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Is Neck or Back Pain Controlling Your Life?

Persistent neck and back pain can interfere with every part of your day, from sleeping and working to simply enjoying time with family. In many cases, the cause is not a problem with the spine itself but with nerves that have become damaged, compressed, or irritated after surgery, trauma, or radiation.

Our surgeons focus on identifying and treating the exact nerve pathways responsible for pain. Through precise microsurgical techniques, they relieve compression, repair injured nerves, and reduce scarring to help patients move freely again.

You do not have to live this way. Here’s who we help:

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Patients with nerve-related pain in the neck, shoulder, or upper back after surgery or injury
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Individuals with radiating arm or shoulder pain caused by nerve compression near the neck
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Patients with post-radiation or scar-related discomfort following cancer treatment
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Those with lower back or sciatic-type pain caused by compression at the piriformis muscle
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Those told their pain is “non-surgical” or untreatable but still seeking answers.
"“After years of failed treatments, I finally found relief. My pain used to travel from my neck into my shoulder and arm—it affected everything I did. The team at The Institute helped me get my life back.”"
— Patient, Nerve Reconstruction for Chronic Neck Pain

Conditions We Treat

Chronic neck and back pain can result from nerve injury, compression, or scarring, not from spinal deformities. Our team identifies whether pain originates in the cervical, thoracic, or gluteal region and develops a personalized surgical plan for lasting relief.
Nerve and Neuropathic Causes
Structural and Musculoskeletal Causes
Post-Surgical and Reconstructive Causes
Reconstructive and Spine-Related Conditions

Nerve and Neuropathic Causes

When nerves around the neck, shoulders, or lower back become compressed or damaged, they can cause radiating or referred pain that limits motion and strength.

Structural and Musculoskeletal Causes

Injury, instability, or degeneration of the spine and surrounding soft tissue can produce chronic pain and stiffness in the neck or back. Learn more about:

Post-Surgical and Reconstructive Causes

Post-operative or radiation-related changes can cause scarring, stiffness, and chronic pain in the neck and back. Learn more about:

Reconstructive and Spine-Related Conditions

Complex nerve and soft-tissue injuries in the neck or upper spine may require reconstructive intervention to restore comfort and motion. Learn more about:

ground-breaking

Advanced Procedures That Relieve Chronic Pain

Our surgeons use leading-edge microsurgical and reconstructive techniques to treat the root causes of chronic neck and back pain, providing lasting relief and improved mobility.
Nerve Reconstruction Surgery
Repairs or reconnects damaged nerves in the neck, shoulders, or spine to relieve pain and restore normal sensation. Read More
Targeted Muscle Reinnervation (TMR)
Redirects severed or injured nerves into nearby muscles to prevent neuroma formation and reduce chronic post-surgical pain. Read More
Regenerative Peripheral Nerve Interface (RPNI)
Uses small muscle grafts to stabilize and protect irritated nerves, improving comfort and reducing nerve sensitivity.
Joint Denervation
Disrupts pain signals from arthritic or damaged joints in the neck or spine while preserving natural movement. Read More
Decompression Surgery
Releases pressure on compressed nerves in the cervical or thoracic spine to relieve pain and restore strength. Read More
Nerve Grafts
Bridges or replaces damaged sections of nerves to reestablish healthy communication between the spine and muscles. Read More
Brachial Plexus Reconstruction
Restores motion, strength, and sensation in the neck, shoulder, and arm after complex nerve injury or trauma. Read More
Reconstructive Surgeries
Repair structural and nerve-related problems that cause chronic neck and back pain, improving alignment and flexibility.
Fat Grafting
Adds soft tissue cushioning to reduce tension and protect sensitive nerves following trauma, surgery, or radiation.
Lymphedema Surgery
Restores healthy drainage and reduces discomfort from chronic swelling or restricted mobility in the neck or upper body. Read More
Wound Debridement / Complex Wound Care
Removes scarred or damaged tissue to promote healing and relieve discomfort caused by chronic inflammation or pressure. Read More

When Others Fall Short, The Institute Offers Answers

Global Leaders in Surgical Pain Management

Chronic pain care requires more than symptom control. It demands deep diagnostic insight, advanced surgical skill, and a commitment to helping patients reclaim their lives. Whether you’ve been searching for answers for months or years, our team offers a unique blend of science, skill, and empathy to help you take back control of your life.

Patients trust The Institute because we provide:

unmatched-icon
Nationally recognized specialists in pain and reconstruction
proven-outcome
Groundbreaking surgical techniques backed by published research
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Expertise in rare and complex nerve conditions
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Collaborative care from multidisciplinary teams
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Personalized treatment plans
proven-outcome
Proven outcomes for patients who’ve exhausted other options
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35
Nerve Surgeries
Performed
20
Peer-Reviewed
Studies Published
250
Global Patients
Served
12
Years Pioneering
Microsurgical Techniques

Want to know how our breakthroughs translate into better outcomes?

Meet Our Surgeons

Behind every successful surgery is a specialist who understands the complexity of neck and back pain. Our world-renowned surgeons bring unmatched microsurgical expertise and an unwavering commitment to helping patients move without pain again.

Michael Rose

Andrew Elkwood

MD, MBA, FACS
Michael Rose

Hamid Abdollahi

MD, FACS
Michael Rose

Peter Andrawes

MD
Michael Rose

Beth Anglin

MD, FACS
Michael Rose

Gary Arishita

MD
Michael Rose

Russell Ashinoff

MD, FACS
Michael Rose

Sean Boutros

MD, FACS
Michael Rose

Anjeanette Brown

MD, FACS
Michael Rose

David Cabiling

MD
Michael Rose

Courtney Carpenter

MD
Michael Rose

Stephen Chagares

MD
Michael Rose

Eric I. Chang

MD, FACS
Michael Rose

Ann Chuang

MD, FACS
Michael Rose

Frank Ciminello

MD, FACS
Michael Rose

Kari L. Colen

MD, FACS
Michael Rose

Ryan Couvillion

MD
Michael Rose

Desiree D'Angelo

DO, FACS
Michael Rose

Joseph Dayan

MD, MBA
Michael Rose

Frank Dellacroce

MD
Michael Rose

George Dreszer

MD
Michael Rose

Stephen Dudick

MD
Michael Rose

Rodion Erenburg

MD
Michael Rose

Berry Fairchild

MD
Michael Rose

Adam Feintisch

MD
Michael Rose

Nicole Ferro

DO
Michael Rose

James Fletcher

MD
Michael Rose

Anton Fries

MD, PhD
Michael Rose

James Frost

MD, FACS
Michael Rose

Amon-Ra Gama

MD
Michael Rose

Andrew Gassman

MD
Michael Rose

Patrick Greaney

MD, FACS
Michael Rose

Ritwik Grover

MD, FACS
Michael Rose

Edward Hahn

MD
Michael Rose

Sanaz Harirchian

MD
Michael Rose

Cassie Hartline

MD
Michael Rose

Sean Herman

MD, FACS
Michael Rose

Zuhaib Ibrahim

MD, FACS
Michael Rose

Lisa Iucci

DO, FACS
Michael Rose

Hari Iyer

MD, FAAOS
Michael Rose

Priya Jadeja

MD, FACS
Michael Rose

Reza Jarrahy

MD, FACS, FAAP
Michael Rose

Santosh Kale

MD, MBA
Michael Rose

Karen Kaplan

MD
Michael Rose

Matthew Kaufman

MD, FACS
Michael Rose

Ergun Kocak

MD
Michael Rose

Arjuna Kuperan

MD
Michael Rose

Chris Lakhiani

MD, FACS
Michael Rose

Peter Ledoux

MD
Michael Rose

Matthew Lynch

MD
Michael Rose

Tyler Merceron

MD
Michael Rose

Ahmed Nasser

MD
Michael Rose

Chet Nastala

MD
Michael Rose

Robert T. Nevitt III

MD
Michael Rose

Oscar Ochoa

MD
Michael Rose

William Ordoyne

MD
Michael Rose

Lauren Otaguro

MD
Michael Rose

Tushar Patel

MD, FACS
Michael Rose

Steven Pisano

MD
Michael Rose

Vaishali Purohit

MD
Michael Rose

Sidney Rabinowitz

MD, FACS
Michael Rose

Deepak Ramesh

MD
Michael Rose

David Rayfield

MD
Michael Rose

Rukmini Rednam

MD
Michael Rose

Michael Rose

MD, FACS
Michael Rose

Adam Saad

MD, FACS
Michael Rose

Nirvana Saraswat

MD
Michael Rose

Ali Seckin

MD, MBA
Michael Rose

Ajul Shah

MD, FACS
Michael Rose

Tzvi Small

MD, FACS
Michael Rose

Mohit Sood

DO
Michael Rose

Scott Sullivan

MD
Michael Rose

Yolanda Tammaro

MD
Michael Rose

Pankaj Tiwari

MD
Michael Rose

Stephen Toran

MD
Michael Rose

Christopher Trahan

MD
Michael Rose

David Tsai

MD, FACS
Michael Rose

Hakan Usal

MD
Michael Rose

Eric Weiss

MD
Michael Rose

Jonathan Weiswasser

MD, FACS
Michael Rose

Lauren Whipple

MD
Michael Rose

Eric Wimmers

MD, FACS
Michael Rose

Whitten Wise

MD
Michael Rose

Mary Jo Wright

MD
Michael Rose

Alex Xu

MD
Michael Rose

Mark Yazid

MD, FACS
Michael Rose

Sarosh Zafar

MD

Your Questions, Answered

Who is a candidate for neck or back surgery at The Institute?

Patients with chronic neck or back pain that has not improved with therapy, injections, or medication may be candidates for surgical relief.

→ Learn more about becoming a patient.

Can nerve surgery help if my pain radiates to my arms or legs?

Yes. When pain travels beyond the neck or back, it often indicates nerve compression or injury that can be corrected surgically.

Do I need a referral for evaluation?

No referral is required. You can contact us directly, though we collaborate closely with referring physicians and specialists.

→ Visit our Insurance and Billing page to learn more.

Do I need a referral to be seen at The Institute?

No referral is required. Patients can contact us directly, though we often collaborate closely with neurologists and primary physicians.

→ For provider-specific referral information, visit our Referrals page.

How long is recovery after surgery?

Recovery times vary depending on the procedure, but most patients experience steady improvement in movement and pain reduction over time.

Does insurance cover these procedures?

Many of our surgeries are medically necessary and covered by insurance. Our financial coordinators confirm all benefits before treatment.

Can these surgeries help with pain from a previous operation or injury?
Yes. Our reconstructive and microsurgical procedures are designed to relieve pain caused by nerve damage or scar tissue from earlier treatments.
What makes The Institute different from other centers?
We are one of the few centers in the world dedicated to advanced surgical treatment for chronic neck and back pain, using techniques pioneered by our surgeons and supported by global patient outcomes.

→ Learn more about why patients choose us.

What to Expect When You Reach Out

We know reaching this point has likely been a long journey. That’s why we make the next step clear and supportive.

1 Consultation

Share your history and symptoms with our specialized team, either virtually or in-person.

2 Evaluation

Our advanced diagnostic tools and extensive expertise help us understand your condition fully.

3 Personalized Care Plan

You’ll leave with a clear explanation of your options and what recovery could look like.

4 Surgery & Support

If surgery is right for you, our team guides you through every step: before, during, and after.
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Get Relief From Chronic Pain

You do not have to live with neck or back pain that limits your life. Our specialists provide advanced care that helps patients move freely and comfortably again.