Herniated Nucleus Pulposus

Brain and Spinal Tumors

Patients with tumors of brain and spinal cord benefit from a multidisciplinary collaboration between neurosurgeons, medical oncologists, radiation oncologists, neurologists and multiple other specialists to obtain the absolute highest level of care. At times, surgery is deferred to allow other modalities such as radiation or chemotherapy to treat the tumor. In other circumstances, surgery is the most important modality, which can be curative for certain types of tumors.

Dr. Schneier utilizes the most precise microsurgical tools in the operating room incorporating the use of, MRI and CT neuro-navigation, ultrasound and other imaging techniques to offer state-of-the-art microneurosurgery, which is instrumental to our patients' neurologic status and recovery.

Brain and Spinal Trauma

Traumatic injury of the nervous system and the spine require expert and timely management to maximize the potential for healing and recovery. Our neurosurgical team have extensive experience in surgical and non-surgical management of trauma. In fact, Dr. Schneier has led a major trauma center in perfecting the timely management of injured patients.

A multidisciplinary approach with optimization of general medical care is the first step. Emergent scanning, diagnosis and timely treatment is the second. Rehabilitative efforts are the last (but not the least) in maximizing the patients' functional capability and optimizing their outcome.

Spine Pain Management

Dr. Schneier has a network of pain management specialists who manage severe exacerbations of pain originating and radiating from the spine, who engage patients in pre and post-operative rehabilitation. The initial evaluation of back pain is geared toward making the correct diagnosis, while making the patient feel better. These very common conditions can all manifest themselves as "back pain" but they require different treatment modalities:

  • Herniated Nucleus Pulposus (Slipped Disc) - Commonly occurs in the lumbar spine, followed by the cervical spine and the thoracic spine. The inner nucleus pulposus slips past the fibrous outer layer and in its new location causes severe epidural inflammation resulting in pain, numbness, tingling or weakness in your arms or legs. Spinal Stenosis - Narrowing of the bony spinal canal causes pressure on the spinal cord and spinal nerve roots. Patients usually have pain, with numbness, tingling or weakness that worsens with walking.

  • Degenerative Disc Disease - the flexible disc shrinks and degenerates as a normal part of aging. It is accelerated repetitive stress in the area and arthritis. Limited range of motion of the spine and back or neck pain are common. The disc itself may also be directly responsible for the pain.

  • Spondylolisthesis - Spondylolisthesis is the forward slippage of one vertebra on an adjacent vertebra that most commonly occurs in the lumbar area. This condition results in lower back and leg pain that worsens with activity. The pain is due to narrowing of the spinal canal where the spinal cord resides and the foramen where the spinal nerves exit.

  • Facet Syndrome - a form of arthritis of the joints at the back of the spinal column (facet joints). The degenerated joint can directly cause pain as well as cause narrowing of the canal where the spinal nerves exit.

  • Scoliosis/Kyphosis - conditions where the natural curves of the spine are altered. The altered anatomy may result in neck pain, upper and lower back pain and numbness and weakness of arms and/or legs.