Alternative Herniated Disc Treatments In Omaha, NE

1805 North 145th Street Omaha, NE 68154

The discs in your spine are the shock absorbers between your vertebrae (spinal bones). They have a tough outer covering called the annulus fibrosus that encases a soft, gel-like substance called the nucleus pulposus. 

A disc herniation happens when the outer covering is ruptured and the gel escapes the disc. This causes the disc to put pressure on and irritate the spinal nerve roots or spinal cord, leading to pain around the area of the disc (localized pain) and causing pain, tingling, numbness, or weakness to radiate to the arms and legs (radicular pain).

Herniated discs are sometimes referred to as slipped or ruptured discs. However, they are not the same as a disc bulge or protrusion, where the gel-like material is still contained within the disc.

Medical illustration showing a normal or healthy spinal disc and a herniated spinal disc side by side.
Anatomy of a normal spinal disc vs. a herniated spinal disc side-by-side.

More conservative treatment options include acupuncture, physical therapy, prescription medications, and high-dose epidural steroid injections. While steroid injections can temporarily help the pain, they can cause severe side effects and reduce your body’s ability to heal.

If none of these work, the next course of treatment is usually back or neck surgery that cuts away a portion of the disc. However, this approach can leave the disc weaker and more likely to be injured again. The final option is often an extremely invasive spine surgery (spinal fusion) in which two vertebrae are permanently joined together with hardware.

Studies have shown that in the majority of cases herniated discs (also known as slipped or ruptured discs) the pain will go away on its own. The key is staying comfortable and being able to remain active while that happens.

However, a smaller percentage of people experience severe and longer-lasting pain. 

Our nonsurgical treatments for herniated disc problems can offer relief from lower back, buttock, and leg pain and numbness and tingling in the feet or legs. Downtime is a fraction of what it is with surgery and generally requires little or no opioid pain medications or time off of work.

Regenexx PL-Disc: Avoiding the harmful side effects of epidural steroids and back surgery

1805 North 145th Street
Omaha, NE 68154

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Doctors

An Omaha native, Dr. Evans moved his practice back to his hometown at Momenta Pain Care, allowing him to dedicate all of his professional time to providing comprehensive pain care to his patients and giving him the opportunity to work with his former colleague and fellow pain management doctor, Dr. Peter Piperis.

Using his expertise on interventional treatment of spine and musculoskeletal pain, he is the medical director of the Bergan Mercy Surgery Center.

His past service work includes medical mission trips to both Central America and the Dominican Republic. He and his wife Margaret have six children and are members of Christ the King Church.

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Dr. Peter Piperis is board certified in pain medicine and anesthesiology and has been practicing medicine since 1990.

With the skills he developed in residency, Dr. Piperis established pain medicine clinics at Jennie Edmundson Memorial Hospital in Council Bluffs, Iowa, and CHI Health-Bergan Mercy Hospital in Omaha, Nebraska. He then founded Piperis Interventional Pain Care, now Momenta Pain Care, in 2006, fulfilling his desire to dedicate himself to providing comprehensive pain care for his patients.

In addition to his clinical practice, Dr. Piperis currently serves as chief of anesthesia at Advanced Surgery Center in Omaha, Nebraska.

He and his wife Christina, who is also a member of the Momenta staff, have four children.

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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

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

Below are MRI images of the outcome of a patient who had a Regenexx PL-Disc procedure to treat a subligamentous disc herniation. After the procedure, their pain dropped quickly, and they returned to their normal activities within weeks.

Scroll the arrow to the right to see the MRI of the disc before the Regenexx PL-Disc procedure — the white/lighter area indicates damage. Scroll to the left to see the MRI of the disc after. The images are two years apart from the original treatment date.

Herniated disc before and after MRI images 1

Herniated disc before and after MRI images 2

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Join Chris Centeno, MD, founder of Regenexx, to learn how Regenexx procedures can help treat your herniated disc 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
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