Total Spine Institute helps you move freely and live without limits. Our mission is simple: to relieve pain, restore function, and help you feel your best every day.
Led by board-certified spine surgeons and a multidisciplinary team of specialists, we combine compassionate care with advanced technology to deliver personalized solutions for every spine condition. Whether you’re managing chronic neck or back pain, recovering from an injury, or exploring surgical options, our team creates a treatment plan designed around your unique needs, goals, and lifestyle.
Why Choose Total Spine Institute for Your Spine Health
We are an independent physician group dedicated to the highest standard of spinal care.
Our approach blends non-operative treatments, interventional pain management, minimally invasive procedures, and complex spine surgery, so you stay in one integrated system rather than bouncing between different practices.
We believe in tailoring the plan to you. Your goals, your lifestyle, your spine. From early intervention to advanced corrective surgery, we guide you through the full spectrum of spine care.
Schedule a Consultation
*By submitting this form, I consent to be contacted by Total Spine Institute via phone, text, email, or mail. Message and data rates may apply. Consent is not a condition of purchase. I agree to the Terms of Service and acknowledge the Privacy Policy. Reply STOP to opt out.
Our Spine Treatments & Surgeries
Artificial Disc Replacement (ADR)
Minimally Invasive Spine Surgery
Minimally invasive spine surgery uses smaller incisions, less tissue disruption, and advanced image-guided or robotic technology to achieve exceptional precision. These techniques minimize blood loss, lower infection risk, reduce post-operative pain, and lead to faster recovery and minimal scarring. They’re ideal for patients who wish to return to their normal activities more quickly and with less discomfort. Conditions commonly treated with minimally invasive approaches include degenerative disc disease, herniated discs, spinal stenosis, slipped vertebrae, and radiculopathy. At Total Spine Institute, our surgeons assess whether you qualify for minimally invasive techniques and use them whenever feasible to optimize your outcome.
Minimally Invasive Spine Procedures
At Total Spine Institute, our minimally invasive spine procedures harness state-of-the-art imaging and surgical tools to address back and neck issues with smaller incisions and shorter recovery times than traditional surgery. These advanced techniques reduce risks such as blood loss and infection while minimizing scarring and downtime. Whether you’re dealing with herniated discs, spinal stenosis, nerve compression, or vertebral fractures, our team evaluates whether a minimally invasive approach is right for you. With specialists by your side, you can expect personalized care designed to restore mobility and help you get back to living your life quickly.
Degenerative Disc Disease Treatment
Degenerative disc disease occurs when spinal discs gradually wear down, often leading to neck or back pain, tingling, weakness, and reduced mobility. At Total Spine Institute, we begin with conservative, nonsurgical therapies, such as pain management and physical rehabilitation, to alleviate symptoms and improve function. When necessary, motion-preserving surgical options are considered, as we aim to avoid spinal fusion whenever possible. Our goal is to slow further disc deterioration, stabilize and support the spine, relieve pain, and restore long-term comfort and mobility.
Spinal Stenosis Treatment
Spinal stenosis is the narrowing of the spinal canal, which can put pressure on the nerves or spinal cord and lead to significant discomfort. Common symptoms include lower back or neck pain, shooting pain down the legs (sciatica), tingling, heavy legs, or even foot drop in more advanced cases. At Total Spine Institute, we start with the least invasive treatments, such as physical therapy, targeted injections, and lifestyle adjustments, before considering surgical solutions. For patients who require more advanced intervention, we offer minimally invasive and robotic-assisted decompression procedures to relieve nerve pressure and restore function safely and effectively.
Radiculopathy
Radiculopathy occurs when one or more spinal nerve roots become compressed or irritated, leading to pain, numbness, tingling, or weakness that radiates through the limbs. The team at Total Spine Institute treats this condition through a customized combination of conservative care, minimally invasive procedures, and surgery when necessary. Treatment decisions are guided by symptom severity, imaging findings, and each patient’s individual goals, ensuring a plan that delivers lasting relief and improved mobility.
Neuromodulation Treatments
Neuromodulation therapy offers a groundbreaking, minimally invasive approach for managing chronic spine pain. These treatments work by altering nerve activity to interrupt pain signals and restore comfort. One typical example is basivertebral nerve ablation, which uses a small radiofrequency probe to deactivate pain-transmitting nerves within the vertebral endplates. Neuromodulation is an excellent option for patients who suffer from chronic back pain that hasn’t responded to more conservative therapies. At Total Spine Institute, our specialists provide precise evaluation and advanced outpatient treatment options that help patients regain control over their daily lives.
Complex Spine Surgery
Some spinal conditions require more advanced surgical intervention, including multilevel reconstructions, deformity correction, revision surgeries, or trauma-related repairs. Total Spine Institute is equipped to manage even the most challenging cases with expertise and compassion. Our surgical team collaborates with pain management, rehabilitation, and other specialty providers to ensure a comprehensive, coordinated treatment experience. Every plan is designed to achieve stability, relieve pain, and restore function while maintaining a focus on long-term spine health and quality of life.
How Total Spine Institute Approaches Your Care
Comprehensive Evaluation
- We start by listening: your history, symptoms, lifestyle, goals.
- Diagnostics (imaging, physical exam, functional assessment) to identify the root cause, not just mask symptoms.
Personalized Treatment Plan
- Non-operative options are prioritized when possible (physical therapy, injections, neuromodulation).
- If surgery is required, we explore minimally invasive or motion-preserving options first, when suitable.
- For complex cases, we design a surgical plan with enhanced recovery and outcome-focused in mind.
Coordinated Care Experience
- Your care team may include spine surgeons, interventional pain specialists, physical medicine & rehab, physical therapists, and wellness resources.
- We support recovery, functional restoration, and long-term spine health.
Goal-Driven Outcome
- Our core aim: restore function (so you can do what you love), relieve pain, and help you live with confidence.
- We measure success by your ability to move, engage, and thrive, not just by imaging.
Why Choose Total Spine Institute
Meet Our Providers
Andrew Fox, M.D.
Neuro Spine Surgeon
Ryan Derby, M.D.
Pain Medicine Physician
Ryan Mattie, M.D.
Pain Management
Cheri Geist, PA-C, MPAP, FAAPA
Physician Assistant
Dr. John Michael Holmes
Pain Management
Dr. James Silverthorn
Neuro Spine Surgeon
David Pilkington, DO
Interventional Pain Management Physician
Pouriya Ghayoumi, M.D.
Orthopedic Spine Surgeon
Vlad Gendelman, M.D.
Orthopedic Surgeon
What our patients say
Take the Next Step Towards Total Spine Care
Schedule a
Consultation
*By submitting this form, I consent to be contacted by Total Spine Institute via phone, text, email, or mail. Message and data rates may apply. Consent is not a condition of purchase. I agree to the Terms of Service and acknowledge the Privacy Policy. Reply STOP to opt out.