The aches and pains of aging occasionally are the result of serious spinal degeneration – conditions that include spinal stenosis, spondylolisthesis, degenerative deformity or herniated discs. In such cases our first priority is to determine the nature of the pain and the extent of neurological symptoms. During treatment, we strive to manage patients as conservatively as possible. If conservative therapy is not successful, we assist patients with decisions regarding more complex treatment.