About Our PracticeAbout Our Practice

Our doctors are all highly experienced and renowned in the field of orthopaedic medicine and surgery.

We offer:

  • Board Certification in Orthopaedic Surgery
  • Board Certification in Anesthesiology
  • Board Certification in Pain Medicine
  • Decades in practice helping patients

In the News!

A Second Chance by Dr. Lospinuso

Freedom To Move by Dr. Bhatnager

The following doctors have been named Jersey Choice Top Doctors 2014 by New Jersey Monthly

  • Dr. Ramil Bhatnagar, MD FAAOS
  • Michael F. Lospinuso, MD FACS
NJ Monthly Top Doctor 2014
About Our Practice
Dr. Bhatnagar's Congratulations Letter
Dr. Lospinuso's Congratulations Letter
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Common Diagnoses

Degenerated Disc Disease Treatment

Degenerative disc disease refers to the changes that occur to the spinal discs as part of the body's natural aging process. Spinal discs separate the vertebrae, the interconnected bones of which the spine is composed. While degenerative disc disease can occur anywhere within the spine, it most commonly affects the neck (cervical) and the lower back (lumbar) areas.

In addition to age, degenerative disc disease can occur as a result of small tears in a disc. These small tears lead to the release of nucleus, a jelly-like material found in the disc, which can cause the disc to bulge or rupture. Degenerative disc disease can also stem from a herniated disc. As with many conditions, those who smoke or are obese are at a higher risk of developing degenerative disc disease.

The symptoms of degenerative disc disease vary. Depending on the location of the degenerating disc, individuals may experience pain in the neck, back, arm, leg, or buttocks. In some cases, no pain is experienced, causing the condition to remain unnoticed. It is important to see a doctor if you experience persistent pain in any of the aforementioned areas.

To diagnose degenerative disc disease, your doctor will perform a physical evaluation and review your medical history. The physical examination typically entails inspecting the affected area for tenderness, changes in range of motion, as well as other potential conditions, such as infection or fractures. In some cases, x-rays may also be used to obtain a better view of the discs.

Degenerative disc disease can often be managed with over-the-counter pain medications, such as acetaminophen or ibuprofen, and applying ice or heat to the affected area. More aggressive treatments may not be necessary unless additional conditions, such as osteoarthritis, have developed as a result of the degenerating disc. Such cases may require physical therapy or surgery to remove the degenerated disc. Your doctor will develop a customized treatment plan for your individual condition.

Contact our office to learn more about degenerated disc disease or to schedule a consultation.

Herniated Disc Treatment

Between each of the vertebrae of the spine are soft disks filled with a gelatinous substance. These rubbery disks provide a cushion for the vertebrae and help hold them in place. As we age, our disks lose some of their flexibility and become flatter. They may be additionally weakened by stress caused by too much body weight, incorrect lifting, sudden pressure, vigorous repetitive movements and smoking.

When one of these disks moves out of place or ruptures, it is considered herniated. Sometimes the herniated disk may press on a nerve in the spinal canal, which results in back pain or sciatica.

When the herniated disk is in the lower portion of your spine, the symptoms may include back pain that extends into the buttocks and legs. When the herniated disk is in the upper portion of your spine, the resulting symptoms may include neck pain that extends into the shoulders and arms. You also might experience tingling, numbness, muscle spasms or weakness.

In order to make a correct diagnosis of your back pain, your doctor will require a complete medical history. A physical exam will most likely include a check for loss of sensation or numbness, how your reflexes respond, muscle strength and overall posture.

In many cases, your doctor will order X-rays to further examine the spine. Tests such as an MRI, CT scan, electromyography and myelogram can provide detailed information about the size and location of the disk herniation.

Treatments for herniated disks usually begin with bed rest, anti-inflammatories and pain medications as needed.  Sometimes physical therapy can improve the symptoms. You may need epidural injections of a steroid to reduce the nerve irritation and facilitate healing.

When the condition is not responding to these measures, surgery is generally the next option considered. The type of procedure performed will depend upon where in the spine the herniated disk is located. If it is in the lower back, the surgeon may do a microdiscectomy or laminectomy based on the position and size of the disk. If it is in the neck region, the surgeon will most likely perform an anterior cervical discectomy. The disk is removed to relieve the pressure on the spinal cord and nerves.

Contact our office to learn more about herniated discs or to schedule a consultation.

Common Diagnoses
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