Spine Care FAQ: Answers From Spine Specialists of Michigan

How do I schedule an appointment?

You can schedule by calling our office at (248) 792-9496 or using our online appointment request form.
To get started online, visit Schedule An Appointment.

Where are you located?

Spine Specialists of Michigan is located at 32270 Telegraph Rd., Suite 110, Bingham Farms, MI 48025.
Our location is convenient for patients throughout Metro Detroit and surrounding areas.

What should I bring to my first visit?

To help your provider make an accurate assessment, bring:

• A list of current medications and supplements
• Any recent imaging reports (MRI, CT, X-ray), if available
• Information about previous treatments (PT, injections, surgery, chiropractic, etc.)
• Your insurance card and photo ID
• Completed paperwork if you filled it out ahead of time

If you need forms, visit New Patient Forms.

What happens during a spine specialist evaluation?

A typical evaluation includes a detailed symptom review, medical history, physical examination, and review of any existing imaging.
Your provider will discuss possible causes of your pain and outline a plan that may include conservative care, targeted procedures, physical therapy, or advanced options depending on your diagnosis.

What causes sciatica?

Sciatica usually occurs when the sciatic nerve becomes irritated or compressed, often due to disc-related issues or spinal narrowing.
Common symptoms include radiating pain down the leg, tingling, numbness, or weakness.
Because sciatica can mimic other conditions, a proper evaluation helps confirm the source and guide treatment.

What is the difference between a herniated disc and a bulging disc?

A bulging disc typically means the disc extends beyond its normal boundary, while a herniated disc means part of the disc material has pushed through a tear.
Both can irritate nerves and cause back pain, sciatica, or arm pain depending on the level of the spine involved.
Treatment depends on symptoms, exam findings, and imaging results.

When is back pain considered chronic?

Back pain is often considered chronic when it lasts longer than 12 weeks.
Chronic pain may involve inflammation, joint irritation, nerve sensitivity, disc issues, or muscular imbalance.
Our team focuses on identifying the pain generator and building a plan to improve function, mobility, and quality of life.

Why do I have numbness or tingling in my arm or leg?

Numbness and tingling can be signs of nerve irritation or compression.
In the neck, nerve symptoms may travel into the shoulder, arm, or hand.
In the lower back, symptoms can radiate into the buttock, leg, or foot.
A spine evaluation helps determine whether symptoms are coming from the spine or another cause.

Do you treat conditions beyond the spine?

Many pain patterns overlap between the spine, joints, and soft tissues.
Depending on your symptoms, your provider may evaluate related areas such as the hips, SI joint, or surrounding musculature to make sure treatment is targeted correctly.

Do I need an MRI before seeing a spine specialist?

Not always. If you already have an MRI, CT scan, or X-rays, bring them to your appointment.
If you do not, your provider may recommend imaging depending on your symptoms, exam findings, and response to conservative care.

What tests help identify the cause of pain?

Your provider may use a combination of physical examination, symptom mapping, imaging review, and diagnostic procedures to confirm the source of pain.
Accurate diagnosis is essential because treatment outcomes are best when the plan matches the actual pain generator.

What if my imaging shows “degenerative disc disease”?

Degenerative changes are common as we age and do not always explain pain.
Your provider will compare imaging findings with your symptoms and exam to determine what is clinically meaningful and what is incidental.

Do you offer non-surgical options for back and neck pain?

Yes. Many patients improve without surgery.
Depending on your diagnosis, your plan may include physical therapy, activity modification, targeted injections, regenerative medicine, laser therapy, or neuromodulation options.
The goal is to reduce pain, improve mobility, and restore function.

What is MLS Laser Therapy?

MLS Laser Therapy is an advanced form of therapeutic laser designed to support pain relief and promote healing.
It may be used as part of a broader plan to reduce inflammation and improve function.
Learn more here: MLS Laser Therapy.

What is a neurostimulator and who is it for?

A neurostimulator is a device used to help manage certain chronic pain conditions by altering pain signaling.
It may be considered for patients with persistent pain who have not responded to other conservative treatments.
Learn more: Neurostimulator.

What is Moventis PNS?

Moventis PNS refers to a peripheral nerve stimulation approach that may help reduce pain by targeting specific nerves.
This may be an option for certain pain patterns depending on diagnosis and provider recommendation.
Learn more: Moventis PNS.

What is coflex?

Coflex is a type of spinal implant used in select cases to help relieve symptoms, often related to spinal stenosis.
Eligibility depends on imaging findings, symptoms, and physician evaluation.
Learn more: coflex.

What is Mobi-C?

Mobi-C is a cervical disc replacement option used in select cases to preserve motion in the neck while addressing certain disc-related issues.
Your provider will determine whether you are a candidate based on symptoms and imaging.
Learn more: Mobi-C.

Do you offer physical therapy in-office?

Yes. Spine Specialists of Michigan has a full-service Physical Therapy Department conveniently located in the office.
This allows your care team to coordinate treatment plans and progress efficiently.

How can physical therapy help spine pain?

Physical therapy can improve mobility, strengthen supporting muscles, reduce nerve irritation, and correct movement patterns that contribute to pain.
It is often one of the most effective long-term strategies for preventing flare-ups and improving daily function.

What is regenerative medicine for spine pain?

Regenerative medicine refers to treatments designed to support the body’s natural healing processes.
These therapies may be used for certain joint, tendon, or spine-related conditions depending on the patient’s diagnosis and goals.

What are PRP injections?

Platelet Rich Plasma (PRP) injections use concentrated components of your own blood that may support healing and reduce pain for select conditions.
PRP is commonly discussed for musculoskeletal injuries and degenerative conditions.
Learn more: Platelet Rich Plasma (PRP) Injections.

What is Fluid GF?

Fluid GF is a regenerative medicine option offered through Spine Specialists of Michigan.
Your provider can explain whether it is appropriate for your symptoms and diagnosis.
Learn more: Fluid GF.

How long does it take to feel better?

Recovery depends on your diagnosis, how long symptoms have been present, and the treatment plan selected.
Some patients feel relief quickly, while others need a multi-step plan that includes therapy, procedures, and gradual strengthening.
Our goal is consistent improvement and long-term stability.

What can I do at home to support my spine health?

• Stay active with low-impact movement as tolerated
• Use proper lifting mechanics
• Follow your PT plan and home exercises
• Prioritize sleep posture and workstation ergonomics
• Seek evaluation early if symptoms worsen

What symptoms mean I should seek urgent care?

Seek immediate medical attention if you have sudden severe weakness, loss of bowel or bladder control, major trauma, or rapidly worsening neurological symptoms.