Comprehensive spine care customized just for you

With more than three decades of specialized experience, Dr. Marano has treated virtually every neuromuscular and spine-related issue. While Dr. Marano cares for most spine-related problems, he has developed comprehensive approaches to effectively treat the most common issues. His advanced, thorough approach to care minimizes pain and recovery time while achieving superior outcomes.

Our Conservative Spine Care protocol focuses on finding non-invasive or minimally invasive solutions to relieve spine pain. Dr. Marano may suggest options such as:

  • Physical therapy
  • Massage therapy
  • Injections
  • Medications, and/or
  • Chiropractic care

The goal is to determine if a conservative treatment approach will correct the patient’s problem before Dr. Marano considers more extensive treatment options, such as surgery.

Cervical Radiculopathy

Post Laminectomy Syndrome


Lumbar Radiculopathy (Sciatica)


Our Degenerative Disc Disease Treatment protocol aims to relieve the symptoms of this age-related condition that wears down discs and joints. As we age, our intervertebral discs (pillow-like pads between the bones in the spine) lose flexibility, elasticity, and shock-absorbing capabilities. When this happens, the discs change from being supple and flexible, allowing fluid movement, to stiff and rigid, limiting movement.

If you have chronic back or neck pain, you may have degenerative disc disease. The condition commonly occurs in the low back (lumbar spine) or neck (cervical spine).

Our Spinal Stenosis protocol offers treatment options to counteract the symptoms caused by the narrowing of the spinal canal and relieves symptoms of pain, numbness and/or loss of motor control.

Millions of Americans deal with back and leg pain due to spinal stenosis. Although the condition can affect younger patients, it is more often a degenerative condition, affecting people age 60 and older. The discs may become less spongy as a person ages, resulting in reduced disc height and bulging of the hardened disc into the spinal canal. Bony spurs and overgrown joints also contribute to the narrowing of the nerve channels.

Spinal stenosis may or may not produce symptoms, depending on how severe the stenosis is. As the spinal canal narrowing progresses, it is more likely to produce signs of nerve irritation. It is the increased pressure or inflammation of the nerves that causes the symptoms.

Herniated Disc (Cervical)

Degenerative Disc Disease

Spinal Stenosis

The spinal column contains open spaces that create passageways for the spinal cord and the spinal nerves. Spinal stenosis is a narrowing of (or an intrusion into) these openings. This can cause a compression of the nerves. Spinal stenosis most commonly affects the cervical and lumbar regions of the spine.

Spinal Stenosis (Cervical)

This condition is a narrowing of the spinal canal that results from the degeneration of bones, discs, or joints in the cervical spine.

When dealing with Work-related Spinal Injuries, Dr. Marano emphasizes healing and rehabilitation to minimize down time so you can get back to work and more productive living as soon as you are able.

According to the Bureau of Labor Statistics, more than 1 million workers suffer back injuries each year, and back injuries account for one of every five workplace injuries or illnesses. The back injuries are most commonly due to incorrect lifting, carrying and handling of materials, and falls.

Please be aware work-related injury appointments may need to be approved by the worker’s compensation carrier adjuster, nurse case manager, or employer.

Revision Surgery gives patients options when a prior surgical procedure did not treat the problem or where effects have not been long-term.

For Tough Cases, Dr. Marano and the patient will review options and possible solutions for unique spine-related issues that other medical professionals have not diagnosed correctly or may not know how to treat.

Second Opinions can offer peace of mind for individuals who want an expert opinion after having received a diagnosis and recommended course of treatment from another medical professional.

Our approach to Spinal Trauma aims to repair damage to the spine that resulted from whiplash, bruised/torn ligaments, ruptured disc(s) or fractured vertebrae.

According to the National Spinal Cord Injury Association, as many as 450,000 people in the United States are living with a spinal cord injury. Every year, an estimated 11,000 SCIs occur in the United States. Most injuries are caused by trauma to the spinal column, which affects the spinal cord’s ability to send and receive messages from the brain to the body’s systems that control sensory, motor and autonomic function below the level of injury. Spine trauma often results from auto accidents, falls, diving accidents, and sports and recreation-related accidents.

Athletic Spine Injury – Dr. Marano treats elite athletes, recreational athletes, and “weekend warriors” who want to get back to active living as soon as possible.

Being active can have unintended consequences. Putting your body through intensive physical activity can affect your muscles, joints, discs and nerves, including those in your back and neck. The problems can come on gradually from prolonged overuse or all of a sudden due to certain movements or accidents.

Up to 20% of all sports injuries involve injury to the lower back or neck.

  • Lower back – Sports involving repetitive impact (e.g., running), a twisting motion (e.g., golf) or weight loading at the end of a range-of-motion (e.g., weightlifting) commonly cause damage to the lower back.
  • Neck – Sports involving contact (e.g., football) place the neck at risk for injury.


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