Physiatry | Non-Surgical Spine

OrthoCarolina physiatry specialists, also known as non-surgical interventional spine physicians, focus on restoring function and improving quality of life for patients affected by injury, illness, or disabling musculoskeletal conditions. Our physiatrists are experts in how the bones, muscles, and nerves work together, and how trauma or disease can impact movement, strength, and daily function.

We care for patients across all stages of life, from childhood developmental conditions to acute adult injuries and chronic age-related disorders. Our goal is to build comprehensive, personalized treatment plans that improve independence, reduce pain, and help patients stay active.

Conditions We Treat

Our physiatry team evaluates and manages a wide range of conditions, including:

• Spine and back conditions: Neck and back pain, disc disorders, and spinal stenosis
• Nerve disorders: Sciatica, neuropathy, and nerve compression conditions such as carpal tunnel syndrome
• Sports and overuse injuries: Muscle strains, joint pain, and repetitive stress injuries
• Neurologic and functional conditions: Stroke-related impairments, spinal cord injuries, and mobility limitations
• Chronic musculoskeletal pain: Degenerative conditions related to aging or long-term wear
• Amputation and limb loss rehabilitation: Functional recovery and prosthetic coordination support

Treatment Options

We provide a full continuum of non-surgical treatments designed to reduce pain and restore function.

Non-Surgical Interventions:

• Image-guided spinal injections using fluoroscopy
• Ultrasound-guided joint and soft tissue injections
• Spinal cord stimulation for chronic pain management
• Medication management and pain optimization strategies
• Bracing and activity modification guidance

Diagnostic & Collaborative Care:

• Electrodiagnostic testing (nerve conduction studies and EMG)
• Coordination with neurology and other specialists when needed
• Functional assessments to guide rehabilitation planning

Our physiatrists specialize in non-operative spine and musculoskeletal care with a strong emphasis on improving function and quality of life. By combining advanced diagnostic tools with minimally invasive treatments, we help patients manage pain and regain mobility without surgery whenever possible.

We design care plans around each patient’s goals, focusing on long-term function, independence, and sustained activity.

Frequently Asked Questions

What does a physiatrist treat?

Physiatrists treat a wide range of musculoskeletal, spine, nerve, and functional conditions. At OrthoCarolina, this includes neck and back pain, sciatica, spinal stenosis, disc disorders, nerve compression, sports and overuse injuries, chronic musculoskeletal pain, and mobility limitations related to neurologic conditions or injury.

When should I see a physiatrist for back or neck pain?

A physiatrist may be a good choice if you have persistent back or neck pain, pain that radiates into an arm or leg, numbness or tingling, or a condition that is affecting your mobility or daily activities. Physiatrists can evaluate the underlying cause of your symptoms and recommend non-surgical treatments to help reduce pain and restore function.

Can a physiatrist treat back pain without surgery?

Yes. Physiatrists specialize in non-surgical treatment for many spine and musculoskeletal conditions. Depending on your diagnosis and symptoms, treatment may include activity modification, medication management, image-guided injections, or other minimally invasive treatments designed to reduce pain and improve function.

What treatments does a physiatrist provide?

Treatment depends on the cause and severity of your symptoms. OrthoCarolina physiatry services may include image-guided spinal or joint injections, electrodiagnostic testing such as EMG and nerve conduction studies, medication management, bracing, activity modification, and rehabilitation planning. Your physiatrist will recommend treatments based on your individual goals and needs.

Can I schedule a physiatry appointment online?

Yes! OrthoCarolina makes it easy to schedule an appointment online. You can choose a convenient location, provider, and available appointment time to get started with non-surgical spine and musculoskeletal care.