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Bulging Disc (Protrusion)

The tough fibers along the outer portion of the disc have been overly stretched and are bulging into the spinal canal. This causes inflammation and pressure on the nerve root, both of which can cause pain.


An abnormal lateral C- or S-shaped curve of the spine that often occurs during growth spurts just before and after puberty. The cause of most scoliosis cases is unknown. Typically the pain you experience is the result of pressure on your spinal discs. If the curve becomes significant enough, it may lead to worsening arthritis and degenerative disc disease.


This is the description of a spinal nerve root functioning abnormally. Typically, this causes a person to have numbness, weakness or altered sensations.

Herniated Disc (Extruded)

The tough fibers along the outer portion of the disc have torn and the viscous gel within the disc has come out. This causes inflammation and pressure (pinching) upon the nerve root which can cause pain.

Spinal Stenosis

When a spinal canal has gotten smaller in diameter. Typically caused by arthritic changes, bulging and/or herniated discs, and overgrowth of bones and/or ligaments. These patients usually have pain when walking or prolonged standing.


When one vertebrae has slipped on another. Typically caused by bulging or herniated discs, along with weak supporting tissue as we age.

Compression Fracture

When the vertebrae essentially collapse. Typically, surgery is not indicated and usually responds well to spinal injections.


Arthritis of the spine. Usually this results in non-radiating pain, especially first thing in the morning and towards the end of the day. This initially improves upon awaking within one to two hours. This occurs in everyone as we age but some have it much worse than others.

Degenerative Disc Disease

Dehydration of the disc. This occurs in everyone as we age. Can be a contributing cause of a disc bulge or herniation.

What our clients are saying

This is an amazing office I had gotten the runaround from my primary for weeks about the pain. I was in the office which was extremely busy but they somehow slipped me in and taken care of my problem. I highly recommend him.

- Crystabel

Charles J Nivens, M.D. has helped me get my life back. I've suffered from debilitating back pain for years and thought the only solution was pain medication or surgery. I tried injections in the past with little success, but I'm so thankful I came to Dr. Nivens, I finally feel like myself again!

- Jordan


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