Neck and Back Pain Conditions

Our intent is to provide our patients with a wide range of services to manage your pain. We understand that each case is unique and strive to offer you the best treatment plan specific to your condition and individual needs.

Post-laminectomy syndrome

In the United States, approximately 500,000 spinal surgeries are performed annually. Unfortunately, some 20% of patients report ongoing back pain following spinal surgery. Lack of pain relief after spinal surgery is called post-laminectomy syndrome, or failed back syndrome.

Patients with post-laminectomy syndrome often live with chronic pain and disability, which can cause significant distress. Their suffering may be exacerbated by financial pressure arising from inability to sustain employment. Clearly, post-laminectomy syndrome is a challenging and costly disorder.

Facet joint syndrome

Facet Joint Syndrome is when the facet joints either weaken or become stressed and damaged. Several aspects of our everyday life cause this ailment; from everyday wear and tear to a specific injury to the back or neck and degeneration of a disc. Cartilage eventually wears away from protecting the facet joints, which can cause a variety of symptoms depending upon which region of the spine is damaged.

This physical ailment is usually treated conservatively at first with lots of rest, ice, heat, medication and physical therapy. If all of these methods fail, a facet rhizotomy or bone fusion may be needed to alleviate the symptoms. If you suffer from severe back pain, our experienced pain management specialist Dr buyanov will provide you with the effective treatment for back pain in San Antonio or Miami.

Myofascial Pain Syndrome

Myofascial Pain Syndrome is a chronic pain condition that is caused by damage to the fascia. The fascia are the soft, stretchy connective tissue that surround muscles, organs and other structures inside the body. Myofascial Pain Syndrome can involve both single muscle and group muscle tissues, causing chronic pain in muscles throughout the body, especially in the neck and the jaw.

What are the symptoms of Myofascial Pain Syndrome?

Pain and inflammation in the body's soft tissues and pain in sensitive areas in the muscles, known as trigger points, are symptoms caused by Myofascial Pain Syndrome. Other symptoms may include

What are Trigger Points?

People who suffer with Myofascial Pain Syndrome often develop painful bumps under the skin called trigger points. These small, tight knots can form at the point where the fascia comes into contact with muscle tissue. Trigger points can be felt beneath the skin and when pressed, cause pain and twitching in the underlying muscle.

What treatments are available for Myofascial Pain Syndrome?

We personalized our treatment plans that are designed for each individual patient by our expert staff. Some of the treatment options for Myofascial Pain Syndrome include Physical Therapy programs and Trigger Point Injections.

What do I do next?

The first step in treating Myofascial Pain Syndrome is to make an appointment to see Dr. buyanov and his staff.

Call us at 210-255-8084 or request more information here
Our goal is to get you started on a personalized treatment plan to find relief.

Cervical Radiculopathy

Living daily through the back and neck can make it difficult to function normally; when under constant pain, it is nearly impossible. While Cervical Radiculopathy is generally described as pain caused by a pinched nerve root, the cause of the pinched nerve can be from a herniated disc, spinal stenosis or degenerative disc disease.

A herniated disc occurs when a spinal disc ruptures, which then presses against a nerve root; this causes a pinched nerve, which leads to pain and tingling throughout various parts of the body. Spinal stenosis occurs when the bones within the spinal canal grow inward, which then pinch a nerve root, causing many to seek back pain treatment. Finally, degenerative disc disease occurs when the spinal disc weakens, which then allows the spinal columns to shift out of position and press on nerve roots. All of these issues form the basis for cervical radiculopathy.

For the best pain care service available, Dr. Buyanov can help treat all of your chronic pain symptoms with top-notch service and experience.

Degenerative Disc Disease

One of the most common causes of back pain nationwide is known as Degenerative Disc Disease. As individuals age or experience a significant injury to their back, the spinal discs weaken and can cause sections of the vertebrae to rub together and press on nerves causing them to become pinched. While Degenerative Disc Disease isn't actually a disease, it is the medical description for common conditions pain management specialistsoften treat.

Degenerative disc disease first occurs as small tears appear in the disc wall causing pain. As they heal, they form scar tissue, which is not as strong as the previous material in the disc wall. Over time this tissue can weaken, causing the disc center to eventually collapse. Bone spurs can then form from the awkward positioning of the vertebrae. Nerve roots often become compressed and cause severe pain as well.

Herniated Disc

Inflammation and abnormal micromotion instability are two symptoms associated with Degenerative Disc Disease. Proteins in the disc space may cause inflammation, leading to low back pain radiating to the hips. Pain might also travel down the back of the legs as well. If the outer rings of the intervertebral disc are damaged or become worn down, it is not as effective in resisting motion in the spine. This condition is known as micromotion instability. Both inflammation and abnormal micromotion instability cause lower back spasms and other issues.

There are a number of lower back pain treatments for Degenerative Disc Disease. For expert care and treatment call Dr. Buyanov 210-255-8084

The discs in your back function as rubbery cushions between the vertebrae (bones), which make up the spine. These discs act as natural shock absorbers between the vertebrae. When a disc becomes damaged due to a tear, a crack or a rupture, it can cause compression of the spinal nerves. This is what we call a disc herniation.

Herniated discs in the neck cause neck pain and are called cervical disc herniation. Herniated discs in the lower back are called lumbar spine disc herniation. These are the two most common parts of the spine to be affected by a herniated disc. Our herniated disc doctors at New York Pain Care are experts in providing herniated disc treatments in NYC.

What causes a Herniated Disc?

Herniated discs are common and can be caused by hard falls, direct impact, sports injuriesand age. As we age, discs become dry and brittle, leaving them more susceptible to tearing, cracks and injury.

What are Herniated Disc symptoms?

Symptoms of a herniated disc vary depending on the location in the spine of the affected disc.

Common symptoms of a cervical disc herniation include:

Common symptoms of a lumbar disc herniation include:

Herniated Disc Treatment

Prior to treatment for a herniated disc, our staff will ask for a history of the issue, provide a physical examination and may request an MRI. Fortunately, if you do in fact have a herniated disc, our herniated disc doctors specialize in non surgical treatments to help relieve your pain and improve function.

Dr. Buyanov will tailor a treatment plan to meet your individual needs. Herniated disc treatments may include Physical Therapy, Epidural Steroid Injections and Nerve Root Blocks.

What do I do next?

The first step in figuring out what the best Herniated Disc treatment plan for you is to make an appointment call 210-255-8084. Dr. Buyanov knows what the best option for you is.


Kyphosis is an unnatural curving of the upper spine which causes bowing and rounding of the spine. Kyphosis can occur at any age, common causes are by arthritis of the spine, developmental issues and trauma to the spine. Bad posture may also cause ligaments to loosen, which eventually can develop a curvature of the spine over time.

Kyphosis can affect the lungs, other tissues and organs within the body, as well as cause significant back pain and discomfort. Through a physical examination specialists can confirm the condition. Treatment depends on the cause of the condition, surgery might be necessary if lower back pain treatment and other methods aren't effective.

For the best pain care available, Dr. Buyanov can help treat all of your chronic pain symptoms with top-notch service and experience. Call 210-255-8084


Scoliosis is a curving of the normally straight spine that varies in severity in different people. Many cases of Scoliosis are mild, while some cases are much more severe, especially with age. Scoliosis often develops before puberty and may go unnoticed until adulthood.

While Scoliosis can run in families, in many cases the cause is unknown. The main causes of Scoliosis are:

What are the symptoms of Scoliosis?

While some cases of Scoliosis are so mild that they do not cause any symptoms, many cases of Sciatica do have signs and symptoms associated with it. The most common signs and symptoms of Sciatica include:

What Scoliosis treatments are available?

Treatment for Scolios includes personalized treatment plans designed by our expert staff. Early detection of Scoliosis is important to help monitor the curvature during growth, to make sure it does not worsen. Scoliosis treatment may include Physical Therapy, stabilization, pain management, or surgery in severe cases.

What do I do next?

The first step in treating Scoliosis is to make an appointment to see Dr. Buyanov for a Scoliosis diagnosis and to learn your Scoliosis treatment options.

Call us at 210-255-8084 or request more information using the form above.
Our goal is to get you started on a personalized treatment plan to find relief.

Lumbar radiofrequency neurotomy

Lumbar radiofrequency neurotomy (facet rhizotomy) is used to treat nerve pain that originates in the spine joints of the lower back. Lumbar radiofrequency neurotomy is useful for people that experienced relief following nerve blocks to the area. The procedure “turns off” the specific nerve that carries information about pain. The treatment provides pain relief for about a year, but can last much longer for some people.


Dr. Buyanov will use a live X-ray image (fluoroscopy) to carefully insert and guide a needle-like tube (cannula) to the affected medial nerve. A small needle-like electrode (radiofrequency electrode) is inserted through the cannula. To ensure the cannula is in the correct position, a very mild electrical current is delivered through the electrode to the nerve. The nerve will briefly conduct pain signals and cause a muscle twitch, confirming that the correct nerve is targeted. Next, numbing medication is delivered to the nerve in preparation for the treatment. Heat is delivered through the electrode to the nerve. The heat creates a lesion in the nerve. The heat disrupts the nerve’s ability to send signals about pain. At the end of the procedure, the tube and probe are removed. The process can be repeated for additional nerves that require treatment.

You will be monitored for several minutes before you can return home. You should have another person drive you home because you received sedation. You should use care while resuming your regular activities over the next several days because your back will feel sore. Your doctor may prescribe pain medication, rest, and instruct you to use heat or ice packs to ease the pain.

It usually takes three to four weeks for the treated nerves to completely turn off. During this period, your back may feel weak or odd. You may experience pain until the nerves are dead.

Lumbar radiofrequency neurotomy typically provides symptom relief for about a year or longer. Physical therapy can help you regain strength and flexibility so that you can resume your favorite activities. If you experience pain, the procedure may be repeated.

Call us at 210-616-9400 or request more information using the form above.
Our goal is to get you started on a personalized treatment plan to find relief.