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Orthopedic Surgeon vs. Neurosurgeon

AnonymousUserAAnonymousUser Posts: 49,671
I was hoping maybe someone could help me. After all conservative treatments have failed to help, I am looking for a specialist who may be able to find out what's going on. I cannot see my NS, doesn't take my insurance. But I am running into a wall, because my NS office seems to be the best one in town and I cannot get any info on others who are respected. I have been told of Ortho guys who are good (one has reviewed my records, does not think he can improve on fusion, which is really not in question. I just want to know what IS causing the current problem, apparently fusion is good. Still waiting for an answer about this.) But I think a NS is probably best. Does anyone have any opinion on this? Thanks so much! :D :D


  • I see an Ortho Spine Specialist for my lower back issues and I also saw another Ortho Spine Doc for ACDF C5/6 surgery in March '08.
    I understand that the Ortho that I see now will work together with a NS if needed surgery. I don't know exactly what the difference is, but I guess they each have their speciality.
    Just my expirence, I hope this helps.

  • Keep positive!


    ...an old timer here and ex-moderator

  • Thanks so much! That was some really good information, and now I think I can make a more informed decision.
  • I have had a four level (L3-S1) five years ago. I had a Physical Therapist tell me long ago that an Orho Dr. is more "search and destroy" where a Neuro surgeons "pick around" nerves better. Do you think you are having trouble with the fusion metal or the disc above the fusion may be giving out? I am sorry that you have insurance limitations. Are you on disability yet? I am on Medicare and BCBS supplement now. It took a long time to get it. If it were me, I would make an appointment with a good Neuro guy and bite the bullet until your appointment. If you go to the wrong guy you will live with the choice and pain the rest of your life. A lady I go to church with had a pain pump of some kind surgicaly placed next to her spinal cord that has helped her big time. There must be some thing someone can do. Good Luck!!
  • At least in the US, there is hardly any difference in the training that spinal specialists have received since about the late 70s-early 80s. There is talk about combining the two and creating a department that is known as "spinal surgery" as there is a complete overlap in the training.

    I think more indicative of how the doctor will approach your surgeon is where he/she did his/her fellowship training.

    I am not talking about an orthopedic surgeon...but an orthopedic spinal surgeon -- there is a BIG difference and you have to be sure which you are getting!

    I had a similar insurance problem with my preferred ortho spinal surgeon. From the time I first consulted with him to a couple years later when I finally decided to have surgery, our insurance had changed to a company he did not accept. He was apologetic but offered to find me another surgeon who was "almost as good." If I were you, I would ask your neurosurgeon for a referral -- someone he would send his wife or daughter to.
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