At the Providence Spine Center on Portland’s west side, we take a conservative approach to spine care with the goal of minimal intervention and offer both non-surgical and surgical treatment options. Non-surgical treatments may include physical therapy, pain education classes, pain relieving injections and acupuncture.
If surgery is recommended, our fellowship-trained surgeons offer the latest diagnostic technology and minimally-invasive surgical techniques, which may yield shorter recovery times, less pain and better long-term results. With today's technology many people can have surgery and return home on the same day.
To see a spine surgeon, you may need a referral from a primary care provider and a recent (within the last year) MRI or CT of your spine. Your primary care provider can help determine whether it is time to consider surgery and help you through the process.
Our spine specialists will work with you, and your primary care provider, to create a personalized treatment plan based on your condition and goals. Together, we’ll help you manage your symptoms and improve your quality of life so you can get back to doing what you love.
Conditions we treat include:
Herniated discs
Sciatica and radiculopathy (nerve pain, pinched nerve)
Spinal stenosis (narrowing of the spinal canal)
Spinal curvature (Scoliosis/Kyphosis/Deformities)
Spondylosis (spine pain such as degenerative disc disease, bone spur, spinal osteoarthritis)
Myelopathy (spinal cord dysfunction due to neck compression)
Spinal cord compression
Cauda equina and spinal tumors
Spine fractures
Back and neck pain is very common. Often, self-care, gentle exercise, and non-narcotic pain medicine, can help you get back to your life. It is a good idea to work with your primary care provider when you first have pain.
At Providence, we offer a wide variety of services to help diagnose and treat your condition.
Non-surgical treatments
Evaluation and management by a Physical Rehabilitation Medicine specialist (physiatrist). A physiatrist focuses on identifying the source of pain and will create individualized treatment plans to make it easier to do your daily activities.
Evaluation and management by a Physical Therapist (PT). Movement and exercise are an important part of the healing process. Your physical therapist will work with you to create an individualized care and exercise plan. We also offer specific kinds of physical therapy:
Back and neck pain affects millions. In just a few minutes, our spine pain quiz helps you better understand your symptoms and how severe they may be. You’ll receive personalized guidance so you can take the next step with confidence.
Get access to our vast network of dedicated and compassionate providers who offer personalized care by focusing on treatment, prevention and health education.
U.S. News & World Report - High Performing Hospital in Spinal Fusion (2026-27)
U.S. News & World Report - High Performing Hospital in Neurology and Neurosurgery (2026-27)
Robot-Assisted Spine Surgery
ExcelsiusGPS® Robotic Navigation Platform
Accuracy and precision are of the utmost importance during complex spinal surgeries. ExcelsiusGPS® by Globus Medical is robotic technology that uses X-rays and image guidance to help surgeons make precise incisions and enhances the accurate placement of screws and other implants.
Using advanced navigation tools, ExcelsiusGPS® allows surgeons to move in smaller surgical areas with fewer incisions, leading to less tissue damage and shorter recovery times.
Our highly skilled team of specialists offer advanced and effective treatment for people who have back or neck pain or who have suffered a back injury.
Seek immediate medical attention if your back pain is accompanied by any of the following:
It follows a serious injury or trauma, such as a fall or car accident
Fever
Loss of bladder or bowel control
Severe weakness or numbness in both legs
Unexplained weight loss
These may be signs of a more serious condition, such as a spinal fracture.
In most cases, you’ll want to talk to your primary care doctor first to evaluate your pain and review your medical history. A spine specialist can offer a more targeted diagnosis and advanced treatment options. Your PCP may suggest non-surgical treatments before referring you to a spine specialist, such as physical therapy, chiropractic care and injections.
You should consider seeing a spine specialist if your pain:
Causes numbness, tingling or weakness in your limbs
Has lasted more than 4–6 weeks despite rest and over-the-counter treatments
Started after an injury
Radiates down your arm or leg
Patients should check with their insurance to confirm coverage before scheduling. Some insurance plans may require a referral.
Typically, you’ll need a referral and imaging completed within the last 6 months. Many insurance providers require a referral from a primary care doctor before covering specialist visits. However, some plans allow you to see a specialist without a referral.
We recommend contacting your insurance provider before scheduling to confirm your coverage and referral requirements.
Please bring the following to your first visit:
Detailed history of symptoms and treatments, including when your symptoms started and any pain triggers
List of questions for the care team
Being as specific as possible about your pain – including its location, severity and how it affects daily activities – will help your specialist make a more accurate assessment.
Seeking a second opinion before spine surgery is not only acceptable – it’s encouraged. Second opinions help confirm the diagnosis, ensure surgery is truly necessary and give you added confidence in your treatment plan. Respected spine care providers will support your decision to seek additional professional opinions, and many insurance plans cover second opinion consultations.
Recovery time varies depending on the type of surgery and the individual.
Minimally invasive procedures may allow you to return to light activities within a few weeks, while more complex surgeries such as spinal fusion may require 3–6 months for full recovery.
Your care team will provide a personalized recovery plan with clear milestones.
Most major insurance plans cover medically necessary spine treatments and surgery. Coverage for conservative treatments, such as physical therapy, chiropractic care and injections, varies by plan.
It’s important to verify your benefits, obtain any required pre-authorizations and understand your out-of-pocket costs before starting treatment.