking for treatment of scoliosis in NYC, then the spine center of Andrew Casden, M.D. may be able to offer you the relief you need.

Scoliosis is a deformity of the spine in which the straight spine develops a curve when viewed from behind, which may be very subtle to severe. It is usually noted in the early teens, but can present at any age, and it is also much more common in girls than boys. In most teenagers, no cause for the scoliosis is noted and this is called idiopathic scoliosis. In adults, the scoliosis may be due to excessive wear and is called degenerative scoliosis. Chronic pain and loss of functionality are the hallmarks of degenerative scoliosis. Unlike the most common form of the condition, idiopathic scoliosis, this type of spinal curve occurs when the spine’s joints become compacted due to bone loss. Symptoms include activity-induced pain that gradually worsens over time, intense pain first thing in the morning that improves after you get up but worsens later in the day, as well as pain in one or both legs when standing or walking. The best strategy for treating adult scoliosis in NYC is a multifaceted treatment plan that combines a variety of approaches for maximum effect. The treatment of scoliosis in children and teenagers depends on the age of the patient and the degree of the curvature. Moderate curves may require a brace, and more severe curves may need surgery. Spinal surgery for scoliosis is done to improve the curve and stop the progression. Most adults are managed with physical therapy and exercise. Of course, the pain of inflamed joints can make exercise difficult. Patients who experience this challenge may benefit from whole-body vibration therapy, which improves bone density and strengthens the muscles around the spine. However, if the curve is severe and painful then surgery may be indicated.

If you would like to learn more about our treatment plan of scoliosis in NYC, or if you would like to learn more about any of the other many services available to you, we highly recommend that you visit our practice’s main website to browse through some additional, detailed information that you might find useful. If you have any specific questions or concerns that we can help you with, please do not hesitate to contact the staff here directly. We look forward to working with you and returning the form and function to your spine as well as your lifestyle.

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

NYC Spinal Fusion

Expert Spine Doctor in NYC

NYC Spinal Fusion

NYC Spinal Fusion

If you have been suffering with back pain, you may have already seen a doctor regarding your condition. Suffering from back pain can negatively affect the quality of your life. Not only can you not participate in your favorite sport, but you may not even be able to sit or sleep comfortably. Sometimes it is necessary to have an advanced surgical procedure performed, called spinal fusion. Our spine doctor performs this complex surgery on a regular basis for patients who need this treatment. When you want to see a spine doctor who specializes in NYC spinal fusion, come see us at our practice, Andrew Casden, MD.

At our practice, our highly-trained and highly-regarded spine doctor is Dr. Andrew M. Casden. Dr. Casden is a board certified orthopedic spine surgeon. He is also Associate Professor of Orthopedics at Mount Sinai Hospital in New York City. At our practice our doctor provides both NYC spinal fusion surgery as well as minimally-invasive spinal surgery. Dr. Casden will work with each patient to help determine the approach that offers the most sensible treatment option for that patient. Dr. Casden will take into account each patient’s lifestyle and expectations before recommending treatment.

When our doctor performs NYC spinal fusion, the goal of the surgery is to join two or more vertebrae in the lower back. This type of surgery is a major surgery, and lasts several hours. When spinal surgery is performed there are two different ways it can be done: bone can be taken from the pelvic bone or from a bone bank, or metal implants are used to hold the two vertebrae together until new bone grows between them. After this spinal fusion surgery you can expect to stay in the hospital for several days. However, when you get home you will generally not require bed rest, though you will most likely undergo intense rehabilitation. Spinal surgery is sometimes done as a stand-alone surgery, or as a follow-up after surgery that was used to treat spinal stenosis, herniated discs, or injury. Other services that are provided by our expert spine doctor are treatment of: lumbar herniated disc; cervical herniated disc; spinal stenosis; spondylolisthesis; spondylolysis; degenerative disc disease; scoliosis; and kyphosis. If you would like to see our doctor, please contact our office today for an appointment.

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

Minimally invasive spine surgery in NYC

Spine Doctor in Manhattan

Minimally invasive spine surgery in NYC

Minimally invasive spine surgery in NYC

Here at the office of Dr. Andrew Casden, we are known as the top provider of minimally invasive spine surgery in NYC. We understand that needing back surgery can be nerve wracking and make you feel concerned about the extent of the treatment that is needed. That is why Dr. Casden works to provide the most minimally invasive spine surgery in NYC for each patient—we want every surgical procedure we offer to be as comfortable as possible while still maintaining effectiveness for the patient in the long run. Unlike in the past, when spine surgery was considered “open surgery” because of the long incision that was made in the back, minimally invasive spine surgery in NYC does not require that large of an incision and therefore greatly reduces the risk of damaging any muscles that surround the spine. By minimizing this damage, the amount of pain that occurs after the surgery also dramatically decreases. The amount of procedures that can benefit from initially invasive spine surgery in NYC has increased over the years, meaning that it is much more likely that any spinal conditions you might develop can be treated with this more conservative and less painful option. We will always consult with you to let you know exactly what you can expect from any procedure.

If you would like to learn more about what minimally invasive spine surgery in NYC entails, or if you would like to learn more about any of the other many services that Dr. Andrew Casden has to offer, we highly recommend that you visit our practice’s main website to browse the additional information we have provided there. If you have any questions or concerns that you would like addressed in further depth, we hope you will not hesitate to contact the staff here at Dr. Casden’s office directly at your soonest convenience. You can reach us by giving us a call here at the office, or you can send us a message online using the appropriate form and we will get back to you as soon as possible. Dr. Casden and the rest of our staff look forward to working with you.

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