Spine & Orthopedics

From Auto Injury Back Pain to Extremity Injuries, Complete Care is Here to Help

When 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. We provide comprehensive care for orthopedic or spine injuries due to car accidents, including: 

  • Examination, imaging and diagnosis
  • Minimally invasive outpatient surgery
  • Pain management

At Complete Care, our board-certified and fellowship-trained spine and orthopedic doctors, interventional pain management physicians, and chiropractic neurologists are here to assist you from diagnosis to rehabilitation.

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Services We Offer

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. 

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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 experienced team and minimally invasive pain specialists offer a broad range of knowledge that lets us accurately diagnose the severity and prognosis of an injury while helping patients feel comfortable.

Outpatient Surgery

In some cases, your treatment plan after a car accident can involve surgery. Our team has extensive experience with minimally invasive operations in our orthopedic outpatient surgery 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.

 

The Complete Care Difference

At Complete Care, we strive to serve patients and help them find pain relief and regain mobility after an auto accident. We use the latest technologies and methodologies in our auto injury orthopedic services. Our team that includes board-certified and fellowship trained doctors is 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.

Regain Your Spine and Orthopedic Health Today

Regain mobility and your quality of life with skilled car accident orthopedic doctors from Complete Care. 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 collision injuries 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 neurosurgeon provides the complete spectrum of spinal care, including the following surgical specialties:

Total disc replacement is a surgical procedure that involves removing a damaged or degenerated cerical or spinal disc and replacing it with an artificial disc device. Discs are the cushions or shock absorbers between the bones (vertebra) of the spine. Discs that become damaged through trauma 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.

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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

DenHaese is trained in traditional spine surgeries, along with minimally invasive spinal technology. To offer patients additional protection, Denhaese applies spinal cord monitoring to his surgery process. He has extensive experience in degenerative spinal conditions, artificial disc replacement, spinal reconstruction, scoliosis, neuro-oncology, and trauma. Annually, DenHaese gives presentations on Minimally Invasive spinal surgery throughout the world and is considered a surgeon leader.

Education:

  • University of Maryland School of Medicine, Department of Neurosurgery: Doctor of Medicine
  • American Association of Neurological Surgeons: Research Fellow
  • SUNY at Buffalo School of Medicine and Biomedical Sciences: Master of Science in Biochemistry
  • Niagara University: Bachelor of Science in Biology

Certifications:

American Board of Neurological Surgery: Board Certified, FAANS

M. Christopher MacLaren, MD

Medical Director

Complete Care Spine & Orthopedics offices in Lakeland, Leesburg and Longwood

Orthopedic Surgeon

Melbourne, Longwood, Leesburg, Lakeland, Cocoa

Dr. MacLaren is dual board-certified in orthopedic surgery and orthopedic sports medicine. He has many years of experience in minimally invasive arthroscopic surgery, general orthopedics, fracture care, and treatment of bone and joint injuries. He is a veteran of the U.S. Army 101st Airborne where he was Chief of Orthopedics and received the Combat Medical Badge for his remarkable work. His extensive medical studies included fellowships in arthroscopy, sports medicine and knee reconstruction. He has been helping patients at Complete Care Spine & Orthopedics to relieve pain and maximize function, through non-operative techniques as well as through surgical correction.

Education:

  • Bachelor of Science Cum Laude Graduate with Honors, The Ohio State University
  • Doctor of Osteopathic Medicine, Ohio University College of Osteopathic Medicine 
  • Traditional Orthopedic Emphasis Track Internship, Ohio University
  • Internship, U.S. Health Doctors Hospital
  • Orthopedic Surgery Residency, earning Chief Resident Award, Oklahoma State University Health Science Center Tulsa Regional Medical Center
  • Arthroscopy and Sports Medicine Fellowship, University of Texas
  • Arthroscopy and Sports Medicine Fellowship, Reynolds Army Medical Center

Certifications:

  • American Osteopathic Board of Surgery Orthopedic Sports Medicine
  • American Osteopathic Academy of Orthopedics, Fellow
  • National Board of Medical Examiners
  • Clinical Professor of Orthopedic Surgery at Nova Southeastern University
  • President of American Osteopathic Society of Orthopedic Sports Medicine

Sydney Swartz, MD

Interventional Pain Management Physician

Spine & Orthopedics

Dr. Sidney Swartz is an interventional pain management specialist with over 30 years of experience. He received his medical degree from Chicago Medical School and completed his residency in anesthesiology. He specializes in interventional procedures such as rhizotomy and pain blocks to reduce pain in a non-invasive yet effective way. He has helped thousands of patients by providing thorough examinations, reviewing diagnostic imaging and performing state-of-the-art procedures specific to their injury. His dedication to the health of his patients is exemplary and he continues to stay up to date on new technologies and pain management procedures.

Dr. Dylan Saulsbery, DC, DIBCN, DIBE

Chiropractic Neurologist

Dr. Saulsbery is a diplomate in Chiropractic Neurology and is certified to perform electrodiagnostic studies through the International Board of Chiropractic Neurology. Through comprehensive examinations which may include NCS and VNG testing, Dr. Saulsbery’s goal for his patients is to localize, characterize and properly diagnose a disorder or dysfunction. It is imperative that proper treatment be rendered so that a patient can return to his or her activity with optimal performance. Dr. Saulsbery serves as an active member and lecturer for the International Academy of Chiropractic Neurology.

A chiropractic neurologist is a licensed chiropractor who has additionally completed a 3-year course of study in neurology, including academics and practical training, and has passed a written and practical certification examination by the International Board of Chiropractic Neurology (IBCN) or the American Chiropractic Neurology Board (ACNB).

A chiropractic neurologist is qualified to diagnose and treat neurological disorders involving the brain, spinal cord and peripheral nerves and the associated dysfunction of these systems. A chiropractic neurologist will not prescribe drugs or surgery, but rather recommend appropriate conservative treatment depending on the nature of the dysfunction. After a thorough evaluation, a potential patient may be deemed “not qualified” for conservative care and may need to be co-managed or referred to a medical neurologist or other provider until symptoms improve.

Education:

  • Bachelor of Science, Pennsylvania State University
  • Doctor of Chiropractic, Palmer College of Chiropractic

Certifications:

  • Diplomate of the International Board of Chiropractic Neurology
  • Diplomate of the International Board of Electrodiagnosis

Dr. Ryan Revels, DC

Chiropractic Neurologist

Dr. Revels is a Chiropractic Neurologist certified in electrodiagnosis and functional neurology. After serving in the United States Army and Marine Corps, he went on to gain his degree and certifications in Chiropractic Neurology. He provides thorough evaluations and neurological testing to patients suffering from traumatic brain injury and other symptoms due to trauma. He performs testing such as Quantitative Electroencephalography (EEG), Electromyography (EMG), Nerve Conduction Velocity (NCV) and Vestibular testing and helps patients on their road to recovery.

Catherine Hurley, MSN, ARPN, FNP-BC

Nurse Practitioner

Catherine has over ten years of experience as a Family Nurse Practitioner. She specializes in the diagnosis and treatment of spinal injuries and has experience in general surgery, interventional pain management, physiotherapy and rehabilitation. By performing thorough assessments, she develops comprehensive plans of care for the intervention of pain and disease. Her advanced skillset and patient advocacy have helped thousands of patients return to their healthy lifestyles.

Education:

  • University of Central Florida: Bachelor of Science in Nursing
  • University of Central Florida: Master of Science in Nursing

Certifications:

  • Board Certified Advanced Practice Registered Nurse
  • Family Nurse Practitioner

Interventional Pain Management

We offer minimally invasive options to help reduce pain and regain function through non-surgical pain management 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 you. 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. 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?

  1. EMG: You may feel discomfort when the needle electrodes are inserted.
  2. NCV: You may feel startled when the electrical pulses are generated.
  3. 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?

  1. 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.
  2. 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.
  3. 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.

Testimonials

  • This place has been nothing but great to me. The girls up front are always in a good mood and there for you when needed, Kierstyn is always so friendly and on top of their job!! The girls sure are a character lol never a dull moment at Complete Care. Thank you guys for everything y’all do!!(:

    Ryan Stinnett Avatar Ryan Stinnett
    January 10, 2023

    The team at this location work together And help the patients who come there on a daily basis. They are able to work with you and make the schedule that works best for you. Everyone is super friendly and caters to your needs. This team is a great team and I have no problem continuing to get treated there.

    Cristine Bonilla Avatar Cristine Bonilla
    January 10, 2023

    The front desk staff (Erin K. & LaQuanna) are responsive and friendly, and the folks managing your care in the treatment area (Ella, Nisa, Casandra) are absolutely a pleasure to work with – it’s hard to be hurting if you’re laughing!

    Richard Varn Avatar Richard Varn
    May 10, 2023
  • My experience at this facility has been nothing but good. Shayda and Kierstyn are great at their jobs. They have managed to work me in around all my other appointments and actually called to check up on me. Amber, Gabby, Ella have been a big help and have always been attentive to my pain triggers and have worked around that. The pt that I do has helped beyond my expectations. Dr. Searls, KC. and Rick always explain everything in detail about my care and have taken their time in doing so and I feel that I have fallen into the right hands for all of my care. I can’t say enough good things about this facility and all of the staff.

    Kimberlee Westcamp Avatar Kimberlee Westcamp
    January 10, 2023

    This place is by far the BEST!!! Shayda & Kierstyn will always greet you with a smile and make you feel very comfortable. They work together to get you everything you need!! I highly recommend this establishment.

    Christopher Martinez Avatar Christopher Martinez
    January 10, 2023

    I was in an accident and I came here for recovery and they’ve really helped! The staff is friendly and I have enjoyed my experience here

    lillian Avatar lillian
    January 10, 2023
  • Love it here! The staff is prompt and caring. The exam to the treatment was a breeze. They will explain every step of the way.

    Peggy Rankins Avatar Peggy Rankins
    January 10, 2023

    Complete Care: Integrative Physical Medicine of Cocoa is a great place for your Auto accident recovery. I was a bit apprehensive going there at first, but after the big smiles and greeting when first walking through the door put my mind at ease. Shayda and Kierstyn were great, handling all the paperwork and scheduling with no problems working around my schedule. The Dr.s, were very thorough going over my x-rays and MRI explaining all the damage and how the recovery plan was specific to my injuries for an optimal, timely recovery. The exercises were explained well by Amber, and her encouraging words of support and smile helped get me through them with good results. Gabby and her friendly way always helped me get a good workout. KC helps you to stay on track and follow your progress with another friendly smile. Last but not least is Dr. Searls, friendly and confident to adjust your back and neck to keep you on the straight and right path to the best recovery. This facility and all that work there are highly recommended by me.

    Bruce Moeller Avatar Bruce Moeller
    January 10, 2023

    I was involved in a accident that has left me in so much pain. I got referred to Complete Care and have been going there for my recovery. I was so nervous going in and the 2 women at the front desk desk are EVERYTHING!! Kierstyn and Shayda’s smiles are so contagious. They are so energetic yet calming. They are ALWAYS so helpful. They definitely help with making my recovery better.

    Tara Styles Avatar Tara Styles
    January 10, 2023
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