Appointments, referrals & second opinions:

833-774-6333

PATIENT EDUCATION TOOLS FOR OUR REFERRAL SOURCESSpineCare Long Island believes the best healthcare starts with a well-informed consumer. The spine center has an on-line encyclopedia on spine conditions at SpineCareLongIsland.com with video animations, symptom charts, home remedies and spine exercise library. As a community service, the spine center provides to physicians two communication tools for their patients: a free 36-page Home Remedy Book with pain-relieving stretches and a SYMPTOM GUIDE handout, which explains which symptoms need to be seen promptly by a spine specialist to prevent permanent neurological deficit, such as numbness or weakness in a hand or foot. Physicians can request these tools by calling our offices.

Nonsurgical treatment options for spine & minimally invasive surgery capabilities for Long Island in 2020

Spine Care Long Island includes the expertise of five physicians who specialize in non-surgical treatment options for back and neck pain. For example, a spinal injection can relieve symptoms of radiating pain or numbness in an arm or leg. A spinal injection can in some cases eliminate the need for surgery to repair a disc herniation. The spinal injection puts medication directly near the nerve root which reduces inflammation and pain.

How injections workMedication is injected into the area surrounding a nerve root, which reduces inflammation and relieves pain. relief from such injections can last anywhere from a few weeks to a few months and sometimes longer, especially if therapy is used simultaneously to strengthen muscles in the back.

Herniated Disc

Disc

spinal cord

Herniated disc

spinal nerve

spinous process

Spinal injections provide a non-surgical treatment option for back & neck pain

For the person with an aching back, the physical journey to multiple fragmented locations for diagnostic studies, physician exam, non-surgical treatment options, therapy, in and out of the car, walking through parking structures, up elevators and down hallways, can be excruciating and frustrating. Secondly, because these unrelated spine care providers are spread across towns, there is usually no communication between them about a specific patient. This means that a back or neck pain sufferer will travel from doctors office to doctors office, having to start from scratch with his or her story to build a new medical chart from scratch with each visit. The diagnosis starts all over again, often repetitive diagnostic tests like additional X-rays, MRIs and invasive tests. Thankfully, for those on Long Island, we are positioned to help. Recognizing that the best way to care for complex health problems is through a Center of Excellence approach, SpineCare Long Island was created. SpineCare Long Island combines the expertise of eight spine neurosurgeons and six

nonsurgical spine specialists under one roof. All are experienced in the diagnosis and treatment of back pain, neck pain, and other spine related problems like scoliosis. “A common problem with the fragmented approach to spine care is that nonsurgical treatment options are often so poorly designed so they predestine the patient to failure of conservative non-surgical care,” explains Dr. Kevin Mullins, spine surgeon and medical director of the new spine center. “For example, too many times nonsurgical treatment options are not well designed, like generalized physical therapy. When these poorly designed nonsurgical options fail, this forces the patient to prematurely resort to surgery

— in some cases, unnecessarily. Because SpineCare Long Island combines nonsurgical and surgical spine specialists under one roof, with one medical record,  there is no redundancy or duplication of effort. The physicians involved communicate and combine their expertise for the benefit of the patient. “If surgery is necessary, the surgeons use tubular retractors and other minimally invasive techniques that shorten the time in the hospital and speeds return to activity,” adds Dr. Salvatore Zavarella, director of spine surgery. “We also provide the most advanced motion preservation surgery with the Mobi-C and Mobi-L artificial disc technology.

Copyright © 2014 LDR Spine USA

Spine Care Long Island provides artificial disc replacement with the Mobi-C implant for cervical discs (left), and Mobi-L for lumbar discs

APPointMents & reFerrALs: 833-774-6333SpineCareLongIsland.com

PLAinView: 901 old country road, Plainview, nY 11803HUntinGton: 110 east Main st., Huntington, nY 11743HoLBrook: opening spring 2020

Kevin J. Mullins, MD, FAAns, FACsBoard-certified Neurological SurgeonSpecializing in Minimally Invasive Spine SurgeryMedical Director

sAlvAtore M. ZAvArellA, Do, FACosBoard-certified Neurological SurgeonSpecializing in Minimally Invasive Spine SurgeryDirector of Spine Surgery

JoshuA e. ryAn, MDBoard-eligible Neurological Surgeon

sAlvAtore insingA, D.o.Board-certified Neurological Surgeon

BriAn J. MChugh, M.D.Board-certified Neurological Surgeon

WilliAM e. MCCorMiCK, M.D.Board-certified Neurological Surgeon

george v. KAKouliDes, MDFellowship-trained Neurological Surgeon

syMeon Missios, M.D., FAAnsBoard-certified Neurological Surgeon

AMit shArMA, MDBoard-certified AnesthesiologistFellowship-trained in Interventional SpineSpecializing in Non-Surgical Spine Care Director of Interventional Pain Management

MiChAel A. hershey, MDBoard-certified in Interventional Pain MedicineBoard-certified in AnesthesiologyFellowship-trained Interventional Spine

reginAlD M. rousseAu, M.D.Board-certified in Interventional Pain MedicineBoard-certified in Anesthesiology

JAspreet toor, D.o.Interventional Pain Medicine Specialistin non-surgical spine care

Minimally invasive spine surgeries performed

the spine surgeons at spinecare Long island emphasize minimally invasive spine (Mis) techniques that reduce time in the hospital and speed return to activity. surgeries include:

• MISLumbarDiscectomy

• MISPosteriorCervicalDiscectomy

• MISLumbarFusion

• Lateralinterbodyfusion(LIF)

• Endoscopicdiscectomy

• Posteriorcervicalmicroforaminotomy(PCMF)

• Anteriorcervicaldiscectomy

• Artificialdiscreplacementforneckandlowback

Non-Surgical Proceduresthe non-surgical specialists at spinecare Long island

provide diagnostic and pain management including:

• Cervicalspinalinjections

• Lumbarspinalinjections

• Interventionalpainmanagementprocedures

• EMGs

Second opinonsto set up a second opinion appointment with a spine

surgeon at spinecare Long island, call 833-774-6333.

Research has shown that the best healthcare is provided by multi-disciplinary centers that specialize in a particular problem or disease. Because spine surgery is a serious decision, it is a good idea to obtain a second opinion from a spine center with both nonsurgical and surgical specialists to avoid any treatment bias. A second opinion from SpineCare Long Island can provide patients the following benefits:

Determine if all possible treatment options have been considered and if

there are any other nonsurgical options — such as spinal injections or physical therapy — that can relieve symptoms without the need for surgery.

If spine surgery is necessary, what type of spine surgery should be performed.

A complex fusion procedure may not be necessary.

Is there a new artificial disc or implant technology that would provide a

better outcome?Help determine if the patient is a candidate for minimally invasive spine

procedure in outpatient surgery. This may allow the patient to be home later that same afternoon, for a faster recovery and return to activity.

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the four benefits of a second opinion

APPointMents & reFerrALs: 833-774-6333SpineCareLongIsland.com

PLAinView: 901 old country road, Plainview, nY 11803HUntinGton: 110 east Main st., Huntington, nY 11743HoLBrook: opening spring 2020