Orthopedic Institute of Pennsylvania
SPINE
Ph: (800)834-4020 . (717)761-5530 . Fax: (717)737-7197
Nobody wants to experience the pain or inconvenience of a spinal problem. Unfortunately, the spine ages and suffers from diseases just like the rest of the body.  When you choose OIP you can feel comfortable knowing our spine specialists have the expertise and experience required to effectively treat conditions of the spine. 
Our doctors emphasize successful conservative treatment;

Surgery is available only as a last option.  If surgery is needed, we offer the latest technology including microsurgery, kyphoplasty, disc replacement, and minimally invasive surgery. Together, you and your doctor decide which treatment is the best one for you.


Spinal Conditions - Questions and Answers:

What is degenerative disk disease?  Degenerative disc disease is the name for pain, usually in the lower back, resulting from degenerating disk(s).  With age, the spinal disks degenerate naturally.  Unfortunately, this degeneration can sometimes result in poorly situated bones of the spine which then put pressure on the delicate nerves running alongside the spine. 

How do I know if I have degenerative disk disease?   Your doctor can tell if you have degenerative disk disease by looking at an x-ray of your spine. MRI or magnetic resonance imaging is also used to diagnose it.

How is this condition treated?  OIP emphasizes conservative treatment first. This could include anti-inflammatory medication, physical therapy, or epidural steroid injections.  Many OIP patients have experienced great success from conservative treatment.  Surgery is offered as an option to those patients who do not respond to conservative treatment. 

What is lumbar spinal canal stenosis?

There is a narrow space in the lower spine which protects the delicate spinal nerves.  Sometimes aging, arthritis, wear and tear, or falls, can cause this narrow space to become even narrower and the nerves are squeezed or constricted resulting in back pain, leg pain, and weakness.

What are the symptoms of spinal canal stenosis?  Someone with spinal canal stenosis may experience one or all of the following symptoms:  back pain, leg pain, numbness, tingling, tired legs, and weakness in the legs. In severe cases it may cause partial or complete bowel or bladder incontinence.

How do I know if I have lumbar spinal canal stenosis?  Our doctors can often tell you if you have stenosis based on your symptoms although sometimes additional tests and x-rays may be required to make this diagnosis.

How is this condition treated?  As always, OIP emphasizes conservative treatment first.  A physical therapy program may help as it strengthens back muscles promoting good posture and less pressure on the nerves.  For those with severe symptoms OIP may recommend surgery to remove the pressure from the spinal canal.

What is a herniated disk?  Common in the lower spine, a herniated disk is a disk which is pressing on the nerves of the spine. As people age, their disks become flatter and less cushiony.  Sometimes the outer part of a disk will tear and the inner part presses on the nerves causing pain in both the back and the legs.

What are the symptoms of a herniated disk?   People in their 30’s and 40’s are most prone to experiencing a herniated disk which can cause pain in the back and legs. Most people experience pain in the buttocks which radiates down the back of one thigh and calf.  Some people have pain in both legs and some people experience numbness and/or tingling in the feet and/or legs.

How do I know if I have a herniated disk?  An x-ray or MRI will allow your OIP doctor to determine if you have a herniated disk.

How is this condition treated?  Your OIP doctor may give you medication and suggest you rest a couple days to treat the pain. Many times this helps and patients are more active and feeling better within a couple days.  For those who need more help with the pain, your doctor may suggest a shot in the backbone as well as a physical therapy program. For those patients who have trouble going to the bathroom, experience pain or numbness for more than 6 weeks, or experience weightloss, your doctor may suggest surgery