At the Miami Neuroscience Institute’s Spine Center, we bring together physical medicine and rehabilitation specialists to diagnose and treat the source of your back, neck or spine pain.

The first step to helping your back or neck pain is to find the source of the problem. Our physical medicine and rehabilitation team then works to ease your pain and restore your function – without surgery. We treat your pain with less-invasive treatments and rehabilitation therapy.

When surgery is needed, we coordinate your care with the specialists at Miami Neuroscience Institute.

What back, neck and spine conditions are treated at Miami Neuroscience Institute’s Spine Center?

Our team uses minimally invasive and non-surgical treatments for spine and back conditions. At Miami Neuroscience Institute’s Spine Center, we treat:
  • Arthritis
  • Back injuries
  • Back pain
  • Bulging disc
  • Degenerative spine disease
  • Herniated disc
  • Neck pain
  • Neuromuscular disease
  • Nerve damage
  • Osteoarthritis
  • Osteoporosis
  • Pediatric spine
  • Scoliosis
  • Spinal stenosis
  • Spinal injuries
  • Spine deformities
  • Spine pain
  • Strains and sprains

How are back, neck and spine pain and conditions diagnosed?

After a comprehensive exam, our specialists use advanced diagnostic tools to detect bone, muscle or nerve damage. We use imaging tests, such as X-rays, CT scans and MRIs, as well as electromyography and conductive nerve studies, to measure your muscle and nerve response.

What treatments are offered at Miami Neuroscience Institute’s Spine Center?

When treating back, neck and spine conditions, we treat the person, not just the problem. Knowing how you injured your back and your lifestyle is just as important as treating your injury. Most musculoskeletal pain can be treated without surgery.

The comprehensive team of specialists at Miami Neuroscience Institute’s Spine Center use an array of treatments, including:

  • Lifestyle modification
  • Medication management
  • Nutritional counseling
  • Rehabilitation therapy, including physical therapy and occupational
  • Osteopathic manual medicine treatment
  • Trigger point injections
  • Joint injections
  • Ultrasound-guided injections
  • Electrodiagnostics (EMG and nerve conduction studies)
  • Epidural and facet joint injections
  • Implantable spinal cord stimulators
  • Intrathecal pump to deliver pain medication
Our Approach To Spine Care

Our Approach To Spine Care

When you are in pain, it is hard to imagine you can regain function again. Our team can intervene quickly to treat your pain through non-surgical, less invasive treatments. At Miami Neuroscience Institute’s Spine Center, you can expect:

  • A focus on maintaining the lifestyle and activity level you have come to expect.
  • An individualized and supportive treatment plan that can help you avoid a recurrence of your back pain.

Who benefits from this spine care program?

Whether you are experiencing an acute episode of pain, landing you in your primary care physician’s office, an emergency room or urgent care center, or have been suffering with chronic pain, we can help.

As with any condition, it’s best if our specialists see you at the first sign of back, neck or spine pain to prevent the development of a chronic condition that requires long-term pain management. At the first sign of injury or pain, we can find the source and create a comprehensive treatment plan.

If you’ve been dealing with pain for some time, we’ll assess your condition utilizing a thorough evaluation and physical examination.


We are born with only one spine. So, the best way to take care of it is by preventing anything bad from happening to it. Try everything you can. You can be eating healthy, losing weight, being active, doing home exercises on a daily basis, or even twice or three times a day, if possible. I know it’s a lot to ask and you may not get results right away. But, in the long term, we know it can help patients a lot.
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Photo of Justin Thottam, D.O.
Justin Thottam, D.O.

Meet Justin Thottam, D.O., Physiatrist with Miami Neuroscience Institute’s Spine Center

Led by medical director Ronald Tolchin, M.D., our team includes Board-certified physiatrists who specialize in physical medicine and rehabilitation treatments for neurological conditions. We also work closely with physical therapists, occupational therapists, nutritionists, psychologists, nurses and physician assistants who are highly skilled in treating neurological injuries, musculoskeletal and related conditions.

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