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When a damaged spinal disc causes persistent neck pain, arm pain, numbness, weakness, or spinal cord compression, surgery may be considered after nonsurgical treatments have not provided enough relief. Two common surgical options are artificial disc replacement and spinal fusion. Both procedures begin by removing the damaged disc and relieving pressure on the spinal cord or nerves. The main difference is what happens afterward: artificial disc replacement is designed to preserve motion, while spinal fusion permanently stabilizes the treated level. Neither option is automatically better for every patient. The right choice depends on the location and severity of the spinal condition, the number of affected levels, spinal alignment, joint health, bone quality, and several other factors.

Hip pain does not always come from the hip joint itself. In some patients, pain around the hip, buttock, groin, or lower back may actually be coming from the sacroiliac joint , also called the SI joint . When this joint becomes inflamed or irritated, it can cause a condition called sacroiliitis , which may feel very similar to hip arthritis, sciatica, or a lumbar spine problem. Sacroiliitis can be difficult to recognize because the pain often overlaps with other common causes of hip and low back pain. Dr. Gandhi, the spine surgeon at Pinnacle Spine & Neurosurgery, treats patients experiencing sacroiliitis throughout Central Arkansas, including Conway, Hot Springs, and Little Rock, AR.






