Award-winning back and spine center in central Virginia

Accredited for spinal fusion by the nation's leading authority on quality of care, The Joint Commission, our expert spine surgeons stay at the forefront of medicine, using advanced tools and techniques, including biologics and stem cells, for spine surgery. In fact, Parham Doctors’ Hospital is the first hospital in the state of Virginia to offer a new breakthrough, minimally invasive treatment for patients with chronic low back pain. That means our spine surgeons and neurosurgeons perform the most complex procedures in the region.


Back Surgery Five-Star Recipient - Healthgrades 2020

You want the finest care, most advanced tools and techniques and the most experienced team working together to resolve your back or neck pain. Recognized by Healthgrades as a Five-Star Recipient for Back Surgery, Parham Doctors’ Hospital is the best choice in Richmond, Virginia for the highest quality orthopedic care and nonsurgical and surgical spine treatments.

Patients also choose us for:

  • Multispecialty care from a team dedicated to you. Our team includes board-certified and fellowship-trained doctors and orthopedic surgeons, neurosurgeons, physiatrists, anesthesiologists, pain management specialists and family practitioners who work together to provide whole-patient care.
  • Compassionate care throughout the journey. We’re here every step of the way with case management and care coordination customized to your needs.
  • Advanced diagnostic imaging tools. Including the 3.0 Tesla MRI, Parham offers an open MRI and a large-opening CT scanner with tumor localization that allow for more precise diagnosis and treatment.
  • Specialized programs before and after surgery. In addition to advanced diagnostics, our hospital also offers pain management services and both inpatient and outpatient rehabilitation from licensed therapists who understand spinal conditions. This means you can get everything you need in one place, from one team.
  • Care in a full-service hospital. If you need surgery, it’s at a hospital with all the services and amenities you need for a comfortable recovery.
To learn more about our spine care services, call (804) 320‑3627.

Neck and back conditions we treat

Back or neck pain is caused by damage from injury, disease or wear and tear to the spinal bones (called vertebrae), muscles, nerves, discs (cushion between the vertebrae) or tendons. Pain can happen in the cervical (neck), thoracic (middle) or lumbar (lower) areas of the spine.

The orthopedic and spine teams at Parham Doctors’ Hospital use a multispecialty approach to diagnose and care for your condition. We treat a wide range of chronic low back and spine conditions, including:

  • Bone spurs — Bone overgrowths
  • Chronic low back pain — Evidence of inflammation of bone marrow next to the disc
  • Degenerative disc disease — Breakdown of the discs
  • Herniated discs — Ruptured or bulged discs
  • Osteoarthritis — Cartilage in the joints wears down
  • Sciatica — Nerve irritation
  • Scoliosis and kyphosis — Spinal curvature
  • Spinal stenosis and myelopathy — Narrowing of the spinal canal
  • Spinal tumors and cancer — Growths in or around the spinal column or cord
  • Spine fractures — Caused by trauma, injury or arthritis
  • Spine infections — Osteomyelitis
  • Spondylolisthesis — One vertebra slips over another
  • Sports injuries — Caused by repetitive movements or trauma

Nonsurgical and minimally invasive back and neck treatment

We evaluate your overall health and lifestyle to recommend safe and appropriate treatments. Parham offers nonsurgical and minimally invasive therapies, such as:

  • Physical therapy and rehabilitation — Strengthens and stabilizes the core using medically supervised plans developed by board-certified physical therapy doctors called physiatrists
  • Spinal injections — Involves image-guided technology to deliver medications to relieve pain and reduce inflammation; includes epidural steroid injections, facet joint injections, sacroiliac joint injections, nerve blocks and trigger point injections
  • Radiofrequency energy and heat ablation procedures — An outpatient procedure that targets the basivertebral nerve for the relief of chronic low back pain. Instruments are guided through a small incision and radiofrequency energy, or heat, then ablates the basivertebral nerve to stop the transmission of pain signals.
  • Nerve stimulation techniques — Delivers low-voltage electrical current to relieve pain, as in transcutaneous nerve stimulation (TENS) therapy and implanted peripheral nerve stimulation (PNS) devices
  • Kyphoplasty — An outpatient, minimally invasive procedure used to treat compression fractures of the spine and help correct bone deformity

Advanced spine surgery

The renowned spine surgeons at Parham are leading the way in spine surgery. We’re continually finding new and better ways to treat spine conditions, using bioresorbable spinal implant devices (short-term, corrective frames that gently dissolve) and spinal tissue regeneration and pioneering techniques for cervical spine disorders. In fact, we were the first in central Virginia to perform cervical artificial disc replacement.

We offer a variety of spine surgeries including:

  • Digital biplane angiography (3DBRA) — Advanced imaging that creates a roadmap of your blood vessels to precisely locate and treat injury
  • Discectomy/microdiscectomy — Removes all or part of the disc, or the cushion between the vertebrae
  • Laminectomy or laminotomy — Removes part of the back bone which covers the spinal canal to relieve pressure on the spinal nerves — often performed with spinal fusion surgery
  • Foraminotomy — Removes bone or tissue to open the space where the nerves leave the spinal canal, sometimes also performed with spinal fusion surgery
  • Disc replacement surgery — Replaces a damaged disc with an artificial one—includes cervical and lumbar disc replacement procedures, such as 2-level cervical disc replacement for degenerative disc disease and anterior (front) cervical discectomy and fusion techniques
  • Kyphoplasty/vertebroplasty — Treats spinal fractures, eases pain and restores height. Kyphoplasty uses a balloon to create a space, which is filled with medical cement. In vertebroplasty, medical cement is injected into the spongy vertebral bone
  • Spinal fusion — Increases spine stability by joining two vertebrae using bone grafts and sometimes implants, such as rods and screws. We offer XLIF, or eXtreme Lateral Interbody Fusion, a minimally invasive technique to access the spine through the side (lateral). We also use bioresorbable implants that eventually disappear