The problem is usually smaller than the surgery you were offered
Most back, neck, and nerve conditions are driven by a small amount of tissue pressing on a nerve — which is exactly what full-endoscopic surgery is built to remove, without fusion.
Synergy Spine Center treats spinal stenosis, herniated disc, sciatica, nerve compression, and related conditions using full-endoscopic, no-fusion technique. Whether surgery is right for you depends on your MRI — reviewed at no cost, with an honest answer either way.
Same symptoms, very different causes
Back and leg pain can come from a herniated disc, a narrowed canal, an arthritic facet joint, or an irritated nerve root — and the right treatment for one is the wrong treatment for another. That is why a careful read of your imaging matters more than a quick label. The goal is to find the specific structure causing the problem, then treat only that, with the least-invasive option that resolves it.
Across nearly all of these conditions, the same principle applies: fusion should be reserved for true instability, not used as a catch-all. When the cause is compression, removing the compression is usually enough.
Most pain traces to one compressed nerve
Whether the diagnosis is stenosis, a herniated disc, or sciatica, the pain usually comes from a specific structure pressing on a specific nerve. Pinpointing that structure on your MRI is what makes a targeted, no-fusion treatment possible.
What we diagnose and treat
Select a condition to understand its causes, how it’s diagnosed, and the no-fusion treatment paths.
Spinal Stenosis
Narrowing of the spinal canal — usually treatable without fusion.
Learn more →Herniated Disc
Disc material pressing on a nerve, removed endoscopically.
Learn more →Sciatica
Leg pain from nerve compression, treated at its source.
Learn more →Neurogenic Claudication
Leg pain and heaviness when walking, from stenosis.
Learn more →Degenerative Disc Disease
Age-related disc changes and the options that actually help.
Learn more →Failed Back Surgery
Persistent pain after a prior operation — including fusion.
Learn more →Radiculopathy
Pinched nerve roots causing arm or leg symptoms.
Learn more →Spondylolisthesis
A slipped vertebra and when it does — or doesn’t — need fusion.
Learn more →Chronic Back & Neck Pain
Lasting pain, and how to find the treatable source.
Learn more →An evidence-first practice
Start with a Free MRI Review
Send the MRI you already have. McMillan will tell you whether you’re a candidate — and what it would cost — before you decide anything.
Get Your Free MRI ReviewWhat patients ask
Can these conditions really be treated without fusion?
How do I know which condition I have?
How do I start with a free MRI review?
How is the cause of my pain actually diagnosed?
Are these conditions treated with surgery or without?
Do you treat neck conditions as well as the lower back?
Source material
A consolidated list of the clinical references that inform how these conditions are evaluated and treated at Synergy Spine Center.