Disk Herniation Specialist

Disk Herniation Specialist

The intervertebral disks provide cushion and stability throughout the spine, in the cervical, thoracic, and lumbar regions. Degeneration, “wear and tear” and stresses (including injuries) can result in a disk rupturing out of its normal containment, leading to a disk herniation. Dr. Todd Koppel has over 20 years experience in treating disk herniations. Utilizing a comprehensive and minimally invasive approach, he will devise and implement a plan to diagnose the cause of your back pain. Whether due to a disk herniation, or other ailments, Dr. Koppel has had great success in alleviating his patient’s back conditions and avoiding the need for surgery. Call for an appointment or use the online booking system. 

    How does a pain management specialist treat neck and back pain due to disk herniations? 

    Dr. Koppel specializes in minimally invasive therapies for lumbar spine pain, including:

    • Epidural steroid injections
    • Percutaneous laser disk decompression
    • Intervertebral disk regenerative therapy

    If a patient’s low back pain does not improve with rest and therapy, a minimally invasive interventional treatment plan can alleviate the condition in most cases.

    Dr. Koppel utilizes an evidence based algorithmic approach to determine the cause of the back pain and then works to resolve it.


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    We offer free consultations for regenerative treatments such as PRPS & Regenerative Cell Therapy

    How do disk herniations cause back pain?

    The lower back is a complex network of bones, joints, muscles, nerves, and ligaments that make up your lumbar spine from the mid-back to the sacrum. The lumbar intervertebral disks, from L1-L2 to L5-S1, are the largest disks and exposed to the most stress than those in other areas of the spine. Because of this, disk herniations are common, and a common cause of acute and chronic back pain with or without associated leg pain.

     The intervertebral disk has an outer annulus fibrosis, which contains the disk and imparts strength, and an internal nucleus pulposus (the inner gel of the disk). Abnormailities to the intervertebral disk can due to disk degeneration (loss of normal water content), chronic inflammation, or annulus disruption. Pressure in the disk or on the spine can result in localized low back pain, and pressure on an exiting nerve can produce pain into the groin, hips, and legs.

    Pain from disk hernations can be due to:

    • Disk degeneration and loss of disk height
    • Repetitive stresses and “wear and tear”
    • Chronic work and lifestyle stresses
    • Disk disruption after a sports injury or car accident
    • Pinched nerves in your lumbar spine
    • Pressure exerted on the spinal column

    Dr. Koppel evaluates your condition and examines your lumbar spine so he can accurately diagnose the underlying causes of your low back pain and prescribe effective, minimally invasive treatments.


    How do you diagnose a disk herniation?

    Depending on your condition, Dr. Koppel may recommend any combination of testing to fully understand your low back pain. These diagnostic tests often include:

    • Complete physical exam
    • Magnetic Resonance Imaging (MRI)
    • Electromyography (EMG)
    • Comprehensive interventional approach: guided diagnostic nerve block therapy

    Dr. Koppel has successfully treated thousands of patients with neck and back pain due to disk herniations utilizing state of the art minimally invasive conventional and regenerative modalities.

    "Dr. Koppel was able to help resolve an over-training issue I've been dealing with for months. The doctor and his staff are welcoming and professional. I'd recommend them to anyone looking at non-surgical options for joint issues."

    Trevor McKenzie

    "After years of hip and leg pain, Dr. Koppel used PRP injections on both my hip and leg. The pain is now gone. Plasma rich protein is safe and effective. Dr. Koppel is an expert at getting to the root of the pain and eliminating it. I am eternally grateful to Dr. Koppel for his expertise and kindness."

    Debbie Dolan

    "Dr. Koppel is a very caring and compassionate Doctor. He is always available by phone for questions and concerns. The well-being of his patients is his top priority. I am feeling so much better from the treatment he did. I would highly recommend him"

    Donald Leslie

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