Disc Tear Management Without Surgery In Milwaukie, OR

6542 SE Lake Rd, Suite 101 Milwaukie, OR 97222

Spinal discs act as shock absorbers between the vertebrae (spinal bones) in your neck and back. They have a tough outer covering called the annulus fibrosus and a softer, gel-like center called the nucleus pulposus.  The annulus can tear from wear and tear or trauma and can cause mild to severe pain, depending on the location. And although many are asymptomatic, they are more likely to be painful if you’re under age 50.

Annular tears can be overlooked as a cause of pain and are often lumped in with degenerative disc disease (DDD). The only reliable way to find out if a tear is causing your back pain is via discogram. During a discogram, pressure is injected into the disc. The doctor uses this pressure to see if the disc is painful.

In many cases, given enough time and rest, torn discs will heal on their own. However, the area will be more prone to repeat injury and degenerative disc disease (DDD). 

If the pain and other symptoms don’t lessen over time, physicians often recommend a high-dose epidural steroid injection that can temporarily help the pain. But this can also lead to severe side effects and reduce your body’s natural ability to heal itself. 

If the steroid injection doesn’t work, the next common orthopedic option is spinal fusion, a procedure in which two vertebrae are screwed together, or fused. Spinal fusions have been shown to be no more effective than placebo surgeries (also known as sham surgeries), while complications occur in 25% of fusion patients and often lead to further issues, including adjacent segment disease (ASD).

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

6542 SE Lake Rd
Suite 101
Milwaukie, OR 97222

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Doctors

Dr. Trey Rigert, a distinguished Physiatrist, and Pain Management Physician holds dual board certifications in Physical Medicine and Rehabilitation as well as Addiction Medicine. He embarked on his professional journey before the widespread acceptance of interventional pain management and chronic opioid therapies. He graduated from medical school in 1989 and completed his Physical Medicine and Rehabilitation residency at the University of Irvine in 1993. Dr. Rigert has extensive experience in medical directorship, including leading two inpatient physical rehabilitation programs and a comprehensive chronic pain program. As the founder of Columbia Pain Management, he exemplifies expertise in interventional pain care. He served as the Quality Medical Director at Providence Hood River Medical Center and previously held the position of President of the medical staff. Outside of his professional pursuits, he is devoted to his family, enjoys Hood River’s outdoor activities, engages in community service, and coaches a robotics team. Dr. Rigert’s passion for his work is palpable, driven by a continuous desire to improve patient care.

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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

Dr. David Russo, an accomplished Physiatrist and Pain Medicine Specialist, brings a wealth of expertise in managing and treating pain. He is triple board-certified in Physical Medicine and Rehabilitation, Pain Medicine, and Addiction Medicine. Following an undergraduate degree from the University of California, Berkeley, Dr. Russo pursued his medical and graduate degrees at the University of North Texas Health Science Center. His postgraduate training includes a residency at the Mayo Clinic and a fellowship at the Oregon Health Sciences University. Dr. Russo is respected for his contributions to pain treatment and regenerative therapies research and development and his advisory roles in medico-legal and clinical risk management. His dedication to improving pain management underscores his commitment to patient care and professional development.

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

Dr. Vishal Khemlani, MD, exemplifies commitment and expertise in Anesthesiology and Pain Medicine. Raised in Beaverton, Oregon, he pursued his medical degree from Oregon Health and Science University, followed by a residency and fellowship in Anesthesiology and Pain Management at the University of California. Dr. Khemlani’s patient-centered approach focuses on comprehensive pain management, integrating conservative and minimally invasive treatments to enhance patients’ overall quality of life. His dedication to educating patients and tailoring treatment plans to individual needs demonstrates his holistic approach to healthcare. Dr. Khemlani enjoys family time and exploring Oregon’s natural beauty, reflecting his balanced approach to life and medicine.

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

Best of all, your downtime will be a fraction of what it is with surgery and generally requires little to no opioid pain medications or time off of work.

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.

At Regenexx, we are dedicated to giving you the information you need to make an informed decision about your best treatment option.

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. 

Once the evaluation is completed, your doctor will determine if Regenexx is right for you and will discuss your customized treatment plan based on your specific needs.

Am I a candidate?

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
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Mature couple looking at tablet with smile on face while watching a webinar

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