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Procedures

Southeastern Spine · Brain · Joint in Chattanooga, Tennessee offers a full range of procedures designed to give you the most comprehensive medical care you need. If you have nagging neck or back symptoms that radiate down your arm or leg, or hip and knee pain, the solution may be a non operative treatment or surgery.

Our physicians at Southeastern Spine · Brain · Joint will give you honest, direct answers to all your concerns. They specialize in neck and low back injuries, disorders, or symptoms, joint pain, sciatica and pinched nerves, stressing non operative treatment options, however when surgery is needed, Our physicians offer state of the art options such as outpatient microdiscectomy and artificial disc replacement with a focus on getting you back to work and play quickly.

Board certified by the American Board of Orthopedic Surgery and valued members of the North American Spine Society, our physicians understand your symptoms, weakness in your arms or legs, joint pain, trouble walking and maintaining balance, the numbness and long term symptoms that you have to deal with.

Learn more about the conditions we treat, or read further to learn more about surgical procedures and interventional procedures at Southeastern Spine · Brain · Joint.

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Surgical Procedures: Cervical & Lumbar Spine

FORAMINOTOMY

Relieves symptoms of nerve root compression (pinched nerves) caused by bones, discs, scar tissue or excessive ligament development that compresses the foramen. Procedure is used to treat foraminal stenosis, herniated disc, bulging disc, pinched nerve, bone spurs, arthritis of the spine, failed back surgery, scar tissue and sciatica.

LAMINOTOMY

Conditions caused by a herniated disc, bulging disc, bone spurs, facet hypertrophy or scar tissue can be treated surgically by doing a laminotomy. Procedure is used to treat bone spurs, pinched nerves, spinal stenosis, herniated disc, and bulging disc, arthritis of the spine, scar tissue and failed back surgery.

DISCECTOMY

The surgical removal of a herniated disc or bulging disc material that puts pressure on a nerve root or spinal cord. Procedure is used to treat Degenerative Disc Disease (DDD), Failed Back Syndrome (FBS), herniated disc, bulging disc, pinched nerve, sciatica and spinal stenosis.

FACET THERMAL ABLATION

Laser eradication of an effected nerve that innervates the joint to cause painful symptoms. Procedure is used to treat facet disease, facet joint syndrome, facet hypertrophy, facet arthritis and degenerative facet joints.

FUSION

Fusing two or more vertebral segments of the spine to eliminate pain. Southeastern Spine · Brain · Joint provides both cervical and lumbar spinal fusion treatment options. A cervical spinal fusion procedure is used to treat herniated disc, cervical spondylosis and cervical stenosis with myelopathy. A lumbar spinal fusion procedure is used for radiculopathy, spondylolisthesis, stenosis and scoliosis.

Surgical Procedures: Knee & Hip

KNEE ARTHROSCOPY

Surgical technique that can diagnose and treat problems in the knee joint.

TOTAL KNEE

Knee replacement, also known as knee arthroplasty, is a surgical procedure to replace the weight-bearing surfaces of the knee joint to relieve pain.

PARTIAL KNEE REPLACEMENT/UNI

A partial knee replacement is surgery to replace only one part of a damaged knee. It can replace either the inside (medial) part, the outside (lateral) part, or the kneecap part of the knee.

TOTAL HIP

Hip replacement, also known as hip arthroplasty, is a surgical procedure in which the hip joint is replaced by a prosthetic implant that is a hip prosthesis.

Surgical Procedures: Brain - Dr. David Wiles

BRAIN TUMORS

SHUNTS FOR HYDROCEPHALUS

HEMORRHAGIC STROKES

CHRONIC SUBDURAL HEMATOMAS

CHIANTI MALFORMATIONS

Interventional Procedures

Carpal tunnel release is surgery to treat carpal tunnel syndrome, a condition that causes pain, weakness, tingling, and numbing in the thumb and fingers. Carpal tunnel syndrome is caused by activities or motions that put pressure on the median nerve in the wrist.
Epidural steroid injections (ESIs) are a common treatment option for many forms of lower back pain and leg pain. They have been used for decades and are considered an integral part of the nonsurgical management of sciatica and lower back pain.
Selective nerve root block injection (SNRB) is an injection of a long-lasting steroid (cortisone) around the nerve root as it exits the spinal column. The injection reduces the inflammation and pain caused by pressure on the nerve. It can also be used as a diagnostic tool to help doctors determine whether the nerve is irritated by “numbing” the nerve. One of the most common conditions to benefit from selective nerve root injections is a herniated disc that causes low back and leg pain (sciatica)
Facet joint injections are used to alleviate symptoms of Facet syndrome. The procedure is an outpatient surgery, so that the patient can go home on the same day. It usually takes 10–20 minutes, but may take up to 30 minutes if the patient needs an IV for relaxation.
A medial branch nerve block is a procedure in which an anesthetic is injected near small medial nerves connected to a specific facet joint. Typically several levels of the spine are injected in one procedure.
The purpose of a sacroiliac joint injection is two-fold: to diagnose the source of a patient's pain, and to provide therapeutic pain relief.
PRP can be beneficial for people with arthritis or pain in major joints. In these patients, PRP injections can help alleviate discomfort and improve function. People who aren’t yet ready for a hip, knee, or shoulder replacement are often good candidates for PRP injection.
Kyphoplasty is a procedure used to treat fractures or breaks in the vertebrae. The vertebrae are the bones in your back that are stacked on top of each other to make your spine. Your spine supports your weight, allows you to move, and protects your spinal cord and the nerves.
Lysis of adhesions is a procedure to reduce the compressive effects of scar tissue (adhesions) in the spinal canal.
Radiofrequency lesioning (ablation) is a pain management treatment that disrupts nerve signals on a long-term basis. It is a minimally invasive procedure that uses radiofrequency energy – electrical impulses – to destroy damaged nerves or tissues that send pain signals to the brain.
Spinal cord stimulator implants use mild electrical stimulation sent from an implanted generator to block nerves in the spine from sending pain signals to the brain.

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