• Spine Care Institute

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    Bassett's Spine Care Institute offers a comprehensive, multidisciplinary approach to the diagnosis and treatment of a variety of musculoskeletal conditions, including back and neck pain, disc herniation, scoliosis and arthritis of the spine. Patients receive care from a team of specialists in orthopedic spinal surgery, neurosurgery, interventional pain management and physical therapy.

    The spine care team works together to develop an individualized treatment plan for each patient. In some cases, surgery is required. A variety of other non-operative treatments is also available, including:

    • Spinal braces -- external devices that support the muscular and bony structures of the spine
    • Interventional pain management, or therapeutic injections, often used in conjunction with physical therapy
    • Osteopathic manipulative medicine -- involves movement of muscles and joints using stretching, gentle pressure and/or resistance to improve structure and function
    • Physical therapy -- helps the patient improve or maintain daily living activities. Physical therapy includes building strength, flexibility and endurance, and learning proper posture for spine stability and injury prevention.

    Locations where this service is available:

    Center for Physical Medicine and Rehabilitation, Railroad Avenue, Cooperstown
    Cobleskill Regional Hospital 178 Grandview Drive, Cobleskill
    Hartwick Seminary Specialty Services, 4580 State Highway 28, Milford
    Herkimer Health Center, 321 E. Albany St., Herkimer
    Oneonta Specialty Services, One Associate Drive, Oneonta

    Conditions and disorders treated at the Center for Spine Care include:

    Low back pain

    Low back pain, often caused by sprains and strains, is one of the most common medical complaints treated by the spine are team. Injuries often result from excessive physical demands on the spine, such as lifting a heavy object or falling. Low back pain can usually be treated without surgery. In some case, the most effective treatments involve lifestyle changes such as diet, exercise and stopping smoking.

    Degenerative discs of the lower back are a common condition in aging adults. Degenerative discs may cause nerve impingement, inflammation and pain, and can be treated through a variety of non-operative or surgical treatments.

    Other low back conditions include disc herniations, lumbar stenosis (a narrowing of the lower spinal canal) and sciatica (back and/or leg pain caused by pressure on the sciatic nerve that radiates below the knee.)

    Neck pain

    Neck pain is most commonly caused by strains and sprains. Most conditions are easily treated and do not require spine surgery. Neck pain can also be caused by degenerative discs of the neck, or cervical spine, disc herniations and cervical stenosis (a narrowing of the spinal canal in the neck area or upper part of the spine.)

    Compression fractures

    Compression fractures often result from loss of bone density or osteoporosis, and occur when the vertebrae of the spine collapse.

    Scoliosis

    Scoliosis is an abnormal curvature of the spine and can occur within any age group. Scoliosis in adults is typically related to degeneration of lumbar discs. Adolescent idiopathic scoliosis, or curvature of the spine, can occur in children age 10 and older. The spine may curve to the left or right. Progression of the curve is related to the child's age and degree of curvature at presentation. Younger children with larger curves warrant more attention, bracing and, in some cases, surgery.

    Spondylolisthesis

    Spondylolisthesis is a spinal condition in which one vertebra slips forward over the vertebra below. While more common in the lumbar spine, it can occur elsewhere. Degenerative spondylolisthesis is usually the result of age and "wear and tear" on the spine. This is a common condition in women between 45 and 55 years of age. Symptoms can include lower back pain and or leg pain. Isthmic spondylolisthesis is the most common form of this condition and is caused by a bony defect (or fracture) in an area of the vertebrae. This form of spondylolisthesis is often seen in athletically active adolescents.

    Kyphosis

    Kyphosis involves pronounced forward curving of the thoracic spine. This condition is often postural, but may be associated with osteoporosis and degeneration in the elderly. Adolescents can also develop kyphosis, but this is less common.

    Spinal tumors

    Spinal tumors or abnormal growths of new tissue, often requires the expertise of several specialists, including a spine surgeon, neuroradiologist, pathologist, oncologist and pain management specialist. Many patients require a combination of non-surgical and surgical treatments for spinal tumors.

    Center for Spine Care Team

    Reginald Knight, MD, MHA, Director Bassett Spine Care Institute, orthopedic spine surgeon
    Bruce Harris, M.D., Neurosurgeon
    Mark J. Hornyak, M.D., Neurosurgeon
    Larry Shannon III, MD, Neurosurgeon 
    Brian Leyh, DO, Orthopedic Surgery
    Gregory Frevele, Physician Assistant, Neurosurgery
    Karen Kelly, Physician Assistant, Neurosurgery 
    Emily DeSantis, D.O., Interventional Pain Management
    Yusuf Tatli, M.D., Interventional Pain Management
    Brian White, D.O., Interventional Pain Management
    Muthu Ramasamy, M.D., Interventional Pain Management
    Frank Barber, P.A., Physician Assistant, Orthopedics
    Scott Grainger, R.N., Clinical Coordinator, Bassett Spine Care Institute