Inova. Spine Institute

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1 Inova Spine Institute

2 At Inova Spine Institute, you ll find a wide range of treatment alternatives, from physical therapy and rehabilitation to pain management. For patients who require surgery, Inova Spine Institute offers the most robust surgical program in the capital region, with each surgeon specializing in the unique aspects of spinal surgery. We offer in-depth experience treating back pain as well as experts in the latest treatment techniques and procedures. And because we offer locations throughout Northern Virginia and the Washington DC areas, you will find that world-class treatment for back pain doesn t have to be a world away. Getting you BACK in action Inova Spine Institute, the leading collaborative spine treatment program in the Washington, D.C. area, has the most back pain specialists in the region. Our physicians, nurses and the entire Inova team are committed to providing you with unparalleled individualized spine care. Inova Spine Institute is designed to focus on the specific needs of each person suffering with back or neck pain. Through our comprehensive, multidisciplinary approach, we have one simple goal: returning you to the activities that you enjoy most. Inova Spine Institute brings together an array of spine specialists. Our specialists include physiatrists (physical medicine and rehabilitation doctors), interventional pain management doctors and surgeons to evaluate and care for your back or neck pain. A simple phone call to one of our intake specialists, gives you access to an extensive network of spine specialists. A dedicated intake specialist will complete a detailed medical history, gather recent X-rays and MRIs and analyze past test results to assess your current spine health situation and determine your level of pain. You will then meet with the appropriate specialist best suited to your needs and preferences.

3 Our specialists offer diverse treatment options for your neck and back pain. If your needs will be best met with pain management and physical therapy, we have the experts who can help you. If you do need surgery, we offer the most advanced, minimally invasive surgical techniques available. The Institute is designed with the patient in mind, offering a personalized, timely and uncomplicated healthcare experience. Our specialists are dedicated to making you feel better. Spine Care Navigators Our spine care navigators are registered nurses with specialized training and expertise in back pain. Once you have been evaluated by one of our intake specialists, our navigators then work directly with our select network of physicians and referring providers to make certain your condition is thoroughly assessed and a comprehensive treatment plan outlined. The navigators are here to assist you every step of the way; explaining each test, exercise or procedure. The Inova Spine Institute is designed with you - the patient - in mind, offering a personalized, timely and uncomplicated healthcare experience. Call to request an assessment from our experienced spine care team. Treatment Back and neck pain can affect your lifestyle on a constant basis. Below you ll find various treatment options offered by Inova Spine Institute. Treatment will always be customized to meet your individual needs. Your spine specialist may utilize medication in your treatment plan. Non-steroidal anti-inflammatory medications which include common over-the-counter medicines such as aspirin, ibuprofen and ketoprofen Steroids Narcotic medications Muscle relaxants Antidepressants and antiseizure medications Physical Therapy Inova offers the most advanced physical therapy and rehabilitation treatments for a wide variety of spine disorders. Physical therapy services include: Core strengthening exercises and pilates Flexibility exercises Ultrasound (mechanical) traction

4 Electrical stimulation Myofascial release therapy (to relieve pain and improve soft tissue flexibility) Trigger point massage Your individualized program begins with a complete evaluation. We consider your age, medical history and current condition before designing a rehabilitation program around the level of activity you want to achieve. We work with you one-on-one and as a team. We teach you how to gain strength and mobility. With over a dozen locations, our centers are accessible to patients across Northern Virginia. For more information about Inova Physical Therapy Centers and a list of locations, visit inova.org/physicaltherapy Pain Management Inova offers various pain management treatments to better your spine health. Pain Injections Trigger point injections Epidural steroid injections Facet injections Sympathetic blocks Intrathecal pain pump Psychology For some patients, cognitive behavioral therapy including biofeedback, relaxation, distraction and pacing can reduce feelings of pain and may be equally or more effective than drugs or surgery.

5 Surgery Each year, more than 500,000 people in America undergo spine surgery. Primary candidates for this surgery include patients with chronic pain who have not responded to other conservative therapies or individuals who suffer from acute pain caused by progressive neurological damage that interferes with walking, exercise, leisure, recreation or work. The goal of spine surgery is to relieve pain, restore independence and return people to their daily activities. Spine surgery is usually an option only after less invasive options have proven unsuccessful. A decision to have surgery requires careful evaluation of several factors. (These include the severity of the disorder, the presence or absence of pressure on the spinal cord or nerves, how long the pain has been present, and past medical history.) Minimally invasive surgical procedures can be good options for treatment of herniated discs or compression fractures. Interspinous/interlaminar implant This device is a shock absorber that fits between two vertebrae to provide cushioning and stability, and relieve pressure on the spine Microendoscopic discectomy for herniated discs Surgeons insert a tiny metal tube to access the herniated disc and remove the portion pressing on the nerve Kyphoplasty for compression fractures a balloon is inserted at the fracture and inflated, pushing the bone back to its normal height and shape Minimally invasive surgery performed through smaller incisions and reduce the risk of damage to nearby parts of the spine Types of Spine Surgery Lumbar disc replacement and cervical disc replacement Laminaplasty the lamina (the bony arches on the vertebrae) are cut free along one side and hinged open to enlarge the spinal canal and relieve pressure Laminectomy removes the bony arches on one or more vertebrae to relieve pressure Spinal fusion connects two or more vertebrae together and keeps them from moving until they have a chance to grow together, or fuse

6 Inova VNA Home Health Inova VNA Home Health is the leading home care agency in Northern Virginia and brings quality, skilled and coordinated healthcare services directly to you in the comfort of your home. With a focus on patient satisfaction, their expert nurses and therapists will tailor a treatment plan to meet your specific needs and help you regain your independence. Inova VNA Home Health services include: Ask the Expert If you have questions or want to learn more about treatment options for back pain, consider attending on of our Ask the Expert community lectures. These physician led panel discussions cover all physical therapy, pain management and surgery options and are held throughout the year at locations across Northern Virginia. To sign-up, visit inovaspine.org Skilled Nursing Physical Therapy Occupational Therapy Speech/Language Therapy Medical Social Work Home Health Aide Service

7 Contact Us Call to request an assessment from our experienced intake specialists, or to reach a spine care navigator. Visit inovaspine.org to learn more about the Inova Spine Institute. Inova Health System is a not-for-profit healthcare system based in Northern Virginia that consists of hospitals and other health services, including emergency and urgent care centers, home care, nursing homes, mental health and blood donor services, and wellness classes. Governed by a voluntary board of community members, Inova s mission is to improve the health of the diverse community it serves through excellence in patient care, education and research. Inova provides a healthy environment for its patients, families, visitors, staff and physicians by prohibiting tobacco use on its campuses. inova.org G30145/7-11/PDF only

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