The Spine & Back Blog

When conservative treatments fail to alleviate severe back pain caused by conditions like degenerative disc disease or spinal instability, surgical intervention may be necessary. Transforaminal Lumbar Interbody Fusion (TLIF) surgery is a procedure commonly performed to address these spinal conditions. Below we’ll explore what TLIF surgery entails, discuss the benefits it offers, and identify the individuals who can benefit the most from this surgical approach.

What Is TLIF Surgery?

Transforaminal Lumbar Interbody Fusion (TLIF) surgery is a spinal fusion procedure that focuses on stabilizing the lumbar spine, specifically the lower back. It involves accessing the spine from a posterior approach, typically through a small incision in the lower back. During the procedure, the damaged disc or bone material is removed, and bone grafts or implants are inserted to promote fusion between adjacent vertebrae. This fusion helps alleviate pain, restore stability, and improve the overall functionality of the spine.

Benefits of Transforaminal Lumbar Interbody Fusion (TLIF) Surgery:

a. Pain Relief: TLIF surgery is highly effective in reducing back and leg pain caused by conditions like herniated discs, spinal stenosis, or spondylolisthesis. By decompressing nerve roots and stabilizing the affected area, the surgery alleviates pressure on nerves, resulting in significant pain relief.

BENEFITS OF TRANSFORAMINAL LUMBAR INTERBODY FUSION (TLIF) SURGERYb. Spinal Stability: One of the key benefits of TLIF surgery is the restoration of spinal stability. The fusion between vertebrae eliminates abnormal movement and instability in the affected segment of the spine. This stability helps prevent further degeneration and reduces the likelihood of future complications.

c. Improved Functionality: Individuals who undergo TLIF surgery often experience an improvement in their ability to perform daily activities. By addressing the underlying cause of pain and instability, the surgery enables patients to regain mobility, flexibility, and overall functionality.

d. Reduced Dependency on Medication: Chronic back pain often requires long-term medication use, which can have side effects and limitations. TLIF surgery offers the potential for a significant reduction in pain, allowing patients to rely less on pain medication and potentially improving their overall quality of life.

e. Faster Recovery: While recovery times can vary, TLIF surgery generally offers a faster recovery compared to traditional open spinal surgeries. The minimally invasive nature of TLIF, with smaller incisions and reduced muscle trauma, contributes to a quicker return to daily activities and work.

Who Can Benefit Most From TLIF Surgery?

a. Spinal Instability: Individuals with spinal instability resulting from degenerative disc disease, spondylolisthesis, or spinal trauma can benefit greatly from TLIF surgery. The fusion procedure stabilizes the affected segment, reducing pain and preventing further degeneration.

Benefits of Transforaminal Lumbar Interbody Fusion (TLIF) Surgeryb. Disc Herniation: TLIF surgery is effective in addressing herniated discs that cause significant pain, nerve compression, and functional limitations. The procedure removes the damaged disc material and provides stability, relieving pressure on the affected nerves.

c. Spinal Stenosis: TLIF surgery can benefit individuals with spinal stenosis, a condition characterized by the narrowing of the spinal canal. By decompressing the nerves and stabilizing the spine, the surgery relieves pain and restores functionality.

d. Failed Conservative Treatments: Patients who have exhausted non-surgical treatment options, such as physical therapy, medication, and injections, without experiencing sufficient relief may be suitable candidates for TLIF surgery.

The NSSC Spine Clinic Can Help Determine The Best Approach For You

If you are experiencing chronic back pain, transforaminal lumbar interbody fusion (TLIF) surgery is a highly effective and minimally invasive procedure to consider. It is recommended for treating various spinal conditions that cause severe back pain and instability. That said, it is only one of your many options for reducing your pain and improving your quality of life.

To better understand treatment options, and what is best for your circumstances, please contact the NSSC Spine Clinic in Gastonia, NC today to schedule a consultation with Dr. Hunter. Dr. William Hunter is a board-certified neurosurgeon and spine specialist with over two decades of experience offering various treatments for back pain relief, including spine surgery, as well as minimally invasive techniques, and regenerative medical treatments.

Back pain is a common ailment that affects millions of people worldwide. While some cases may require surgical intervention, there are numerous non-invasive treatment options available that can effectively alleviate back pain and promote long-term recovery. In this article, we will explore various non-invasive treatments, including minimally invasive surgery, physical therapy, steroid shots, acupuncture, stem cell injections, and other approaches. By understanding the benefits of these alternative treatments, individuals can make informed decisions about managing their back pain.

Minimally Invasive Surgery:

Way’s To Treat Back Pain Without Invasive SurgeryMinimally invasive surgery has revolutionized the field of back pain treatment. Unlike traditional open surgery, minimally invasive procedures involve smaller incisions, reduced trauma to surrounding tissues, and shorter recovery times. Techniques such as endoscopic discectomy are utilized to address specific spinal conditions, such as herniated discs or spinal stenosis.

While surgical intervention may be necessary in some cases, exploring non-invasive options first is often recommended.

Physical Therapy:

Physical therapy plays a vital role in treating back pain by focusing on strengthening the muscles that support the spine, improving flexibility, and correcting posture. A trained physical therapist will develop a personalized exercise program that targets the specific needs of the patient. This approach can alleviate pain, improve range of motion, and restore functionality without resorting to invasive procedures.

Steroid Shots:

Corticosteroid injections can be an effective treatment for back pain associated with inflammation, such as herniated discs or spinal arthritis. These injections deliver anti-inflammatory medication directly to the affected area, reducing pain and swelling. While the relief may be temporary, steroid shots can provide substantial pain relief, allowing patients to engage in physical therapy or other non-invasive treatments for long-term management.

Acupuncture:

Acupuncture For Back Pain ReductionAcupuncture, an ancient Chinese therapy, involves the insertion of thin needles into specific points on the body. This technique stimulates the release of endorphins and promotes blood flow, aiding in pain reduction and the healing process. Numerous studies have shown that acupuncture can be an effective treatment for chronic back pain, offering a non-invasive alternative to surgery.

Stem Cell Injections:

Stem cell therapy (stem cell injections) is a promising regenerative treatment option that holds great potential for treating back pain. Stem cells can differentiate into various specialized cells, aiding in tissue repair and regeneration. In the context of back pain, stem cell injections can help reduce inflammation, promote healing, and potentially regenerate damaged spinal tissues. While this field is still developing, initial studies show promising results, and ongoing research aims to optimize its effectiveness.

Other Non-Invasive Treatments:

In addition to the aforementioned treatments, there are several other non-invasive options worth exploring. These include chiropractic care, massage therapy, heat and cold therapy, transcutaneous electrical nerve stimulation (TENS), and cognitive-behavioral therapy (CBT). Each approach targets different aspects of back pain, ranging from realignment and muscle relaxation to pain modulation and psychological well-being. Depending on the underlying cause and individual preferences, these treatments can offer valuable alternatives to invasive surgery.

Benefits of Non-Invasive Treatments:

The benefits of non-invasive treatments for back pain are multifaceted. Firstly, they reduce or eliminate the risks associated with surgery, such as infection, bleeding, and longer recovery times. Non-invasive approaches also allow individuals to avoid the potential complications of anesthesia and the inherent challenges of post-operative rehabilitation. Furthermore, these treatments can often address the root causes of pain, promoting long-term healing and preventing recurrence, rather than providing temporary relief. 

Every patient has their own unique circumstances. For some, surgical intervention may be the best approach, while non-surgical, or minimally invasive surgical options may be right for others.

The NSSC Spine Clinic Can Help Determine The Best Approach For You

Back pain can significantly impact a person's quality of life, but surgery is only one of your options, and may or may not be the best solution for you. Dr. William Hunter is a board-certified neurosurgeon and spine specialist with over two decades of experience with various treatment options for back pain relief, including minimally invasive techniques and regenerative medical treatments. Contact the NSSC Spine Clinic in Gastonia, NC today to schedule a consultation with Dr. Hunter.

SPINE HEALTH AND BACK PAIN PREVENTION LUNCH AND LEARN (Gastonia, NC)Dr. William Hunter was the featured presenter for a Lunch and Learn at the Warlick YMCA (Gaston County Family YMCA) last week.  There was a great turnout, as 35 people attended the educational event. Dr. Hunter spoke on behalf of both NSSC Spine Clinic (Neuroscience & Spine Center of the Carolinas) and the Medical Aesthetics Regenerative Center (MARC), discussing important topics related to spine health and back pain prevention, as well as stem cell therapy.

Spine Health and Prevention of Back Pain

Back problems and related pain can be extremely debilitating, especially as individuals grow older. Dr. Hunter provided education and discussed common back problems, the anatomy of the spine, treatments for back pain including physical therapy as well as the importance for exercise, stretching, and working on core strength for spine health. He also stressed the importance of good nutrition and stress management, for overall health - "A body in motion stays in motion."

Additionally, Dr Hunter discussed common back surgeries and how many back and spine surgeries can now be done on a minimally invasive, outpatient basis.

Stem Cell Therapy (and treatments)

STEM CELL THERAPY (Gastonia, NC)Doctor Hunter then discussed how he has been using stem cell therapy as part of his spinal fusion surgeries since 2008 to assist in the fusion of bone and recovery. Furthermore, Dr. Hunter has been doing stem cell treatments, which can regenerate damaged tissue and reduce pain, for joints such as knee, hip, and shoulders. Dr. Hunter discussed the benefits of stem cell therapy, as well as the difference between platelet-rich plasma (PRP) injections and Stem cell therapy.

Finally, the presentation ended after a long Q & A session with Doctor Hunter and the staff from the NSSC Spine Clinic and MARC.

Dr. William Hunter, Back And Spine Specialist

If you are concerned about back or neck pain you've been experiencing, make an appointment with Dr. Hunter, spine specialist and neurosurgeon at NSSC Spine Clinic. He has the experience and expertise needed to treat all types of back pain. The NSSC Spine Clinic has been serving Gastonia and the broader Charlotte, NC area including Belmont, Mount Holly, Gaston County, Meckleburg County, and portions of South Carolina for over 22 years.

Medical Aesthetics Regenerative Center

Medical Aesthetics Regenerative Center, Gastonia, North CarolinaMedical Aesthetics Regenerative Center (MARC) specializes in personalized treatments utilizing innovative technologies and the latest advances in science, medicine and holistic healthcare, including stem cell therapy, weight management, aesthetic rejuvenation, botox neurotoxin injections, PRP, microdermabrasion and more. MARC has been serving Gastonia and the broader Charlotte, North Carolina area for over 15 years. To learn more, contact MARC today.

Notice of Privacy Practices

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

If you have any questions about this Notice please contact the Privacy Officer at 704-864-5550

  • Privacy Practices - Effective Date: April 14, 2003
  • Recent Revision – July 21, 2017    

We are committed to protect the privacy of your personal health information (PHI).

This Notice of Privacy Practices (Notice) describes how we may use within our practice or network and disclose (share outside of our practice or network) your PHI to carry out treatment, payment or health care operations. We may also share your information for other purposes that are permitted or required by law. This Notice also describes your rights to access and control your PHI. 

We are required by law to maintain the privacy of your PHI.  We will follow the terms outlined in this Notice. 

We may change our Notice, at any time. Any changes will apply to all PHI. Upon your request, we will provide you with any revised Notice by:

  • Posting the new Notice in our office.
  • If requested, making copies of the new Notice available in our office or by mail.
  • Posting the revised Notice on our website: www.neurosciencecarolinas.com

Uses and Disclosures of Protected Health Information

We may use or disclose (share) your PHI to provide health care treatment for you. 

Your PHI may be used and disclosed by your physician, our office staff and others outside of our office that are involved in your care and treatment for the purpose of providing health care services to you. 

EXAMPLE: Your PHI may be provided to a physician to whom you have been referred for evaluation to ensure that the physician has the necessary information to diagnose or treat you. We may also share your PHI from time-to-time to another physician or health care provider (e.g., a specialist or laboratory) who, at the request of your physician, becomes involved in your care by providing assistance with your health care diagnosis or treatment to your physician. 

We may also share your PHI with people outside of our practice that may provide medical care for you such as home health agencies.

We may use and disclose your PHI to obtain payment for services.  We may provide your PHI to others in order to bill or collect payment for services. There may be services for which we share information with your health plan to determine if the service will be paid for.

PHI may be shared with the following:

  • Billing companies
  • Insurance companies, health plans
  • Government agencies in order to assist with qualification of benefits
  • Collection agencies

EXAMPLE: You are seen at our practice for a procedure. We will need to provide a listing of services such as x-rays to your insurance company so that we can get paid for the procedure. We may at times contact your health care plan to receive approval PRIOR to performing certain procedures to ensure the services will be paid for. This will require sharing of your PHI. 

We may use or disclose, as-needed, your PHI in order to support the business activities of this practice which are called health care operations. 

EXAMPLES:

Training students, other health care providers, or ancillary staff such as billing personnel to help them learn or improve their skills.
Quality improvement processes which look at delivery of health care and for improvement in processes which will provide safer, more effective care for you.
Use of information to assist in resolving problems or complaints within the practice.

We may use and disclosure your PHI in other situations without your permission:

  • If required by law: The use or disclosure will be made in compliance with the law and will be limited to the relevant requirements of the law. For example, we may be required to report gunshot wounds or suspected abuse or neglect.
  • Public health activities: The disclosure will be made for the purpose of controlling disease, injury or disability and only to public health authorities permitted by law to collect or receive information. We may also notify individuals who may have been exposed to a disease or may be at risk of contracting or spreading a disease or condition.
  • Health oversight agencies: We may disclose protected health information to a health oversight agency for activities authorized by law, such as audits, investigations, and inspections. Oversight agencies seeking this information include government agencies that oversee the health care system, government benefit programs, other government regulatory programs and civil rights laws. 
  • Legal proceedings: To assist in any legal proceeding or in response to a court order, in certain conditions in response to a subpoena, or other lawful process.
  • Police or other law enforcement purposes: The release of PHI will meet all applicable legal requirements for release.
  • Coroners, funeral directors: We may disclose protected health information to a coroner or medical examiner for identification purposes, determining cause of death or for the coroner or medical examiner to perform other duties authorized by law
  • Medical research: We may disclose your protected health information to researchers when their research has been approved by an institutional review board that has reviewed the research proposal and established protocols to ensure the privacy of your protected health information.
  • Special government purposes: Information may be shared for national security purposes, or if you are a member of the military, to the military under limited circumstances.
  • Correctional institutions: Information may be shared if you are an inmate or under custody of law which is necessary for your health or the health and safety of other individuals.
  • Workers’ Compensation: Your protected health information may be disclosed by us as authorized to comply with workers’ compensation laws and other similar legally-established programs. 

Other uses and disclosures of your health information:

  • Business Associates: Some services are provided through the use of contracted entities called “business associates”. We will always release only the minimum amount of PHI necessary so that the business associate can perform the identified services. We require the business associate(s) to appropriately safeguard your information. Examples of business associates include billing companies or transcription services.
  • Health Information Exchange: We may make your health information available electronically to other healthcare providers outside of our facility who are involved in your care. 
  • Fundraising activities: We may contact you in an effort to raise money. You may opt out of receiving such communications.
  • Treatment alternatives: We may provide you notice of treatment options or other health related services that may improve your overall health.
  • Appointment reminders: We may contact you as a reminder about upcoming appointments or treatment. 

We may use or disclose your PHI in the following situations UNLESS you object.

  • We may share your information with friends or family members, or other persons directly identified by you at the level they are involved in your care or payment of services. If you are not present or able to agree/object, the healthcare provider using professional judgment will determine if it is in your best interest to share the information. For example, we may discuss post procedure instructions with the person who drove you to the facility unless you tell us specifically not to share the information.
  • We may use or disclose protected health information to notify or assist in notifying a family member, personal representative or any other person that is responsible for your care of your location, general condition or death.
  • We may use or disclose your protected health information to an authorized public or private entity to assist in disaster relief efforts. 

The following uses and disclosures of PHI require your written authorization:

  • Marketing
  • Disclosures of for any purposes which require the sale of your information
  • Release of psychotherapy notes: Psychotherapy notes are notes by a mental health professional for the purpose of documenting a conversation during a private session. This session could be with an individual or with a group. These notes are kept separate from the rest of the medical record and do not include: medications and how they affect you, start and stop time of counseling sessions, types of treatments provided, results of tests, diagnosis, treatment plan, symptoms, prognosis.

All other uses and disclosures not recorded in this Notice will require a written authorization from you or your personal representative.

Written authorization simply explains how you want your information used and disclosed. Your written authorization may be revoked at any time, in writing. Except to the extent that your doctor or this practice has used or released information based on the direction provided in the authorization, no further use or disclosure will occur.

Your Privacy Rights 

You have certain rights related to your protected health information. All requests to exercise your rights must be made in writing. You can make a request to our medical records department.  Medical records can be reached at 704-864-5550.

You have the right to see and obtain a copy of your protected health information. 

This means you may inspect and obtain a copy of protected health information about you that is contained in a designated record set for as long as we maintain the protected health information. If requested we will provide you a copy of your records in an electronic format. There are some exceptions to records which may be copied and the request may be denied. We may charge you a reasonable cost based fee for a copy of the records.   

You have the right to request a restriction of your protected health information. 

You may request for this practice not to use or disclose any part of your protected health information for the purposes of treatment, payment or healthcare operations. We are not required to agree with these requests. If we agree to a restriction request we will honor the restriction request unless the information is needed to provide emergency treatment.

There is one exception: we must accept a restriction request to restrict disclosure of information to a health plan if you pay out of pocket in full for a service or product unless it is otherwise required by law.

You have the right to request for us to communicate in different ways or in different locations. 

We will agree to reasonable requests. We may also request alternative address or other method of contact such as mailing information to a post office box. We will not ask for an explanation from you about the request.

You may have the right to request an amendment of your health information. 

You may request an amendment of your health information if you feel that the information is not correct along with an explanation of the reason for the request. In certain cases, we may deny your request for an amendment at which time you will have an opportunity to disagree.

You have the right to a list of people or organizations who have received your health information from us. 

This right applies to disclosures for purposes other than treatment, payment or healthcare operations. You have the right to obtain a listing of these disclosures that occurred after April 14, 2003. You may request them for the previous six years or a shorter timeframe. If you request more than one list within a 12 month period you may be charged a reasonable fee. 

Additional Privacy Rights

  • You have the right to obtain a paper copy of this notice from us, upon request.
  • We will provide you a copy of this Notice the first day we treat you at our facility. In an emergency situation we will give you this Notice as soon as possible.
  • You have a right to receive notification of any breach of your protected health information.

Complaints 

If you think we have violated your rights or you have a complaint about our privacy practices you can contact:

The Spine Clinic at Neuroscience & Spine Center of the Carolinas, LLP Privacy Officer at 704-864-5550.

You may also complain to the United States Secretary of Health and Human Services if you believe your privacy rights have been violated by us.

If you file a complaint we will not retaliate against you for filing a complaint. 

This notice was published and became effective on April 13, 2003 and was most recently revised on July 21, 2017.