Spine & Orthopedics
If you experience spine or back pain due to a car accident, it can affect your work and recreational activities at best and at worst, change your outlook on life. At Complete Care, our board-certified and fellowship-trained spine and orthopedic doctors are here to assist you from diagnosis to rehabilitation to ensure you receive comprehensive care for auto injury back pain or injuries to extremities.
Services We Offer
We provide a range of services for spine and orthopedic care to help our patients feel better faster, including:
- In-depth examinations: We begin every treatment plan with an in-depth evaluation of patients and their injuries. Our board-certified team has a broad range of knowledge that lets us accurately diagnose the severity and prognosis of an injury while helping patients feel comfortable.
- Outpatient surgery: Our team has extensive experience providing minimally invasive surgeries in our outpatient centers. This flexibility allows us to offer same-day procedures and enable patients to recover at home to help lower their risk of infection.
- Case management: Every patient has access to a committed case manager who guides them throughout the treatment process. As a patient, you will have direct access to your case manager and can go to them with any questions and concerns that may arise to make more informed medical decisions.
- Surgical coordination: If your doctor recommends surgery to correct any significant spinal and orthopedic issues, our surgical coordinators and procedure verification team will work together to help your scheduling process be as simple as possible. From the initial consultation to your last appointment post-operation, our team will be by your side at every step.
Whether you have logistical or financial questions, our team is happy to sit down with you and ensure you are comfortable before continuing with your auto injury spine care.
The Complete Care Difference
At Complete Care, we strive to serve patients and help them regain mobility after an auto accident. We use the latest technologies and methodologies in our auto injury orthopedic services. Our team of board-certified and fellowship trained doctors is also conscious of the physical and psychological states our patients may be in before they enter our office for treatment and show the utmost compassion in all patient interactions. Lastly, we use a collaborative approach to care to maintain a positive and constructive dialog between our organization and our patients.
Start Improving Your Spine and Orthopedic Health Today!
Regain mobility and your quality of life with car accident orthopedic care from Complete Care today. Our team has extensive experience helping patients heal from trauma-induced spine and orthopedic issues, and we look forward to providing the care you need. Schedule an appointment to take your first step toward healing today!
Neurosurgery
Auto accidents can cause many injuries to the spine that are sometimes permanent and need to be corrected by surgery. Our specialists have extensive training in assessing each injury and recommending surgery that is tailored to each patient's specific needs. With new technology, there are many advancements in procedures that can effectively correct the injury and provide long-lasting relief with minimal downtime and recovery.
Depending on the diagnosis and severity of the condition, surgical intervention may be recommended. Complete Care's fully trained and experienced spine surgeon provides the complete spectrum of spinal care, including the following surgical specialties:
Cervical disc replacement is a surgical procedure that involves removing a damaged or degenerated cervical disc and replacing it with an artificial disc device. Cervical discs are the cushions or shock absorbers between the bones (vertebra) of the neck (cervical spine). Discs that become damaged either through trauma or degeneration can be a source of pain. If part of a disc moves out of its normal position it can cause pressure on the central spinal cord or on the individual nerve roots that exit from the spinal canal at each vertebral level.
Cervical fusion is a surgical procedure that links together damaged segments of the vertebral column in the neck. This surgery is usually required when the cervical vertebrae and the discs between each vertebra have become damaged as a result of an injury or chronic wear-and-tear.
Lumbar fusion is a surgical procedure used to correct problems with the small bones in the spine (vertebrae). It is essentially a "welding" process. The basic idea is to fuse together two or more vertebrae so that they heal into a single, solid bone.
Laminectomy is surgery that creates space by removing the lamina — the back part of a vertebra that covers your spinal canal. Also known as decompression surgery, laminectomy enlarges your spinal canal to relieve pressure on the spinal cord or nerves. Laminectomy is surgery that creates space by removing the lamina — the back part of a vertebra that covers your spinal canal. Also known as decompression surgery, laminectomy enlarges your spinal canal to relieve pressure on the spinal cord or nerves.
Discogram is an invasive diagnostic test that uses x-rays to examine the intervertebral discs of your spine. A special dye is injected into the injured disc or series of discs. The dye makes the disc visible on a fluoroscope monitor and x-ray film. The procedure involves pressurizing discs by injecting them with a sterile liquid to induce pain in the affected discs.
Using fluoroscopy as a guide, the probe is inserted into the basivertebral nerve where radiofrequency is utilized to ablate the nerve. This is an implant free, minimally invasive, outpatient procedure.
A minimally invasive surgery where they use radiofrequency in the disk using an innovative, minimal access spine system designed to efficiently access the damaged disc without injury to surrounding disc anatomy.
Orthopedic Extremity Surgery
Our orthopedic extremity services include evaluation and treatment of bone and joint injuries related to auto accidents. We provide minimally invasive surgery, surgical reconstruction and arthroscopic treatment options for shoulders, knees, and carpal tunnel release. We utilize cutting-edge technology to provide minimally invasive options such as arthroscopic surgery, which can be performed in less time and with less discomfort than conventional surgery.
Depending on the diagnosis and severity of the condition, surgical intervention may be recommended. Complete Care's fully trained and experienced extremity surgeon provides the complete spectrum of musculoskeletal care, including the following surgical specialties:
Shoulder arthroscopy is surgery that uses a tiny camera called an arthroscope to examine or repair the tissues inside or around your shoulder joint. The arthroscope is inserted through a small cut (incision) in your skin.
SLAP lesion repair is a surgical procedure to repair a tear resulting from an injury to the labrum located in the shoulder joint. SLAP is an acronym for Superior Labrum from Anterior to Posterior. This refers to a tear where the tendon of the bicep muscle joins the labrum.
Synovectomy is a procedure where the synovial tissue surrounding a joint is removed. This procedure is typically recommended to provide relief from a condition in which the joint lining becomes inflamed and irritated and is not controlled by medication alone.
Limited debridement of soft or hard tissue and should be used for limited labral debridement, cuff debridement, or the removal of degenerative cartilage and osteophytes. This would consist of work done in just a portion of the shoulder, such as the front or the back of the shoulder.
Surgery to repair a torn rotator cuff most often involves reattaching the tendon to the head of humerus (upper arm bone). A partial tear, however, may need only a trimming or smoothing procedure called a debridement. A complete tear is repaired by stitching the tendon back to its original site on the humerus.
Knee Meniscectomy is an outpatient minimally invasive surgical procedure used to treat a torn meniscus cartilage in the knee. Only the torn segment of the meniscus is removed.
Surgery to smooth and reshape cartilage by scraping, cutting, or shaving it. An outpatient minimally invasive surgical procedure used to treat a torn meniscus cartilage in the knee.
Anterior cruciate ligament reconstruction is a surgical tissue graft replacement of the anterior cruciate ligament, located in the knee, to restore its function after an injury. The torn ligament is removed from the knee before the graft is inserted in an arthroscopic procedure.
Carpal tunnel release is a surgery used to treat and potentially heal the painful condition known as carpal tunnel syndrome. The carpal tunnel is formed by the wrist bones on the bottom and the transverse carpal ligament across the top (or inside) of the wrist. When this part of the body is injured or tight, swelling of the tissues within the tunnel can press on the median nerve. During a carpal tunnel release, a surgeon cuts through the ligament that is pressing down on the carpal tunnel. This makes more room for the median nerve and tendons passing through the tunnel, and usually improves pain and function.
Meet The Team
Ryan DenHaese, MD
Neurosurgeon
M. Christopher MacLaren, MD
Orthopedic Extremity Surgeon
Sidney Swartz, MD
Interventional Pain Management Specialist
Dylan Saulsbery, DC
Chiropractic Neurologist
Ryan Revels, DC
Chiropractor
Catherine Hurley
Family Nurse Practitioner
Interventional Pain Management
This is a minimally invasive option to help reduce pain and regain function through non-surgical procedures. We want to help our patients return to their daily activities without the burden of spinal and joint pain. After a thorough evaluation and review of diagnostic imaging, our specialists can offer the best option for your specific ailment. Our doctors have extensive training in numerous pain management techniques that have been clinically proven to help reduce or eliminate pain from auto injuries.
An epidural steroid injection delivers steroid medication directly into the epidural space in the spine.
What is the benefit?
Steroid medications are powerful anti-inflammatory agents, which helps reduce inflammation around the spinal nerves which may be irritated due to a herniated or bulging disc. The saline mixed into the injection works by “flushing” or diluting the body’s automatic inflammatory fluids, also reducing pain.
Facet blocks or medial branch blocks involve injecting a small amount of local anesthetic (numbing agent) into the facet joint or surrounding the medial branch sensory nerve, depending on the specific approach.
What is the benefit?
By placing the numbing agent specifically around either the facet joint or the medial branch nerve, the level of immediate pain relief experienced will confirm that the area injected is the source of pain. In other words, it is a diagnostic test. This procedure is not meant for long term relief but can benefit some patients for longer than the expected 1 to 3 hours.at they heal into a single, solid bone.
Radiofrequency neurotomy is a type of procedure used to treat joint/nerve pain. In this technique, radiofrequency energy is used to burn, or cauterize, the sensory nerve. This approach interrupts the sensory nerve’s pain signal to the brain; it does not affect the major spinal nerves responsible for strength and sensation. A steroid medication can optionally be used to aid in the healing process.
What is the benefit?
The RFN will often provide long term pain relief lasting an average of 9 to 14 months, and sometimes even longer since the nerve may regenerate, and the pain may or may not return. Because it takes time for the nerve to completely nullify, pain relief may not become apparent for 3 to 5 weeks. RFN will provide the same, if not better relief of pain as the Medial Branch Block, because RFN would not be performed unless there was significant relief with the Medial Branch Block.
A large joint injection delivers an effective combination of steroid medication and local anesthetic, usually Lidocaine or Bupivacaine, to coat the lining of the joint capsule. They can be performed in most large joints of the body, but the most common regions are the knee, shoulder, hip, or sacroiliac (SI) joint, located where the lower back meets the pelvis.
What is the benefit?
Steroid mediations are strong anti-inflammatory agents that help reduce inflammation in the joint, which may be irritated due to injury or other conditions. Once the inflammation is calmed, pain lessens, swelling reduces and redness disappears. The local anesthetic mixed into the injection works to reduce pain by “flushing” or diluting the body’s immune response consisting of inflammatory fluids, damaged cells and tissue debris. Local anesthetic also temporarily numbs the joint to aid in post-procedural discomfort.
Trigger points (knots) can occur anywhere in the skeletal muscle. Most notably, they are found in the Cervical, Thoracic and Lumbar regions. This can result in discomfort in multiple areas that range in severity of symptoms. Trigger points are specific, hyper-irritable and hyper-sensitive areas in the muscles. They cause the muscle to suffer from a decrease blood circulation, increased contraction and spasm, and a buildup of toxins and waste. Symptoms can range from a dull ache to a sharp pain. When a substance is injected into a tight muscle, the fibers are spread and smoothed out which increases function and reduces pain.
Typically, Lidocaine is used to treat this condition. It is a short-acting local anesthetic agent. Lidocaine numbs the area short term, but breaks up the adhesions long-term, thus correcting the problem by shrinking the trigger points. It also allows the patient to treat the area more thoroughly because the area is temporarily numb. The tighter the muscle, the sorer it can be after being treated. Often, a repeat injection is necessary to maintain results.
Neurology
Our board-certified chiropractic neurologist focuses on neuropsychiatry and cognitive enhancement to help those who suffer from neurological symptoms after an auto accident. We utilize the newest technology to successfully diagnose and treat many medical conditions including concussions, Traumatic Brain Injury, headaches, and other symptoms that can be caused by trauma due to an accident. After a thorough evaluation, treatment strategies are geared at improving specific neurological deficits and optimizing the brain’s adaptability or neuroplasticity. We offer cutting edge testing including quantitative EEG and Brain Mapping Research, EMG/NCV, and VNG testing along with proper referrals and recommended cognitive exercises.
Treatment strategies are geared at improving specific neurological deficits and optimizing the brain’s adaptability or neuroplasticity. Neuroplasticity is the changing of neurons, the organization of their networks, and their function with the brain throughout life. Treatment may include stimulation of the vestibular (balance), auditory, visual or other sensory systems, cognitive exercises, neuromuscular re-patterning or reeducation, chiropractic manipulative therapy and physical therapy.
They utilize the below tests, blood work results, vestibular and cognitive exercises and nutritional advice to achieve the best possible outcomes. They also can refer patients to other specialists such as a Chiropractic Neurologist, Psychiatrist or Orthopedic Specialist to ensure their symptoms are properly addressed and managed.
What kind of tests do Chiropractic Neurologists use?
What is a Nerve Conduction Velocity Test and Electromyography Exam?
Electromyography (EMG) and nerve conduction velocity (NCV) are electrodiagnostic tests that measure the electrical activity of muscles and nerves.
What to Expect?
- EMG: You may feel discomfort when the needle electrodes are inserted.
- NCV: You may feel startled when the electrical pulses are generated.
- After EMG: The muscle(s) tested may feel sore, and you may have minor bleeding or bruising where the needle electrodes were inserted.
How to Prepare for NCV/EMG Test
- Avoid skin lotion or cream on the areas to be tested
- During the test, you may be instructed to sit and/or lay down
After a car accident, dizziness and discomfort may be experienced. Motor vehicle accidents are traumatic on the body and brain. If you are diagnosed with whiplash, then you are at a higher risk for a vestibular injury. Whiplash injuries often affect the area of the brain responsible for your balance, spatial awareness, and coordination. That is because the violent whipping motion your body experienced in the car accident affected the area of your neck and base of the skull that is responsible for sending information toward the vestibular system.
What is a Videonystagmography (VNG)?
Videonystagmography (VNG) is used to evaluate how the inner ear is functioning. Since one of the main functions of the balance system is to keep our visual world steady during head movements. Every time the inner ear senses a head movement, the eyes move in an equal and opposite direction. Because of this feature, we can use eye movements to study the inner ear. The test is non-invasive and involves several parts.
What to expect?
- First, the patient is asked to visually track targets that will either jump around (saccades) or move continuously (smooth pursuit). This part tests the oculomotor system, which is the neural network that controls eye movements.
- Second, positional nystagmus is assessed, with placing the patient into certain positions that may cause dizziness. This is important to see if the dizziness is related to a problem in the inner ear called Binomial Proximal Positional Vertigo.
- Finally, caloric testing is performed, which involves placing hot and cold air or water into each ear to stimulate the inner ear. The speed of the resulting eye movements is then measured. This test is helpful for determining if the inner ears are functioning properly, or if one or both are damaged.
How to prepare for Videonystagmography (VNG):
- Avoid the use of any make-up (mascara, eyeliner or false eyelashes)
- Bring a driver with you or we can provide transportation
- Avoid caffeine soft drinks, tea, decaf caffeine, chocolate or alcohol at least 48 hours prior to testing.
- No food or drinks 4 hours before testing begins (in the case you are diabetic, a snack or light meal is accepted IF NEEDED 4 hours before test)
- Please come in loose fitted clothing
- Avoid the use of perfumes/cologne
- Avoid having wet/damp hair for Videonystagmography (VNG).
- Discontinue any medication for pain, anxiety (if possible), anti-histamines, anti-dizziness or/and anti-depressants.
Content coming soon.
Testimonials
"Dr. Bundy has treated me for my back pain with spinal injections. It was incredibly effective and surprisingly painless he has a wonderful touch and his manner and patience are really refreshing. His assistance for the procedure was really nice and professional too. I have recommended them to friends and family. Thank you Doctor Bundy."
IA Patient
"I had a wonderful experience visiting this office. Everyone was exceptionally friendly and personable. They were very thorough with the procedures that I would need and explained everything to make me feel comfortable. All of my questions were answered professionally and I highly recommend for treatment with pain."
IA Patient
"From day one of my visit, this office was very welcoming, also attentive, smiling and very politely mannered. I highly recommended this business to anyone."
IA Patient
"Every girl in the office is very sweet, caring, nice. I appreciate all of them the P.A is superb guy, he is very nice and a very good team all together. Thanks to all you guys."
IA Patient
"This place is amazing!!! The staff was extremely professional and compassionate. I went in feeling very nervous and left with answers to all my questions. The treatment helped significantly and gave me a new outlook. I wish I could give this place 10 stars."
IA Patient
"Don't like the reason why I have to come, but I love seeing each soul from the smiling person that greets me as I make my clumsy entrance to, the gentle hand that takes my blood pressure with a smile as well the doctors. Love that office!!!"
IA Patient
"Complete Care Spine & Orthopedics is by far the most professional place for helping you with your pain and the excellent concierge service by the staff. Orthopedic surgical consultations and care are outstanding. Mrs Rachel, Ms Katie all displayed excellent care. I refer my Complete Care Spine & Orthopedics to all located on Magnolia."
IA Patient
"I truly give each and every staff member in the interventional associates a 5 star, they are so understanding always willing to accommodate, and highly recommend anyone with slip and fall to auto accident to come to interventional associates , you will not be disappointed!!!!!!"
IA Patient
Complete Care Spine & Orthopedics FAQs
During your first visit, you will have a comprehensive medical examination where our board-certified physicians will take a thorough history and perform a physical exam. Our physicians identify possible areas that are causing your pain and explain different procedures that are available to reduce pain.
Our interventional pain physicians diagnose and treat people who have pain in the neck, back, arms, and legs that has been caused by an injury from an auto accident. They will perform a comprehensive exam, review all applicable imaging and testing and formulate a care plan that best fits your needs.
As an interventional pain office, we try to create individual, comprehensive treatment plans to effectively treat your specific pain condition. Our primary focus is on interventional techniques but can also prescribe other modalities such as durable medical equipment, such as back braces and TENS units, and physiotherapy. After a thorough evaluation, our physicians will ensure each patient is receiving the best plan for their individual needs and make any necessary referrals.
Most injections are outpatient procedures done in our clinic, which means that the procedure is done without being admitted to a hospital. All patients go home within an hour of their appointment time unless otherwise instructed by the physician.
When scheduling your procedure you will be given specific instructions on how to prepare. Please follow these instructions to ensure your safety and to prevent your procedure from being rescheduled or postponed. There is a list of medications provided that you will need to abstain from for seven days prior to your procedure. If you are on medications that require clearance from your primary physician, we will need to verify that clearance is received prior to your procedure date. If there are any questions, your case manager or surgical coordinator will be happy to help.