Stop living with pain.
At Desert Spine and Pain, we provide a full spectrum of treatments for back and spine conditions — ranging from conservative therapies to advanced minimally invasive surgery. Our philosophy is always conservative-first: we start with the least invasive option possible and only recommend surgery when absolutely necessary. Led by Dr. David L. Greenwald, M.D., FAANS, FACS, one of the nation’s top neurosurgeons, our Phoenix-based team delivers precise diagnosis, personalized care, and treatments designed to get you back to life with confidence.
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Improvement often within weeks to several months.
Relief may last several months, repeatable as needed
Minimally Invasive Surgery (MIS) patients resume activities in weeks.
Spine Surgery recovery can take a few weeks to several months.
“Back and spine treatments” refers to the wide range of medical and surgical options available for spine conditions such as:
Degenerative Disc Disease
Herniated Disc
Spinal Stenosis
Radiculopathy
Compression Fractures
These treatments can include non-surgical therapies, injections, or advanced surgery depending on the severity of the condition.
We always start with conservative care when appropriate:
Medications – Pain relievers, anti-inflammatories, muscle relaxants
Physical Therapy – Improves flexibility, posture, and core strength
Lifestyle modifications – Weight management, smoking cessation, ergonomic adjustments
Bracing – Short-term support for instability or fractures
Alternative therapies – Massage, acupuncture, or chiropractic care (adjunctive when helpful)
When conservative care isn’t enough, interventional treatments may help:
Epidural Steroid Injections – Reduce inflammation around nerves
Facet joint injections – Relieve arthritis-related joint pain
Radiofrequency ablation (RFA) – Long-lasting relief by disabling pain nerves
Nerve blocks – Used for diagnosis and temporary relief
Surgery is reserved for patients who do not improve with non-surgical care, or who have severe nerve compression, spinal instability, or deformity. Options include:
Microdiscectomy – Removes herniated disc fragments
Laminectomy / Foraminotomy – Relieves pressure on nerves
Spinal Fusion – Stabilizes unstable areas of the spine
Minimally Invasive Surgery (MIS) – Small incisions, less pain, faster recovery
Motion preservation procedures – Such as artificial disc replacement (select cases)
Dr. David L. Greenwald, MD, FACS, is a board-certified spine surgeon renowned for his expertise in spine surgery, offering both traditional and minimally invasive procedures to treat a wide range of spinal conditions. Whether addressing herniated discs, spinal stenosis, fractures, deformities, or degenerative diseases, Dr. Greenwald combines surgical precision with the latest technology to achieve optimal outcomes. His approach emphasizes preserving mobility, minimizing tissue disruption, and promoting faster recovery. With decades of experience and a strong reputation for compassionate care, Dr. Greenwald has helped countless patients throughout South Florida find lasting relief and return to active, pain-free lives.
No. Many improve with therapy, injections, and lifestyle changes.
It depends on your diagnosis, severity, and personal goals. Our team creates a personalized plan after a full evaluation.
Conservative care includes therapy, medications, and injections. Surgery is used when these options fail or when there’s severe nerve/spinal cord compression.
It depends on the treatment. Some patients improve within weeks, while surgical recovery may take months.
We combine advanced neurosurgical expertise with a conservative-first philosophy, ensuring patients receive the safest and most effective care.
Dr. Greenwald provides world-class spine surgery and non-surgical care.
Surgery is only considered when necessary.
Everything from PT to MIS available in one center.
We guide patients through the process step by step.
Desert Spine and Pain
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