Spinal Arthritis & Degeneration
An old injury can catch up with you years later as post-traumatic arthritis. At Desert Spine and Pain, Dr. David L. Greenwald, MD, FAANS, FACS, a dual board-certified spine surgeon and neurosurgeon, treats accident-related spine arthritis — and coordinates directly with your personal-injury attorney.

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Post-traumatic arthritis is spinal arthritis that develops after an injury — a car accident, a fall, or a sports injury — sometimes months or years later. Because it's rooted in an old trauma, it often has a clear, treatable pain source. At Desert Spine and Pain in Phoenix, a dual board-certified spine surgeon and neurosurgeon finds it, treats it, and documents it for your injury claim.
Book a Consultation — (602) 566-9500How an Injury Leads to Arthritis
Post-traumatic arthritis is arthritis that develops in a spinal joint that was previously injured — in a car accident, fall, or sports injury. The original trauma damages the joint's cartilage or alignment, which accelerates wear and leads to arthritis, pain, and stiffness — sometimes years after the event.
Because post-traumatic arthritis traces back to a specific injury, the painful joint is often clearly identifiable — which makes it very treatable, and makes thorough documentation important if your pain is tied to an accident claim.
See a specialist if you've had a spine injury and now have persistent pain or stiffness, or if arthritis pain has emerged in a previously injured area. If your pain relates to an accident, early evaluation and documentation protect both your health and your claim.
Go to an emergency room or call us immediately if you develop progressive leg or arm weakness or numbness, loss of bladder or bowel control, numbness around the groin, fever, or symptoms that follow a significant accident or fall.
We treat post-traumatic arthritis least-invasive-first, targeting the specific injured joint causing your pain.
Epidural steroid and facet joint injections calm the inflamed, injured joint and confirm it as the pain source.
When a facet joint is the confirmed source, radiofrequency ablation can provide many months of relief.
If the injury left the segment unstable, a spinal fusion restores stability — reserved for cases that truly require it.
Choosing the right post-traumatic arthritis specialist in Phoenix matters. At Desert Spine and Pain, your care is led by Dr. David L. Greenwald, MD, FAANS, FACS — a physician who is both a board-certified spine surgeon and a neurosurgeon. That dual expertise is rare, and it means one expert can guide you across the full spectrum of care — from a simple injection to complex surgery — and recommend what is genuinely best for you, whether you need a post-traumatic arthritis doctor for conservative care or a surgeon when surgery is truly the answer.
A rare dual credential — so the specialist who treats you can also perform surgery if it's ever needed.
Most patients get better without surgery. We only advance when your condition truly requires it.
No referral needed. We make it straightforward to see a top spine specialist, even out-of-network.
24/7 concierge response and close coordination with personal-injury attorneys.
Life Beyond the Pain

From your first visit, the goal is a clear diagnosis and a plan built around you — not a one-size-fits-all protocol.
We listen to your history, examine you, and review any prior imaging — no referral required.
If needed, we order or review MRI/X-ray imaging and may use diagnostic nerve testing or a diagnostic injection to confirm the exact source.
Dr. Greenwald explains your options in plain language and starts with the least invasive treatment likely to work.
We deliver your care — therapy, a procedure, or surgery at an affiliated accredited facility — and follow you closely until you're back to living.
Cost and coverage shouldn't stand between you and relief. Desert Spine and Pain welcomes out-of-network patients and will walk you through what your evaluation and treatment are likely to involve before anything is scheduled — so there are no surprises. We'll help you understand your benefits and options, whether you're using insurance, paying out-of-pocket, or being treated under a personal-injury claim.
If your pain started with a car accident, slip-and-fall, or work injury, we offer a dedicated pathway: prompt evaluation, thorough documentation and records for your case, and direct coordination with your personal-injury attorney. You focus on recovering; we handle the medical side.
Schedule Your ConsultationPatients travel to Desert Spine and Pain from across Arizona for specialist spine care — because the right spine surgeon is worth the drive. We welcome patients from Phoenix and communities throughout the Valley and beyond:
…and surrounding Arizona communities. Out-of-network patients are welcome, and no referral is required — schedule a consultation.
Not sure which applies? Start with the spinal arthritis & degeneration conditions we treat.
See a dual board-certified spine surgeon and neurosurgeon in Phoenix for accident-related spine arthritis — with full documentation for your claim.
Book a Consultation — (602) 566-9500Can arthritis really come from an old injury?
Yes. An injury that damages a joint's cartilage or alignment can accelerate wear and lead to arthritis — sometimes months or years later. This is called post-traumatic arthritis.
My arthritis is from a car accident — can you help with my claim?
Yes. We provide prompt evaluation, thorough documentation and records, and direct coordination with your personal-injury attorney for accident-related spine arthritis.
Will I need surgery?
Usually not. Most post-traumatic arthritis is treated with injections and radiofrequency ablation. Surgery is reserved for cases where the injury left the spine unstable.
Do I need a referral, and are you out-of-network?
No referral is required, and we welcome out-of-network patients, including those treated under a personal-injury claim.




Dr. David L. Greenwald, MD
Neuro-Spine Surgeon


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If you’re living with pain or stiffness from post-traumatic arthritis, Dr. Greenwald and his caring team are here to help you find relief and restore function. We’ll work with you to identify the underlying damage and design a treatment plan that supports your recovery and long-term joint health. Every step you take toward healing brings you closer to regaining your strength and comfort. Schedule your consultation today and take the first step toward lasting relief and renewed mobility.



Dr. David L. Greenwald, MD, FAANS, FACS, is a board-certified spine surgeon and neurosurgeon with extensive experience diagnosing and treating post-traumatic arthritis, which can cause pain, numbness, or weakness. He uses advanced imaging to pinpoint the true source of your symptoms and builds a personalized, least-invasive-first plan — from conservative care and targeted injections to minimally invasive surgery only when it is truly needed. His skill and patient-centered approach help patients throughout the greater Phoenix, Arizona area experience meaningful pain relief, reduced recovery time, and restored mobility.


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