Back or Neck Pain That Won’t Quit? Find the Source - and the Fix at Aptiva Health!

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Aptiva Health treats the cause of your back and neck pain — not just the symptoms. Immediate appointments, on-site MRI, and a clear treatment plan from board-certified spine specialists across Kentucky and Indiana.

Stop Guessing What’s Causing Your Pain. Get a Real Answer Now!

Kentucky and Indiana Patients Trust Aptiva Health

Care from Board-Certified Spine Specialists

Frequently Asked Questions about Neck & Back Pain

• Who are the spine surgeons at Aptiva Health?

  • Aptiva Health’s spine team is led by board-certified orthopedic surgeons Dr. Michael Casnellie, Dr. David McConda, and Dr. Jaideep Chunduri, with double board-certified pain management physician Dr. Steven Ganzel performing interventional injections, and advanced practice providers David Koonce, DNP, Kayla Troutman, PA-C, Michael Gilbert, PA-C, and Bradley Stephenson, PA-C coordinating evaluations and follow-up care.

• Do I need spine surgery?

  • Most spine pain does not require surgery. At Aptiva Health, we start every patient with conservative care - physical therapy, anti-inflammatory medication, and targeted injections when appropriate - and only recommend surgery when symptoms and imaging both clearly indicate the need. Many patients resolve their symptoms without ever needing surgery. For patients who do need surgery, our spine surgeons use the latest minimally invasive techniques whenever the anatomy allows.

• What is minimally invasive spine surgery?

  • Minimally invasive spine surgery uses smaller incisions, specialized retractors that split rather than cut through the muscle, and advanced imaging guidance to access the spine. The result is less blood loss, less post-operative pain, shorter hospital stays, smaller scars, and faster return to normal activity compared with traditional open spine surgery. Aptiva Health Louisville surgeons perform minimally invasive cervical decompression, anterior cervical decompression and fusion (ACDF), minimally invasive cervical disc replacement surgery, lumbar decompression, lumbar microdiscectomy, MAS TLIF lumbar fusion, lumbar laminectomy, and minimally invasive SI-joint fusion.

• Can I avoid spine surgery?

  • Many patients can. Most spine pain resolves with physical therapy, activity modification, anti-inflammatory medication, and targeted injections from Aptiva health’s interventional pain management team. Aptiva Health’s spine team is structured around finding the least-invasive treatment that will solve the problem. We only recommend surgery when conservative care has not worked and imaging confirms the surgical indication. Some conditions - severe spinal cord compression, progressive neurological deficits, cauda equina syndrome - do require surgery to prevent permanent damage.

• Can I avoid spine surgery?

  • Many patients can. Most spine pain resolves with physical therapy, activity modification, anti-inflammatory medication, and targeted injections from Aptiva's interventional pain management team. Aptiva Health Louisville's spine team is structured around finding the least-invasive treatment that will solve the problem. We only recommend surgery when conservative care has not worked and imaging confirms the surgical indication. Some conditions — severe spinal cord compression, progressive neurological deficits, cauda equina syndrome — do require surgery to prevent permanent damage.

• When should I see a spine surgeon vs. my primary care doctor for back or neck pain?

  • Many patients start with primary care doctor for new-onset back or neck pain, but at Aptiva Health, we offer patients direct access to our spine team. You can schedule an immediate appointment or be evaluated in our Immediate Injury Care Center for sudden or acute neck or back pain. If your condition has not improved after 4 to 6 weeks of conservative care, if pain radiates into a leg or arm, if you have numbness or weakness, or if you have difficulty walking long distances because of leg pain, you should consult with a spine surgeon. Spine specialists do not require a referral for most patients — you can schedule directly with Aptiva Health Louisville.

• Does Aptiva Health perform second-opinion spine consultations?

  • Yes. Many of our spine patients come to us for a second opinion after being told they need surgery somewhere else. Bringing your prior imaging (MRI, X-ray, CT) and any prior physician notes makes the consultation most useful. Our team will review the imaging, perform an independent exam, and give you a clear recommendation — sometimes confirming the surgical plan, sometimes suggesting non-surgical alternatives or a different procedure.

• How quickly can I be seen for a spine evaluation at Aptiva Health?

  • Aptiva Health’s Spine Team offers same-day and same-week spine appointments. New patients with imaging in-hand can often be seen within the same-week of calling.

• What insurance does Aptiva Health’s Spine Team accept?

  • Aptiva Health’s Spine Team accepts most major medical insurance plans, Medicare, Medicare Advantage, some Kentucky and Indiana Medicaid plans, workers' compensation, auto accident coverage (PIP and MedPay), and cash-pay arrangements. Our team verifies benefits before your visit.

Locations Where Aptiva Health Treats Back & Neck Pain

• Louisville - Central: 3615 Newburg Road, Louisville, KY 40218

• Louisville - East: 10100 Linn Station Road, Suite 1A, Louisville, KY 40223

• Louisville Imaging Center: 3615 Newburg Road, Suite 106, Louisville, KY 40218

• Concussion & Sports Medicine Institute: 3611 Newburg Road, Louisville, KY 40218

• Louisville - Downtown: 300 South 13th Street, Louisville, KY 40203

• Louisville - Middletown: 401 N English Station Road, Suite 1A, Louisville, KY 40223

• Elizabethtown: 529 Westport Road, Suite 2, Elizabethtown, KY 42701

• Indianapolis: 6801 Gray Road, Indianapolis, IN 46237

• Lexington: 230 Fountain Court, Suite 180, Lexington, KY 40509

• Lexington MRI: 426 Codell Drive, Lexington, KY 40509

• Lexington Physical Therapy: 152 W Tiverton Way, Suite 180, Lexington, KY 40503

• Mount Washington: 737 N Hwy 31e Byp, Suite 2, Mt. Washington, KY 40047

• Northern Kentucky: 2093 Medical Arts Drive, Hebron, KY 41048

Questions? Call us today! 1-866-439-6701