A specialist in orthopedic spine care can, thankfully, treat many ailments without resorting to surgical procedures. Spine surgeons collaborate with anesthesiologists who specialize in interventional pain management and physiatrists, who are practitioners of physical medicine and rehabilitation, to lessen the manifestation of symptoms through oral medications, injectable medications, and lifestyle changes. Some symptoms are more severe than others and may require a patient to advance beyond conservative treatment without first attempting them. 

To assist the diagnosis and treatment of spine conditions our providers at AOA Orthopedic Specialists will order imaging potentially including x-rays, electromyography, magnetic resonance imaging (MRI), and computed tomography (CT) scans. Using a combination of your symptoms and imaging the provider designs and collaborates with you to find a treatment plan that you are comfortable with if possible. Some cases do not leave options and require surgery, but many patients are eligible for and respond to conservative treatments including oral steroids, physical therapy, chiropractic care, and epidural steroids. Some patients do exhaust conservative treatment without getting relief, and in these cases reconsidering interventional surgery would be the last option that our providers could offer.

Our comprehensive teams at AOA Orthopedic Specialists dedicate their orthopedic careers to providing patients with the most innovative and evidence-based therapies currently available. Offering a wide range of procedures and interventions, we will find a treatment for you aimed at bringing back a comfortable and structurally stable version of your lifestyle.

Spine surgery


If more conservative treatments have failed to alleviate your back pain and the discomfort is severe enough to limit your daily activities, you may want to reconsider having surgery. Back surgery typically provides more reliable relief from accompanying pain or numbness that travels down one or both arms or legs. These sensations are frequently brought on by pinching or squeezing nerves in the spine. Several factors, including the following, can lead to the compression of nerves:

Disk issues. Disks, the rubbery cushions that separate the bones of your spine, can sometimes press too firmly against a spinal nerve and hinder its function if the disks are bulging or have ruptured, which is called a herniation.


Bone spurs on the spine are a potential complication of osteoarthritis. This excess bone most usually affects the hinge joints on the back part of the spinal column, which can reduce the amount of room available for nerves to travel through gaps in your spine.

Even if your X-rays reveal that you have bone spurs or disk abnormalities, it can be very challenging to determine the precise reason for your back discomfort because of the complexity of the back. X-rays for other reasons reveal bulging or herniated disks, but these disks do not cause any symptoms and do not require treatment.


The AOA is pleased to inform you that it can now help with scheduling over the phone twenty-four hours a day, seven days a week. You can contact us at any time or night, any day of the week, or any day of the year.

Even though we try our best to adhere to the official schedule, there will always be unforeseen complications and holdups. If we are aware in advance that there will be a delay in meeting you at your scheduled time, we will make every effort to contact you at the phone number you gave us when making the appointment to let you know.


How long before I start feeling normal again after surgery?

It all depends on the operation performed on you, but you can start to feel better rather quickly. It is also possible that you will feel some improvement after several weeks, months, and up to a year as swelling reduces and biomechanics stabilize to their new configuration.

The following factors will determine the rate of your recovery:

  • What kind of surgery did you have?
  • The surgeon approach to your spine
  • The degree of the damaged spine.
  • Talk to your healthcare provider about setting reasonable goals for your recovery.
After the operation, do I need to take pain medication?

After your procedure, you and your surgeon can discuss the pain medicine that will be most helpful to you. The multimodal approach includes the following options.

  • Warm and cold packs
  • Analgesia, the patient manages it and is administered through a pump that gives medication as and when required.
  • Relaxation techniques
  • Transcutaneous electrical nerve stimulation is a treatment that employs tiny electrical impulses to block pain signals from particular nerves to the brain.
During my time spent recovering, what adjustments to my lifestyle will be necessary?

During your recovery from spinal surgery, your physician may suggest the following treatments:

  • Utilizing a back-support device
  • Not picking up weighty things
  • Trying to avoid bending at the waist

Do not forget to check in with a physical therapist when you start getting back into the swing of things with your workout program.

For a complete list of our orthopedic surgeons in Dallas / Fort Worth and North Texas who treat the elbow, click here.

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Read our patient’s reviews

Five stars rating for AOA Orthopedics
I have been a patient for 2+ years first with Dr Jameson (retired) and now Dr Rey. Dr Rey is awesome! I trust him & know I am under the best care. Friendly front office staff, knowledgeable and caring doctors and nurses. The radiology guy is so nice and professional. I highly recommend AOA for all your orthopedic needs.

V Benson

Five stars rating for AOA Orthopedics
Dr. Roberts and his staff are well organized, competent, and professional in all phases of patient care. I have been his patient for years. Dr. Roberts replaced my wife’s knees with excellent results. I continue to highly recommend him and his staff.

Donald Carr

Five stars rating for AOA Orthopedics

Dr. Kazewych is awesome! Very knowledgeable and professional; great bedside manner. Everyone, from check-in to his assistants, was delightful and professional. I highly recommend the clinic and will be sending my family and friends there for their orthopedic care needs

Kim Hodges

Five stars rating for AOA Orthopedics
Outstanding office. Always has their act together. Dr. Pollifrone is one incredible knee doctor and has one great personality. I would highly recommend him for your knee issues and replacement.

Frank Kubat