Spine Treatment FAQs

Dr. David L. Greenwald, M.D., FAANS, FACS, is a board-certified neurosurgeon with decades of experience in complex spine surgery and pain management. Unlike many orthopedic surgeons, Dr. Greenwald’s training as a neurosurgeon allows him to operate with precision on both the spinal cord and nerves.

No. At Desert Spine and Pain, we follow a conservative-first approach. Most patients improve with non-surgical treatments such as physical therapy, injections, or medications. Surgery is only considered if all other treatments have failed or if a condition is urgent.

We perform a wide range of minimally invasive spine surgeries, including microdiscectomy, laminectomy, foraminotomy, spinal fusion, artificial disc replacement, kyphoplasty, and motion-preserving surgeries. We also specialize in image-guided injections, nerve blocks, radiofrequency ablation, and spinal cord stimulation.

You may need surgery if you have severe or worsening nerve pain, spinal cord compression, weakness, loss of function, or persistent pain that hasn’t responded to conservative care. Our team carefully evaluates each patient and only recommends surgery when it is truly the best option.

Orthopedic spine surgeons are trained in bones and joints, while neurosurgeons are trained in the brain, spinal cord, and nerves. Dr. Greenwald is a neurosurgeon, which means he has specialized expertise in procedures involving delicate nerves and spinal cord structures.

Recovery depends on the procedure. Minimally invasive surgeries like microdiscectomy often allow patients to return to light activities in a few weeks, while more complex surgeries like fusion or corpectomy may take several months. We create a personalized recovery plan for every patient.

Yes. All injections are performed under fluoroscopy (X-ray) or ultrasound guidance for accuracy. Risks are very low, and most patients return home the same day with little to no downtime.

We accept most major insurance plans and also accept out of network insurance patients. Our staff will verify your coverage and explain any out-of-pocket costs before treatment begins.

We strive to see new patients within one week, and urgent cases are prioritized even sooner. We understand that spine pain can be life-altering, so we work to get you evaluated and treated quickly.

Patients choose us because we combine neurosurgical expertise, minimally invasive technology, and compassionate care. We focus on both pain relief and restoring quality of life, ensuring every patient feels supported from diagnosis through recovery.