Tailored spine treatments to meet your needs

Once Dr. Marano has had an opportunity to talk with you, obtain your history and conduct a thorough examination, he will recommend treatment options – starting with the least invasive option first. His number-one goal is to address your specific issues, needs and goals. Dr. Marano will explain his recommendation(s) in detail to you so that you know what’s involved and what results you can expect.

Dr. Marano offers a full range of spine care

  • Physical Therapy/Massage may help to build or recondition muscles – allowing you to move more normally and with less pain. Dr. Marano may recommend passive physical therapy (such as massage and applying heat/cold) or active treatments (such as exercise).
  • Injections – Dr. Marano may consider referring you for an injection of local anesthetic and/or steroids to help locate the pain origin. Injections usually provide temporary pain relief. If your pain is not managed after multiple injections, Dr. Marano may consider other treatments.
  • A Chiropractic Referral – If Dr. Marano believes your spine issue may benefit from chiropractic treatment, he will recommend an experienced chiropractor who specializes in your particular issue.
  • Medications – Dr. Marano may recommend medication as a first course of treatment. Everyone responds differently to medication, so Dr. Marano may try various drugs and doses.
  • Surgery – If Dr. Marano believes that surgery is necessary to correct your spine problem, he will recommend the specific procedure that will be most effective. Dr. Marano offers a full spectrum of techniques and technologies to treat your spine issues.

Anterior Cervical Discectomy and Fusion

Lumbar Disc Microsurgery

Artificial Cervical Disc Replacement, Prestige®


PLIF: Posterior Lumbar Interbody Fusion

Spinal Fusion (Lumbar Spine, for Treatment of Spondylolisthesis)

  • A Pain Pump – Dr. Marano may recommend an implanted device to relieve chronic pain. The device releases pain medication directly into the spinal fluid. Delivering the pain medication directly into the spinal fluid requires only a fraction of the medication that would be needed if taken orally, thereby reducing the possibility of side effects.

Intrathecal Pump Implant (Medtronic)

  • A Spinal Cord Stimulator – Dr. Marano may suggest surgically implanting a device under the skin to send a mild electric current to your spinal cord to block the feeling of pain. The electrical impulses “short circuit” the pain signal. Instead of feeling pain, you feel a tingling sensation. To learn more about spinal cord stimulation, click here.


Spinal Cord Stimulation (Paddle Lead)

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