Non-Surgical Treatment For Spinal Stenosis In Annapolis, MD

Each spinal vertebra (spinal bone) has a hole in the middle — the spinal canal — through which the nerves and spinal cord run. When structures inside or outside the spinal canal put pressure on these nerves, it’s called spinal stenosis.

Because the nerves that run through the spine are pain-sensitive and connect to your legs, you can get lower back pain as well as weakness or numbness in your legs or feet. People with spinal stenosis tend to suffer from standing intolerance, and standing for any length of time can cause back pain or leg symptoms that immediately improve once they sit down.

medical illustration showing a healthy spinal disc and a

How Is Spinal Stenosis Commonly Treated?

Common more conservative treatments include physical therapy, anti-inflammatory medications, and high-dose epidural steroid injections to help reduce swelling around the nerves. However, although steroid injections temporarily help the pain, they can have severe side effects and reduce your body’s ability to heal. 

If all of the above fails, spinal stenosis is treated with surgery to decompress the area, which often means removing bone, disc, and ligaments around the tight spot in the spinal canal. Other times, spinal fusion surgery is performed (hardware is inserted to bolt the spinal bones together), but this can lead to adjacent segment disease (ASD), where areas above and below the fusion can get damaged over time. 

Additionally, spinal surgery comes with significant downtime.

That’s why we’ve developed a different approach.

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Suite 300
Annapolis, MD 21401

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Doctors

Dr. Zamfirov, also known as Dr. Zed, was born and raised in Bulgaria. He played soccer professionally and he was selected to play for the Bulgarian Junior National Team. Early in his sports career he decided to become a physician for athletes and to treat their sports injuries. He received his MD degree from the Plovdiv Medical University in 1987. He then completed his Orthopedic Surgery Residency and specialized in sports trauma and knee surgery. For over eight years he served as a physician of the Bulgarian Olympic Canoe team, several professional soccer teams in Bulgarian soccer division “A”, and as a consulting physician of the Bulgarian National Soccer team. During his orthopedic practice in Bulgaria Dr. Zed has treated and operated on many internationally known athletes, Olympic and World champions.

In 2000 he and his family moved to the US. Here, he completed his Physical Medicine and Rehabilitation Residency at Georgetown University/ National Rehabilitation Hospital in Washington, DC where he received extensive training in the field of interventional pain management. Since 2007 Dr. Zed has been providing comprehensive care for thousands of patients in his offices in Maryland. 

Dr Zamfirov is the founder of All Star Pain Management and Regenerative Medicine which opened its doors on February 1st, 2017. Dr Zed was a pioneer in providing regenerative medicine in Maryland and has gone on to become a physician licensed to provide Regenexx injectates to offer his patients research based cutting edge treatment in Regenerative Orthopedics. Dr. Zed is a member of the medical staff at Baltimore Washington Medical Center and Anne Arundel Medical Center.

His areas of special interests include regenerative medicine for orthopedic conditions, fluoroscopically guided spinal injections, non-operative spine care, pain management, sports medicine, neuromodulation.

He still plays soccer in an indoor league at Howard County. He also loves fishing and skiing.

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Areas treated: Cervical Spine (Not Upper Cervical or CCI)*, Hip, Knee, Lumbar Spine, Shoulder, Thoracic Spine

Areas Treated

Cervical Spine (Not Upper Cervical or CCI)*, Hip, Knee, Lumbar Spine, Shoulder, Thoracic Spine

*This provider is NOT authorized by Regenexx to treat the C0-C1 or C1-C2 levels of the neck or CCI (craniocervical instability).

During Regenexx’s outpatient procedures, custom concentrations of your body’s natural healing agents are injected into the exact areas of damage in the spine. Treatments use only your own blood to make super-concentrated platelet-rich plasma (PRP) or your own bone marrow concentrate (BMC), which contains stem cells.

Spinal stenosis treatment may include Regenexx-DDD protocol, which is the world’s first alternative to stenosis surgery that allows you to maintain your normal anatomy. Best of all, your downtime will be a fraction of what it is with surgery and generally requires little or no opioid pain medications or time off of work.

Am I a candidate?
Mature 60s woman in earphones look at laptop screen watch webinar online at home.

Join Chris Centeno, MD, founder of Regenexx, to learn how Regenexx procedures can help treat your back pain without surgery and lead to a faster recovery.

During this free webinar you’ll learn:

  • How procedures using bone marrow concentrate (BMC) and platelet-rich plasma (PRP) compare to surgery and other spine pain treatment options
  • Procedure expectations
  • Answers to the most common questions about regenerative medicine treatments
Watch Webinar

At Regenexx, we want the best outcomes for everyone. So we’ve developed a process to determine if our treatments may be right for you.

During your initial appointment, your Regenexx doctor will use our four-part SANS (stability, articulation, neuromuscular, and symmetry) evaluation to identify the underlying causes of your pain. Your doctor will examine your injury through a full range of motion and may use ultrasound to observe the inner workings in real time.

This is important, as research shows that an MRI indicating stenosis isn’t enough to appropriately diagnose stenosis as the cause of back pain.

Am I a candidate?

Watch a real Regenexx spinal procedure performed by a certified Regenexx physician:

Our goal is to use the least invasive, least expensive procedure to get the desired results. Your Regenexx physician will work with you to determine whether that would be a platelet procedure or a BMC procedure.

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