Neck and Back Pain

Neck Pain?

Neck Pain from Cervical Spine Conditions. While neck pain is less prevalent than lower back pain, there are several cervical spine conditions that may cause neck pain, arm pain and other symptoms, including: Foraminal stenosis. Stenosis with myelopathy.

Back Pain?

Back pain can range from a dull, constant ache to a sudden, sharp pain that makes it hard to move. It can start quickly if you fall or lift something too heavy, or it can get worse slowly.

Anyone can have back pain, but some things that increase your risk are:

  • Getting older. Back pain is more common the older you get. You may first have back pain when you are 30 to 40 years old.
  • Poor physical fitness. Back pain is more common in people who are not fit.
  • Being overweight. A diet high in calories and fat can make you gain weight. Too much weight can stress the back and cause pain.
  • Heredity. Some causes of back pain, such as ankylosing spondylitis, a form of arthritis that affects the spine, can have a genetic component.
  • Other diseases. Some types of arthritis and cancer can cause back pain.
  • Your job. If you have to lift, push, or pull while twisting your spine, you may get back pain. If you work at a desk all day and do not sit up straight, you may also get back pain.
  • Smoking. Your body may not be able to get enough nutrients to the disks in your back if you smoke. Smoker’s cough may also cause back pain. People who smoke are slow to heal, so back pain may last longer.
  • Another factor is race. For example, black women are two to three times more likely than white women to have part of the lower spine slip out of place.
  • Falls – slipping and falling from any height, esp job related, or even walking the dog, can cause discs to displace and cause low back pain.
  • Car accidents- the force from a car hitting another, or a stationary object like a tree/wall is transmitted from the car thru the body of the passengers, causing low back and/or neck pain.


  • Non-operative treatment, injections
  • Minimally invasive spine surgery
  • Spine fusion, lumbar discectomy
  • Compression fracture treatment- cement injections of bones (Kypho or vertibroplasty)
  • Spinal decompression/laminectomy and realignment

Should I see a Chiropractor?

In general, chiropractors are good for episodes of pain that are recurrent and the cause well known because of a past history.

Orthopedic surgeons tend to have more diagnostic tools at their disposal and thus are good to see for a new pain that doesn’t go away for a short period of time. Doctors like Dr. Doute’, who treat the whole body with and without surgery, serve as a one stop shop to handle any need you may have, and can determine quickly whether you problem is serious or minor.

Treatment Philosophy

Dr. Doute’s philosophy of patient care is simple. He treats others as he would himself and his closest family members, working closely with his patients as partners to educate them as to their condition and to help them make decisions.

He tries to assure that adequate non surgical treatment is done with patients to eliminate their pain, such as physical therapy, medicines, injections, exercise and time, and tries to avoid surgery if possible. However, Dr. Doute’ recognizes many times that sometime surgery is necessary to fix the patients problem. He realizes that most patients are scared of undergoing surgery, so he tries to do everything to educate his patients about their condition and what they need, to lessen those fears. Dr. Doute’ stays ahead of the curve and keeps up to date on and uses the latest procedures and surgical technology to help his patients. Most importantly, he tries to never give up on patients.

Video Education

(These animations and videos give some idea of how these procedures are done, but Dr Doute may or may not perform certain individual steps depicted, or may add or subtract from what is depicted, or change the procedure depicted, depending on the individual patients needs)

Lumbar Laminectomy

Lumbar Laminectomy Video

Anterior Cervical Discectomy and Fusion

Posterior Lumbar Fusion (TLIF)

Minimally Invasive Lumbar Fusion

Partial Lumbar Discectomy

Partial Lumbar Discectomy Video

Anterior Lumbar Fusion

Lateral Lumbar Fusion (XLIF)

Lumbar Epidural

Lumbar Facet Injections

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