TREATMENTS
Non-Surgical Care
Targeted non-surgical treatments to relieve pain, reduce inflammation, and restore function.
Most patients who come to Beckett NeuroSpine are not looking for surgery—they’re looking for answers. For many, the right answer is a structured, expert-guided course of non-surgical care that addresses the actual source of their symptoms.
The goal is not simply to manage pain, but to restore function and determine whether symptoms can be resolved without surgery. When conservative care promises to be effective, it remains the best path forward.
Conservative Treatment Options
These therapies are designed to relieve symptoms and improve function without surgery.
Medications
Targeted use of anti-inflammatory, muscle relaxant, or neuropathic medications to manage acute or chronic spine-related symptoms. Medications are typically used as part of a broader treatment plan rather than as a standalone long-term solution.
Activity Modification & Structured Rehabilitation
Guided adjustments to daily movement, posture, and activity levels to reduce mechanical stress on the spine and support recovery. When combined with physical therapy, activity modification helps patients build sustainable habits that protect long-term spinal health.
Physical Therapy
Structured rehabilitation programs guided by a physical therapist designed to improve strength, flexibility, and spinal stability. Physical therapy targets the underlying movement patterns and muscle imbalances that contribute to spine-related pain.
Epidural Steroid Injections
Image-guided injections that deliver anti-inflammatory medication directly to the affected area of the spine. Epidural steroid injections are particularly effective for nerve-related pain, including radiating arm or leg symptoms caused by disc herniation or spinal stenosis.
Facet Joint Injections
Targeted injections into the small joints that connect the vertebrae, used to diagnose and relieve facet-mediated pain. Facet pain is a common but often overlooked source of chronic neck and back discomfort, particularly in patients with degenerative joint changes.
“Every patient deserves a thorough evaluation before anyone mentions surgery. For many of the patients I see, a well-structured course of conservative care is not just adequate—it’s the right answer.”
Conservative Treatment Options
Medications
Targeted use of anti-inflammatory, muscle relaxant, or neuropathic medications to manage acute or chronic spine-related symptoms. Medications are typically used as part of a broader treatment plan rather than as a standalone long-term solution.
Activity Modification & Structured Rehabilitation
Guided adjustments to daily movement, posture, and activity levels to reduce mechanical stress on the spine and support recovery. When combined with physical therapy, activity modification helps patients build sustainable habits that protect long-term spinal health.
Physical Therapy
Structured rehabilitation programs guided by a physical therapist designed to improve strength, flexibility, and spinal stability. Physical therapy targets the underlying movement patterns and muscle imbalances that contribute to spine-related pain.
Epidural Steroid Injections
Image-guided injections that deliver anti-inflammatory medication directly to the affected area of the spine. Epidural steroid injections are particularly effective for nerve-related pain, including radiating arm or leg symptoms caused by disc herniation or spinal stenosis.
Facet Joint Injections
Targeted injections into the small joints that connect the vertebrae, used to diagnose and relieve facet-mediated pain. Facet pain is a common but often overlooked source of chronic neck and back discomfort, particularly in patients with degenerative joint changes.
Nerve Root Blocks
Injections placed near a specific spinal nerve root to reduce inflammation and relieve radicular pain. Nerve root blocks can serve both a therapeutic and diagnostic purpose, helping to confirm the precise source of symptoms before further treatment decisions are made.
Medial Branch Blocks / Radiofrequency Ablation
Medial branch blocks interrupt the nerve signals responsible for facet joint pain and are often used as a diagnostic step before radiofrequency ablation, which is a minimally invasive procedure that provides longer-lasting relief by targeting the specific nerves transmitting pain signals.
When Non-Surgical Treatment Is the Right Choice
Non-surgical treatment is almost always the right first choice. Most common spine conditions respond well to time and customized, conservative care.
• Non-surgical treatment is often the recommended starting point for:
• Disc herniation with nerve irritation or radicular pain
• Facet-mediated neck or back pain
• Acute muscle strain or ligament injury
• Early-stage degenerative disc disease
Conservative care may not be sufficient when there is significant neurological compromise, progressive weakness, spinal instability, or structural damage that cannot be meaningfully addressed without surgical intervention. In those cases, Dr. Beckett will outline the surgical options most appropriate for your specific condition.
The most important step is an accurate diagnosis. Treatment that isn’t matched to the correct source of symptoms — whether surgical or non-surgical — is unlikely to provide lasting relief.
Conservative Treatment Options
These therapies are designed to relieve symptoms and improve function without surgery.
Medications
Targeted use of anti-inflammatory, muscle relaxant, or neuropathic medications to manage acute or chronic spine-related symptoms. Medications are typically used as part of a broader treatment plan rather than as a standalone long-term solution.
Activity Modification & Structured Rehabilitation
Guided adjustments to daily movement, posture, and activity levels to reduce mechanical stress on the spine and support recovery. When combined with physical therapy, activity modification helps patients build sustainable habits that protect long-term spinal health.
Physical Therapy
Structured rehabilitation programs guided by a physical therapist designed to improve strength, flexibility, and spinal stability. Physical therapy targets the underlying movement patterns and muscle imbalances that contribute to spine-related pain.
Epidural Steroid Injections
Image-guided injections that deliver anti-inflammatory medication directly to the affected area of the spine. Epidural steroid injections are particularly effective for nerve-related pain, including radiating arm or leg symptoms caused by disc herniation or spinal stenosis.
Facet Joint Injections
Targeted injections into the small joints that connect the vertebrae, used to diagnose and relieve facet-mediated pain. Facet pain is a common but often overlooked source of chronic neck and back discomfort, particularly in patients with degenerative joint changes.
Am I A Candidate For
Conservative Treatment?
Most patients begin with non-surgical treatment before considering surgery. Determining the right approach depends on symptoms, imaging findings, and how the condition is affecting daily life.
Conservative care may be recommended when:
• Symptoms are mild to moderate
• There is no significant instability or neurological deficit
• Imaging findings support non-surgical management
• The goal is to improve function without surgery
If symptoms persist or progress despite treatment, surgical options may then be considered.
Get the Right Diagnosis Before Choosing Treatment
Effective spine care begins with identifying the source of your symptoms. Whether treatment is non-surgical or surgical, the right plan starts with a precise evaluation.
TESTIMONIALS FROM OUR PATIENTS
This has been an Incredible surgery and recovery process. Neurosurgeon Dr. Beckett is exceptional, one of a kind in diagnosis, surgical skill and communication; It was an honor to be cared for by him and his entire team. I have had immediate relief from a tough- long-standing injury. Dr. Beckett’s team, including Brian Sorto DNP, Cat Gonzalez and the staff of the in house surgery center made my surgery and recovery a smooth and seamless experience. I recommend Dr. Beckett highly and his surgical and office team.
Before and after. All the nerve pain is gone!! Thank you Dr. Beckett!!
After more than a year of debilitating pain in both arms, I had given up many daily activities. Dr. Beckett carefully explained the issues in my neck and how disc replacement could help. He reviewed my imaging in detail so I understood the treatment plan. Six weeks after surgery, my symptoms are gone and I’m back to the activities I love. I’m deeply grateful for Dr. Beckett and his compassionate team.
Artificial Disc Replacement
Dr Beckett is an especially skilled doctor and surgeon. He takes the time to explain things thoroughly thus managing patient expectations. I went into surgery with 1000% trust which made the entire experience pleasurable
After a year and a half of severe nerve pain in both arms, I was referred to Dr. Beckett for C5–C7 disc replacement. He explained the diagnosis and treatment clearly and helped me feel confident moving forward with surgery. The results have been outstanding. Dr. Beckett and his entire staff showed exceptional care and compassion throughout the process. I would trust him with any member of my family.
C5-7 Disc Replacement
Dr. Beckett and his entire staff are thee best. I am in my six month of recovery from my L4/L5 surgery and it has been as good of an experience as I could have hoped for. Dr. Beckett, Brian Sorto and Cat Gonzales were always there to help and support me any time I would reach out. Dr Beckett is never in a rush and I always felt I was being heard. I hope I never have to go through another back surgery, but if I do, there is no one I would rather have taking care of me.
L4/L5 Surgery
Deciding on a surgeon is always scary, but putting your trust in someone to operate on your spine is honestly terrifying. I spoke with a couple of surgeons about my case, but after my first consult with Dr. Beckett, I knew he was the right choice. Even over Zoom, it was clear to me that he wasn’t just a gifted surgeon but also an exceptional person.
Scoliosis Correction Surgery
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