For each patient a specific complete and accurate diagnosis is made. Treatment is individualized – neck and back pain are not treated generically. Understanding the person is critical in regaining function. A holistic approach is emphasized. Kinetic chain biomechanical analyses and mind-body principles also are integrated into patient care with focus on return to function, work, and play. Fundamental concepts of the program are reliance on the judicious use of passive modalities, concentration on reactivation of the patient to the fullest extent possible using exercise, physical therapeutics, mind-body medicine, injection care, minimally invasive interventional techniques. Spine problems rarely require surgery so spine surgery consultations are made only when absolutely necessary. All rehabilitation and non-opioid medication treatment options are thoroughly explored.

Dr. Plastaras coordinates sub-specialists from multiple disciplines including physiatry (PM&R), physical therapy, neurosurgery, orthopedic surgery, interventional radiology, anesthesia, internal medicine, rheumatology, psychology, neurology, and radiology to obtain a comprehensive assessment as appropriate to needs of the patient.

Electrodiagnostic testing and radiologic imaging are independently viewed and interpreted in the context of the presenting functional problem. We treat the person, not the x-ray or MRI results.

Interventional spine procedures through a needle include fluoroscopically guided spinal injections including zygapophysial (facet) joint injections, epidural injections, medial branch nerve injections, selective spinal nerve injections, sacroiliac joint injections, discograms, peripheral nerve injections, shoulder/knee/hip joint injections, radiofrequency ablation procedures and intradiscal procedures.