Spine

If you’re struggling with debilitating back pain or neck pain—or still dealing with discomfort after a previous (failed) spine surgery —you deserve care from top spine specialists who can help you find relief. Our fellowship-trained spine specialists in Virginia are experts in treating a wide range of back and neck conditions, such as injury or trauma, arthritis, spinal stenosis, scoliosis, or congenital conditions. We offer both surgical and non-surgical treatment options for lasting relief, improved mobility, and better overall health.

Comprehensive Spine Care from Expert Back Doctors and Spine Specialists in Virginia

At Aligned Orthopedic Partners, our team of expert orthopedic spine surgeons and back specialists provides comprehensive care for a wide range of spine, neck, and back conditions. In addition to advanced treatment options, we offer specialized spine rehabilitation and strengthening programs to support recovery and long-term wellness. Our specialists treat conditions such as:

  • Back Pain
  • Bursitis
  • Neck pain/cervical pain
  • Pinched nerve (cervical radiculopathy and lumbar radiculopathy)
  • Disc Herniation
  • Degenerative Disc Disease
  • Dislocation
  • Kyphosis
  • Myelopathy
  • Osteoporosis
  • Scoliosis
  • Sciatica
  • Spinal Compression
  • Spinal Stenosis (cervical stenosis and lumbar stenosis)
  • Spine or Compression Fractures
  • Spinal Deformity
  • Spondylolysis
  • Spondylolisthesis
  • & more

Non-Surgical Spine Treatments

Although our Aligned Orthopedic doctors are highly trained orthopedic surgeons, they recognize that back and spine treatment does not necessarily require surgery. In fact, the majority of back pain and spine conditions do not require surgery and can be treated with non-surgical options, including:

Minimally Invasive Spine Surgery 

Our spine surgical team is dedicated to innovative, personalized treatments that target the underlying cause of your pain rather than simply masking the symptoms. Using state-of-the-art minimally invasive procedures and cutting-edge nonsurgical therapies, we customize every treatment plan to fit your unique needs and help restore your quality of life. Minimally-invasive spine treatment options include:

  • Discectomy
  • Laminectomy
  • Laminotomy
  • Laminoplasty
  • Foraminotomy
  • Cervical Arthroplasty
  • Cervical Fusion
  • Kyphoplasty
  • Spinal Fusion
  • Spinal Decompression
  • Motion Preserving Disc Replacement

Schedule Your Consultation with a Top Spine Surgeon in Virginia Today!

At Aligned Orthopedic Partners, our back specialists and orthopedic spine surgeons are dedicated to delivering expert, compassionate, and personalized care to help you regain the lifestyle you love. Whether you’re an active weekend warrior tackling the trails or simply looking to move through your daily routine without pain or restrictions, our team is here to restore, improve, and enhance your mobility and overall well-being.

Contact us today or call 1-833-992-5446 to schedule a consultation with a back specialist and take the first step toward lasting relief.

Spine Conditions & Treatments:

Bursitis: Causes, Symptoms, and Treatment

What Is Bursitis?

Bursitis is the inflammation of the bursae, small fluid-filled sacs that cushion and reduce friction between bones, muscles, and tendons. It commonly affects the shoulders, elbows, hips, and knees, leading to pain, swelling, and stiffness.

Causes of Bursitis

Bursitis is often caused by repetitive motion, prolonged pressure, or injury. Common risk factors include:

  • Overuse or repetitive activities (e.g., running, kneeling, lifting)
  • Trauma or direct impact to a joint
  • Arthritis or gout
  • Poor posture or joint alignment

Symptoms of Bursitis

  • Pain and tenderness around the affected joint
  • Swelling and warmth in the area
  • Stiffness and limited mobility
  • Worsening pain with movement or pressure

Treatment Options for Bursitis

  • Rest & Activity Modification: Avoid repetitive movements that worsen symptoms.
  • Ice Therapy: Apply ice packs to reduce swelling and pain.
  • Medications: Anti-inflammatories to relieve inflammation.
  • Physical Therapy: Stretching and strengthening exercises improve joint mobility and support.
  • Injections: Cortisone or orthobiologic options

If conservative treatments fail, surgery (rare cases) may be needed to drain or remove the inflamed bursa.

Get Relief from Bursitis Today!

If you’re experiencing persistent joint pain and stiffness, our specialists can help. We offer comprehensive treatment options to reduce pain and restore mobility.

Contact us today or call 1-833-992-5446 to schedule a consultation with a back specialist and take the first step toward lasting relief.

Herniated Disc: Causes, Symptoms, and Treatment

A herniated disc, also known as a slipped, bulging, or ruptured disc, can cause significant pain, discomfort, and limited mobility. If left untreated, it may lead to chronic pain or nerve damage, affecting your ability to perform daily activities. At Aligned Orthopedic Partners, we offer a range of non-surgical and surgical treatment options to relieve pain, restore mobility, and help you return to an active lifestyle.

How the Spine Works & Why Herniated Discs Occur 

The spine consists of 24 vertebrae stacked in a column, with discs positioned between each bone to provide cushioning and flexibility. These discs are normally contained within a tough outer layer. However, aging, repetitive stress, or injury can cause the disc’s outer shell to weaken, increasing the likelihood of a rupture.

When a disc herniates, the protruding material can irritate spinal nerves, causing pain and neurological symptoms. The location of the herniation determines where symptoms occur:

  • Lumbar Herniated Disc (Lower Back): Can cause pain, tingling, or weakness in the thighs, legs, or feet.
  • Cervical Herniated Disc (Neck): Can lead to pain, numbness, or weakness in the shoulders, arms, or hands.

Common Symptoms of a Herniated Disc

  • Sharp or burning pain in the back, neck, or affected limb
  • Numbness, tingling, or weakness in the arms, legs, hands, or feet
  • Pain that worsens with movement, sitting, or certain positions
  • Difficulty lifting objects or maintaining grip strength

If left untreated, a herniated disc can continue to compress the nerves, leading to chronic pain and reduced mobility.

Non-Surgical Treatment Options for Herniated Discs

Most patients with a herniated disc do not require surgery and can achieve relief through conservative treatments. Our specialists will develop a personalized treatment plan tailored to your specific condition and symptoms.

Physical Therapy & Rehabilitation

  • Strengthens spinal muscles to support the affected area
  • Improves flexibility and posture to reduce strain on the spine
  • Reduces pain and inflammation through targeted exercises

Our customized therapy programs focus on core stabilization, stretching, and low-impact strengthening exercises to promote healing and prevent future injury.

Pain Management Injections

  • Epidural Steroid Injections (ESIs): Reduce inflammation and provide temporary relief for nerve pain.
  • Nerve Blocks: Targeted injections to relieve pain in specific areas of the spine.
  • Facet Joint Injections: Used to manage localized spinal pain and discomfort.

These injections help manage symptoms while you undergo rehabilitation to strengthen your spine.

Non-Surgical Spinal Decompression Therapy

  • A non-invasive treatment that gently stretches the spine, relieving pressure on the herniated disc
  • Promotes disc healing by improving circulation and nutrient flow
  • Aims to avoid surgery by stabilizing the damaged disc

This therapy is particularly effective for patients who have not found relief with traditional physical therapy or chiropractic care.

Surgical Treatment Options for Herniated Discs

If non-surgical treatments fail to relieve symptoms after several months, or if the condition worsens, surgery may be necessary. Our board-certified spine surgeons specialize in minimally invasive procedures designed to reduce recovery time and improve long-term outcomes.

Microdiscectomy (Minimally Invasive Disc Surgery)

  • Removes the portion of the herniated disc pressing on the nerve
  • Small incisions reduce recovery time and minimize scarring
  • Most patients experience significant pain relief within weeks

Laminectomy (Decompression Surgery)

  • Removes a small portion of bone to relieve pressure on the nerve
  • Often used for spinal stenosis and severe disc herniations
  • Helps restore mobility and function in patients with chronic pain

Spinal Fusion Surgery (For Severe Cases)

  • Recommended for patients with spinal instability or multiple herniated discs
  • Fuses two or more vertebrae together to prevent painful movement
  • Utilizes bone grafts and metal hardware to stabilize the spine

Spinal Fusion Surgery is considered when other treatments have failed and the patient is experiencing significant disability due to their condition.

Find Relief for Herniated Discs

At Aligned Orthopedic Partners, our team of spine specialists in Tysons, Virginia will evaluate your condition through advanced imaging, physical exams, and medical history analysis to determine the best course of treatment for your herniated disc. Whether through non-surgical therapies or minimally invasive procedures, we create personalized care plans to help you get back to your daily activities without discomfort.

Call us today at 1-833-992-5446 or schedule a consultation to learn more about your treatment options and take the first step toward lasting relief!

Sciatica Pain

At Aligned Orthopedic Partners, we specialize in diagnosing and treating a wide range of conditions affecting the neck, back, and spine—all of which play a crucial role in overall health and mobility. One of the most common spine-related conditions we treat is sciatica, a condition that causes pain, numbness, and tingling that radiates down one or both legs.

Sciatica stems from issues in the lower back, where compression or irritation of the sciatic nerve—the body’s largest nerve—triggers discomfort that extends through the buttocks, legs, and even into the feet.

Understanding Sciatic Nerve Pain

Patients with sciatica often experience symptoms that interfere with daily life, making it difficult to sit, stand, walk, or engage in activities they once enjoyed. Sciatic nerve pain can present as:

  • Chronic pain affecting one buttock or leg
  • Increased pain when sitting, standing, or walking for long periods
  • Burning, tingling, or “electric shock” sensations
  • Radiating pain that reaches the foot or toes

Because sciatica is a symptom of an underlying spine condition rather than a standalone issue, effective treatment focuses on identifying and addressing the root cause of nerve compression or irritation.

Common Causes of Sciatica & Treatment Options

Our team provides personalized, expert care for the most common conditions that lead to sciatic nerve pain.

Degenerative Disc Disease

  • Cause: Aging weakens spinal discs, leading to protrusion and nerve pressure.
  • Treatment:  Pain management, physical therapy, and lifestyle modifications. In severe cases, surgery may be necessary.

Herniated Discs

  • Cause: A spinal disc’s inner gel-like material pushes through its outer layer, pressing on nerves and causing inflammation.
  • Treatment: Physical therapy and medication are the first line of care. If pain persists, surgical options include microdiscectomy or spinal fusion to relieve pressure and stabilize the spine.

Spinal Stenosis

  • Cause: Narrowing of the spinal canal due to congenital factors, arthritis, or aging, leading to nerve compression.
  • Treatment: Non-invasive treatments like therapy, injections, and medication are often effective. If symptoms persist, surgery may involve decompression (removal of bone spurs, ligaments, or vertebral bone segments) or spinal fusion to stabilize the spine.

Spondylolisthesis

  • Cause: A vertebra slipping out of place over the bone below it, often causing nerve compression and instability.
  • Treatment: Initial care includes rest, physical therapy, pain management, and bracing. For severe cases, surgery such as spinal fusion may be required to restore stability.

Comprehensive Sciatica Care in Virginia

At Aligned Orthopedic Partners, our fellowship-trained orthopedic spine specialists provide expert diagnosis and customized treatment plans to help you find lasting relief from sciatica pain. Whether through non-surgical treatment or minimally invasive spine surgery, our goal is to get you back to an active, pain-free life.

Call us today at 1-833-992-5446 or schedule an orthopedic consultation to take the first step toward relief!

Treating Back Pain with Spinal Decompression

Living with ongoing back pain can be debilitating, but many people don’t seek treatment because they don’t understand their options. At Aligned Ortho, we specialize in treating low back pain, neck pain, and pain that extends to the arms and legs through spinal decompression surgery. We invite you to meet with one of our spinal specialists to learn more about this treatment and explore other ways to manage your pain.

What Are The Available Treatments for Spinal Decompression?

Spinal decompression encompasses various surgical procedures aimed at alleviating pain caused by the compression of the spinal cord and adjacent nerves.

Your orthopedic surgeon will assist you in identifying the most suitable treatment option for your unique circumstances.

What Are The Treatment Options?

  • Laminectomy: Involves removing the lamina and thickened ligaments to relieve pressure caused by bony overgrowth in the spinal canal, a common symptom of spinal arthritis.
  • Laminotomy: Similar to a laminectomy, but only a small section of the lamina is removed, preserving spinal stability. In some cases, an endoscope can be used for a smaller incision and faster recovery.
  • Foraminotomy: Alleviates pressure on compressed nerves by enlarging the space around a bone in the spinal column. This involves removing the bone around the neural foramen, where the nerve root exits the spine. Recommended for conditions causing nerve compression, such as a ruptured disc.
  • Laminoplasty: Cervical laminoplasty widens the spinal canal to relieve neck region spinal cord pressure caused by factors like arthritis or tumors.
  • Discectomy: Surgically removes a damaged disc portion, relieving nerve compression from ruptured disc pressure on surrounding bones.

Schedule An Appointment: Relieve Your Neck And Back Pain

Lower back pain can affect mobility and may require invasive procedures. Contact Aligned Orthopedic Partners for compassionate care, diagnosis, treatment recommendations, surgery scheduling, or physical therapy options. Aligned Orthopedic Partners provides exceptional care for injuries, addressing questions about the spine, arthritis, and other conditions.

Pinched Nerve (Radiculopathy): Causes, Symptoms & Treatment

A pinched nerve, also known as radiculopathy, occurs when a nerve in the spine is compressed or irritated, leading to pain, numbness, and weakness. This condition can affect the neck (cervical radiculopathy), lower back (lumbar radiculopathy), or middle back (thoracic radiculopathy). Early treatment can prevent worsening symptoms and improve mobility.

Causes of a Pinched Nerve

A pinched nerve can develop due to spinal compression, inflammation, or injury. Common causes include:

  • Herniated or Bulging Discs – When spinal discs press against nerves.
  • Bone Spurs (Osteophytes) – Extra bone growth that narrows nerve pathways.
  • Degenerative Disc Disease – Wear-and-tear that leads to nerve compression.
  • Spinal Stenosis – Narrowing of the spinal canal, restricting nerves.
  • Injury or Trauma – Sudden impact or repetitive strain on the spine.
  • Poor Posture & Lifestyle Factors – Sitting for long periods, improper lifting, or excess weight can contribute to nerve compression.

Symptoms of Radiculopathy

Symptoms vary based on the location of the pinched nerve, but commonly include:

  • Neck or Lower Back Pain – Sharp or radiating pain down the arms or legs.
  • Numbness & Tingling – Often felt in the fingers, hands, feet, or toes.
  • Muscle Weakness – Loss of strength in the affected limb.
  • Burning or Electric Shock Sensation – Nerve-related discomfort in the spine or extremities.
  • Limited Mobility – Pain when turning the head, bending, or standing for long periods.

If you experience persistent pain, numbness, or weakness, seeking early treatment is essential to prevent permanent nerve damage.

Non-Surgical Treatments for a Pinched Nerve

Many cases of radiculopathy can be treated without surgery. Common non-invasive treatments include:

  • Rest & Activity Modification – Avoid activities that worsen symptoms.
  • Physical Therapy & Stretching Exercises – Improves flexibility and reduces nerve pressure.
  • Medications – Anti-inflammatory drugs (NSAIDs) help reduce swelling and pain.
  • Corticosteroid Injections – Reduces inflammation around the affected nerve.

Surgical Treatment for Severe Cases

If conservative treatments fail, surgery may be necessary to relieve pressure on the nerve. Surgical options include:

  • Discectomy – Removes part of a herniated disc pressing on a nerve.
  • Laminectomy – Removes bone or tissue compressing the spinal cord.
  • Spinal Fusion – Stabilizes the spine if structural issues cause nerve compression.
  • Foraminotomy – Enlarges nerve passageways to relieve pressure.

Our spine specialists will develop a personalized treatment plan based on your condition.

When to See a Doctor for a Pinched Nerve

Seek medical attention if you experience:

  • Severe or persistent pain lasting more than a few weeks.
  • Numbness, tingling, or weakness in your arms, hands, legs, or feet.
  • Loss of bladder or bowel control (this may indicate a serious emergency).

Delaying treatment can lead to permanent nerve damage, so don’t ignore ongoing symptoms.

Call 1-833-992-5446 today to schedule an appointment with our specialists!

Spinal Stenosis Treatment

Spinal stenosis narrows the spinal canal and occurs in the lower back (lumbar) or the neck (cervical) area of the spine. The spinal canal holds the nerve roots and spinal cord. When the canal is restricted, it can pressure those nerves, leading to pain, numbness, tingling, or weakness.

While some people are born with a naturally narrow spinal canal, spinal stenosis is usually age-related. Some conditions that affect the spine are arthritis, spinal injuries, tumors, herniated discs, scoliosis, or previous spinal surgery, can cause stenosis.

Spinal Stenosis Symptoms

Lumbar Stenosis (back) symptoms:

  • Leg numbness, tingling or cramping
  • Extremity muscle weakness or loss of function that can worsen when sitting or bending
  • Sharp, continuous pain
  • If incontinence, bladder, or bowel issues occur, seek immediate medical attention

Cervical Stenosis (neck) symptoms:

  • Tingling, numbness, or pain in the neck, shoulders, arms, and hands
  • Loss or lack of coordination or muscle weakness in the arms and hands
  • Balance issues

Spinal Stenosis Treatment

The spine specialists at Aligned Orthopedic Partners start conservatively with physical therapy and medication to relieve pain and improve movement. Most patients begin to feel better within a few weeks. When conservative treatment options fail to relieve pain or provide relief, our skilled spine surgeons may recommend surgical treatment such as a decompression laminectomy or spinal fusion to reduce pressure on the nerves and stabilize the spine.

Doctors Who Specialize:

All Specializations:

a middle-aged couple exercising and laughing as they jog

PAIN HOLDING YOU BACK?

Let our experts help guide your journey to recovery.

Let our experts help guide your journey to recovery.

Schedule Now