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.