Non-Surgical Treatment For Spinal Stenosis In Chevy Chase, MD

5550 Friendship Blvd., Suite 450 Chevy Chase, MD 20815

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.

5550 Friendship Blvd.
Suite 450
Chevy Chase, MD 20815

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Doctors

A physiatrist with vast experience in sports medicine and geriatric medicine, Dr. Dade approaches his patients’ pain by evaluating the whole person, not just the source of pain.

Understanding and respecting the symbiotic relationship between all systems within the human body is central to his all-inclusive approach to care and is integral to reducing pain. He is able to diagnose a variety of musculoskeletal conditions with precision and then develops comprehensive treatment plans.

In addition to being adept at conventional interventional techniques, Dr. Dade is highly skilled in regenerative medicine including: prolotherapy, platelet-rich plasma (PRP), and bone marrow concentrate.

A respected leader in his field, Dr. Dade had been recognized by his peers as one of Washingtonian magazine’s Top Doctors. He is a past recipient of the Congressional National Leadership Award for achievements in the medical community.

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Areas treated: Cervical Spine (Not Upper Cervical or CCI)*, Elbow, Foot & Ankle, Hand & Wrist, Hip, Knee, Lumbar Spine, Shoulder, Thoracic Spine

Board certified in physical medicine and rehabilitation, Dr. Friedlis is one of few physicians in the Washington, DC, metropolitan area trained to perform platelet-rich plasma (PRP) treatments and is one of the first doctors in the area to use bone marrow concentrate for the treatment of musculoskeletal injuries.

His innovation and expertise has established Dr. Friedlis as the foremost practitioner of regenerative procedures for musculoskeletal injuries in the Washington, DC, area. Nationally recognized as an expert in pain, he is a frequent speaker at national conferences on regenerative treatments.

As an advocate for global stewardship, Dr. Friedlis has coordinated several medical mission trips to Central Mexico that were sponsored by the American Association of Orthopedic Medicine and provided much-needed pain management services to poor, rural communities. He also served as program director for a new medical outreach program that brought then-nonexistent pain management services to Lima, Peru.

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Areas treated: Cervical Spine (Not Upper Cervical or CCI)*, Elbow, Foot & Ankle, Hand & Wrist, Hip, Knee, Lumbar Spine, Shoulder, Thoracic Spine

A native of Northern Virginia, Dr. Wagner returned to the area after completing his medical training throughout the state of Virginia. He believes that finding the definitive source of pain is critical to long-term recovery.

He combines his years of clinical experience and skills in advanced, non-surgical techniques with the latest medical technology with the goal of improved function and reduced pain for each patient and has helped countless patients resolve complex pain issues and return to healthy lives.

Dr. Wagner specializes in diagnosing and treating injuries of the spine, joints, tendons, nerves and ligaments by utilizing injection techniques. He is well-respected within his field and has lectured and mentored clinicians nationally on these innovative techniques and their application for treating chronic pain conditions.

He is frequently asked to share his expertise through speaking and instructional venues, including as a featured WebMD lecturer for low back pain. Dr. Wagner received the Physician’s Recognition Award from the American Medical Association for his commitment to continuing medical education.

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Areas treated: Cervical Spine (Not Upper Cervical or CCI)*, Foot & Ankle, Hand & Wrist, Hip, Knee, Lumbar Spine, Shoulder, Thoracic Spine

Throughout his regenerative medicine career, Dr. Newton has had the opportunity to treat patients of all activity levels, from all over the world. He looks forward to helping each patient by providing an accurate diagnosis and appropriate treatment plan.

As a sports medicine fellow in Cincinnati, Dr. Newton was able to evaluate and treat professional and elite level athletes, including athletes at Division I and III colleges and multiple high schools.

Now, double board-certified in sports and family medicine, Dr. Newton’s professional passion includes regenerative medicine and interventional orthopedics. He holds additional training certificates in musculoskeletal ultrasound and fluoroscopy.

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Areas treated: Cervical Spine (Not Upper Cervical or CCI)*, Elbow, Foot & Ankle, Hand & Wrist, Hip, Knee, Lumbar Spine, Shoulder, Thoracic Spine

Areas Treated

Cervical Spine (Not Upper Cervical or CCI)*, Elbow, Foot & Ankle, Hand & Wrist, 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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