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Spinal stenosis is a condition that involves degenerative changes in the spine that lead to compression of neural elements in the spinal cord manifesting as pain in the low and with or without pain shooting down the legs. Symptoms are typically worse with standing and walking. Symptoms are typically relieved by bending over while standing or walking or by sitting down. Treatment begins conservatively with medications management, physical therapy and injections. Injections begin in the form of epidural steroid injections. If these do not provide durable pain relief, you may be a candidate for a minimally invasive evidence based treatment for the stenosis with impressive results. These procedures include the Vertiflex procedure, the vertos Minimally Invasive Lumbar Decompression (MILD) procedure, and spinal cord stimulation.



Back and neck pain may be secondary to multiple different reasons. It may be due to a history of trauma such as a motor vehicle accident or due to degenerative changes in your spine such as degenerative disc disease. Arthritis is another common cause of back and neck pain. There are many treatment options available for these symptoms such as radiofrequency ablation, among others. Please come in for an evaluation and we can discuss these options with you in detail.



Neuropathy is a condition that is most often due to Diabetes but can also be a consequence of chemotherapy. At times, the exact cause of the neuropathy may not be known. It may manifest as a painful sensation in your feet that is often described as burning or as if you’re walking on broken glass. Treatment begins conservatively with medication management. If this is ineffective at controlling your symptoms, you may be a candidate for spinal cord stimulation. Spinal cord stimulation is FDA approved for the treatment of peripheral neuropathy and studies have shown impressive results. Please come in today to discuss this novel treatment modality.



Compression fractures typically result from serious trauma such as a fall but can result from a trivial injury as well. Osteoporosis increases ones risk for a compression fracture. Treatment begins with conservative measures such as bracing and rest. If your symptoms persist, kyphoplasty and vertbroplasty are great treatment options that can result in immediate relief of symptoms. If symptoms are debilitating from the compression fracture, we will often recommend prompt treatment with kyphoplasty or vertebroplasty. Dr. Toma is adept at performing these procedures.



Arthritis is usually an age related degenerative process which results in compromise of the joint space leading to symptoms of pain. The pain is typically worse with activity and relieved with rest. Arthritis can be seen in peripheral joints such as hips, knees, shoulders, etc. it can also be seen in the joints of your spine known as the facet joints. Treatment begins conservative with medication management and physical therapy. If this unsuccessfully controls your pain, we may recommend a steroid injection of the affected joint. Additionally, many joints can be targeted with radiofrequency lesioning of the sensory nerves that supply these joints. This is a durable option that often provides up to a year or more of relief to our patients. Additionally, this therapy does not require any steroids. Joints that can be targeted with radiofrequency ablation include the knee and shoulder, among others.



Complex Regional Pain Syndrome (CRPS) is a condition that manifests after a peripheral nerve injury. It results in symptoms that can range from mild to severe. Often times symptoms are present at rest but are worse with activity. There are many treatments available for CRPS that range from conservative management with medication and therapy to injection or stimulator therapy. You may be a candidate for Dorsal Root Ganglion (DRG) stimulation which is a novel therapy that has incredible results with CRPS. Dr. Toma is one of only a few physicians in Michigan certified to offer this therapy. 



Failed back surgery is one of the most frustrating reasons for chronic pain. Failed back surgery can result in debilitating pain that signficantly effects your quality of life. It can limit your ability to walk distances or enjoy time with family. There are many treatment options avialable to patients who suffer with this condition. Depending on your evaluation, Dr. Toma may determine that you're a candidate for an intervention such as spinal cord stimulation. He has had many patients with signficantly improved quality of life after treatment.



Headaches and Migraines can be debilitating and significantly affect ones quality of life. Once conservative treatment with medications has failed, there are many minimally invasive treatment options available depending on the root cause of the symptoms. Options include occipital nerve blocks, cervical radiofrequency ablation, botox, among others.



Sciatica, also known as radilculopathy, occurs when you experience pain that radiated down your leg along the path of the sciatic nerve. It is extremely common in the genreal population with up to 40% of Americans experiencing symptoms at some point in their life. Treatment options include conservative mesaures with physical therapy and medications. If these fail to treat your symptoms, Dr. Toma may recommend a minimally invasive procedure to treat your condition.

Spinal Stenoss
Back & Neck Pain
Failed Back Surgery
Compression Fractures
Arthritis Joint Pain




Behavioral disorders such as depression, anxiety, and PTSD are very common in the general population. They can signficantly affect ones quality of life. Many patients have a psychiatrist as well as psychologist they see. In addition, we offer ketamine infusion therapy, which is an evidence based treatment for these conditions. It can be utilized on an as needed basis. Dr. Toma is a board certified Ansethesiologist with extensive experience utilizing ketamine therapy to treat his patients.

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