Category Archives: blog

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Understanding PSIS


The PSIS, or Posterior Superior Iliac Spine, is one of the three major components of the hip bone. Unlike most other major bones, it is not palpable and is instead recognized by a small dimple directly above the buttock. Patients experiencing severe and chronic lower back pain are often suffering from an injury to the PSIS. This article will provide an overview of the PSIS, an explanation of what it does, and an understanding of possible pain causes and treatments. If you’re suffering from pain in this region, contact a Spine Care NJ specialist to be properly diagnosed and to discuss the benefits of minimally invasive spine surgery today.

What Is The PSIS?

Your Posterior Superior Iliac Spine is one of the three bones that make up the hip. As mentioned above, it is marked by a small dimple directly above the buttock and is responsible for providing an attachment for the posterior sacroiliac ligament, the sacrotuberous ligament, and the thoracolumbar fascia. In a nutshell, the PSIS is the crux of your hip bone and allows for major ligaments to attach to it and connect the rest of the body.

Understanding PSIS Pain

Generally felt directly above the buttocks, the PSIS is responsible for what is referred to as Sacroiliac Joint Dysfunction and can leave sufferers in tremendous amounts of pain. Typically, the pain will be felt in one or both buttocks, but can radiate up and down the legs. In most cases, the pain is described as achy and dull and is often worse in the morning and relieved with physical movement.

PSIS Pain Treatment Options

The most common treatment option for PSIS localized pain is a pain-blocking injection. In this procedure, a trained and experienced spine care specialist will use imaging to isolate the pain area before injecting a numbing agent that serves to “block” the pain signals. For most patients, this offers an effective, non-surgical solution to chronic pain in their thighs and buttocks.

Contacting A Spine Care Specialist

If you’ve been experiencing persistent pain in the buttocks or thighs and have not been able to experience relief through over the counter medications or physical movement, contact a specialist at Spine Care NJ today. Our team will review your medical history, perform a thorough physical evaluation, and diagnose the cause of your pain. Once diagnosed, your treatment options will be laid out for you, and we will work with you to find the most minimally invasive treatment solution possible. Call us today to request an appointment.

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Osteoporosis and Back Pain

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If you’re over 60 and experience sharp back pain when moving, there’s a good chance a compression fracture caused by osteoporosis could be to blame. If you haven’t, are under 60, and don’t want to experience this pain, read on anyway–because this is one of those many situations where prevention is the best medicine.


Osteoporosis means your body produces too little bone mass or loses too much, resulting in brittle bones that are extremely vulnerable to injury. Research suggests that as many as one in two women and one in four men over the age of fifty will break a bone due to osteoporosis.

Compression Fractures

Vertebral compression fractures are broken vertebrae. They are most commonly caused by osteoporosis, though other causes include certain cancers and trauma. In some cases, prednisone, a steroid-based medication that can soften bone, may also be to blame.

Compression fracture pain is often described as feeling like a painful muscle spasm. The pain is experienced when moving, and subsides when the patient is still.


No matter what your age, there are ways you can minimize your risk for osteoporosis.

Nutrition: Incorporate vitamin D and calcium rich foods into your diet.

Exercise: Exercise regularly and safely–certain activities, like weight lifting, can be detrimental or put you at risk for injury if done incorrectly.

Testing: If you’re over 50, consider getting a bone density test. Consult this guide for details.

Supplements & Medications: Consult a physician and/or professional nutritionist to see if calcium or vitamin D supplements could be right for you. For some patients, bone-bulking bisphosphonate medication may also be helpful.


Typically, the first step is to treat the pain caused by compression fractures, usually with medication, followed by bed rest. Once the patient has some relief, they may be prescribed physical therapy or fitted with a brace.

If these more conservative options don’t work, surgery may be suggested. Some of the surgeries used to treat compression fractures include  kyphoplasty, vertebroplasty, and spinal fusion.

Worried you may be suffering from compression fractures? Request an appointment with our spine care professionals.

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Three Signs It’s Time to Seek Medical Attention for Your Backache

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For many of us, back pain a fact of life–the student recovering from marathon study sessions in an unforgiving library chair, a young professional burning the midnight oil and under stress, parents or grandparents hauling babies around, or simply an active, happy person enjoying any number of favorite activities. Stress, poor posture, heavy lifting, and overexertion are all common back pain culprits.

Most of our movements cycle through the back one way or another–and when it’s in pain, the quality of life impact can be devastating. Worse, a achy back can be a sign of a more serious problem. If you experience any of these warning signs, please contact a medical professional immediately.

No Improvement After 72 Hours of TLC

Take time to treat back pain as soon as it starts. Use basic at home remedies. These include rest, pain relievers like ibuprofen, lots of water, and alternating hot or cold treatments. Moderate exercise may be indicated if you suspect your pain is related to stress or a sedentary lifestyle. Listen to your body and give it the care it needs. After three days of R&R, if your symptoms have worsened or failed to improve, schedule an appointment with a medical professional ASAP. Don’t take chances when it comes to your spine!

Pain Extending to The Leg

Sciatica, or back pain that extends down the spine to the leg, is a sign to seek health care immediately. Sciatica is often caused by a herniated disc pressing on the central nerve of the spine, the sciatic nerve. Other signs of sciatica include a sharp pain that makes it difficult to stand or walk, pain that it worse when sitting, and numbness or weakness in an lower extremity. Generally, the pain is experienced in the spine and radiates down one side of the lower extremities. Fortunately, permanent damage to the sciatic nerve is rare. Reduce your risk– and get relief–by seeing a specialist immediately.

Any Other Accompanying Symptoms

Pay attention to other symptoms accompanying your back pain. Back pain occurring in conjunction with a fever, loss of bladder or bowel control, and back pain when coughing is cause to seek medical attention.

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Five Tips to Recover From Surgery Faster, Stronger, and Better Than Ever

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Surgery is, as is any invasive treatment, a big deal. Make the most out of yours by taking steps toward an effective, complete recovery.

Think of Surgery as an Investment

Surgery is an investment. You have invested your time, money, emotional and physical energy into this. Chances are, your loved ones have, too. That’s why it’s important to think of it as more than just a cure or solution. It’s something to get the most value out of you possibly can. This may sound obvious now, but sometimes it’s easy to get impatient, or to be so excited for any improvement we forget to think of surgery as an ongoing investment–one we can make even more worthwhile with the right lifestyle choices.

Follow a Comprehensive Post Surgery Plan

Don’t just do the bare minimum. Consult with a specialist to explore all your options to aid in your recovery. These may include physical therapy, holistic medicine, or nutrition consulting. Remember: your surgeon is on your side. They want you to experience the best possible outcome. If you have insurance limitations or scheduling issues, don’t be shy about bringing them up to find a strategy that you can stick to.

Beef Up Your Protein Intake

Nutrition is essential to recovering from surgery. Protein is especially vital to rebuilding and repairing muscles and other tissue. Fish, chicken, and other lean proteins are obvious health food picks. Kale, that trendiest of greens, is also a surprisingly rich source of protein as well, and can be quite tasty (really! we promise!) when blended in a smoothie or prepared using one of these recipes.

Hydrate, Hydrate, Hydrate

Chances are, you’re well aware of the need to drink more water– 2-3 liters for a healthy adult. Try these tips to remind yourself to drink up. A hydrated body is better prepared to recover.

Join A Support Group

Ask your doctor about support groups for patients recovering from surgery in your area, see if there are group classes for recovery patients at your physical therapy center, or try online forums, like this one. Spine surgery, back pain, and recovery can all be exhausting, isolating experiences–it’s nice to have someone who’s been there to share with. Do keep in mind that you should never follow medical advice, including tips for stretches or exercises, without consulting your physician first.

We hope these tips help! It takes courage to commit to surgery. Our team is honored to work with individuals who have taken this important step in improving their lives, and are dedicated to helping you live a healthier, happier life.

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Eat Your Way to a Healthier Back: Summer Edition

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Good nutrition is a great way to give your back as much support as possible. Take a minute to learn about some especially important nutrients and summery ways to get them!

Calcium is essential for young children to develop strong bones, and just as crucial for adults wishing to maintain bone density. Calcium is also important for muscle function. It’s found in high concentrations in dairy products, broccoli, kale, and other leafy greens.

The Summer Solution: A fruit and yogurt parfait — the perfect light, filling breakfast for any morning. Bonus tip? Mix a small about of blackstrap molasses in with your yogurt prior to adding other ingredients. Just one tablespoon provides almost 20% of the average daily calcium recommendation.

Vitamin K

To use calcium, your body needs vitamin K. It can be found in dairy products, liver, and leafy greens such as kale and spinach.

The Summer Solution: Roasted Pepper and Parsley Tabouleh. The parsley base is very high in vitamin K. This makes an easy to pack lunch–add some whole wheat pita bread for an especially satisfying combination.

Vitamin D
Your body needs vitamin K to use calcium, but first it needs vitamin D to absorb calcium. While too much vitamin D may put you at increased risk for bone fractures, so it’s best to get this one in more modest portions.

The Summer Solution:
Head outside! Time in the sun is a great way to get vitamin D. While you’re out there, start up the grill for these next two recipes.

Vitamin B12
Your body needs vitamin B12 for a functioning brain and nervous system, and to form blood. It’s vital to a range of cellular level metabolic processes, and a deficiency can lead to a variety of unpleasant symptoms affecting the muscles and more. It can be found in animal products, such as poultry, fish, and milk.

The Summer Solution: Grilled salmon with lemon, capers, and rosemary cooked in foil. It’s a healthier–and totally delicious–alternative to typical grilled fare.

Vitamin A
Vitamin A helps repair tissue and aids in the formation of bone, both very important for anyone recovering from an injury. Find it in dairy products, orange fruits, vegetables, and tubers like sweet potatoes and carrots.

The Summer Solution: Barbeque baked sweet potatoes. It’s a lighter, summer-fied take on the classic baked potato, and a cinch to grill. Bonus points when you swap out sour cream and butter for Greek yogurt and olive oil.


Vitamin C
Like vitamin A, vitamin C is vital to the healing process. Vitamin C is necessary to produce collagen, which aids cells to form new tissue. It’s found in many fruits, including citrus, spinach, red and green peppers, and more.

The Summer Solution: Strawberry kiwi vitamin C pops. These are pretty and packed with vitamin C–beautiful inside and out!

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Three Spine-Saving Exercises and Stretches You Can Do In The Water

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Need a good excuse to head to your local pool? Do it for your back. Exercising or stretching in water is a great way to get the benefits of physical therapy while minimizing the weight put on your spine, thus reducing your risk of injury. Here are some exercises to try:

*Please note that we do recommend consulting your therapist or physician for a more tailored regimen specific to your needs, and to confirm that any exercises listed are safe given your condition and overall health.


Knee to Chest: With your back against the pool wall, gently raise your knee to your chest, hold, and repeat.

Sit and Swing: “Sit” With your back facing the corner of the pool and your arms on the edge or ledge supporting your weight. Bend your knees, and use your hips and lower back to rotate slowly from side to side. Check out the first fifteen seconds of this video for a good example.

Water Walking or Side Stepping: Walking in hip to waist deep water is a great way to strengthen muscles that take pressure off your spine. Need extra support? Try side stepping: facing the wall, walk sideways along it, as shown.

Prone Floating: The ultimate sun bather’s spine exercise. Simply lay prone on your stomach, with swim noodles supporting your arms, neck, face and feet.

Aqua Aerobics Routine: Aqua aerobics is a great, low impact way to get a quality workout. A typical routine may cover many of the moves described above. It also will help you build muscles in your core and legs to help provide better support for your back, which in turn may reduce your risk of injury. Look for classes in your area, or check out this video series for some beginners lessons.

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An Introduction to Non-Operative Spine Care Treatments

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Non-Operative Spine Care TreatmentsMost people will experience back pain at one point in their lives. For many, this condition will be temporary and mild, presenting minor inconvenience or discomfort. For others, back pain can be a more serious concern. In either case, prompt attention from a spine care professional can be the key to a rapid recovery. Though a wide range of causes can result in back pain, a focused set of comprehensive treatments can address almost all the problems a patient’s spine may have. While some such treatments involve spine surgery procedures, many are non-operative and can be performed within a single visit. The spine pain specialists at Spine Care New Jersey are trained to explore all possible options for spine treatment, choosing the technique that best suits a patient’s needs.

Available non-operative treatments from Spine Care New Jersey include massage, acupuncture, bracing, and physical therapy, as well as epidural and transforaminal steroid injections. All of these treatments can alleviate back pain and restore optimal spine health without the need for surgery. When an operative treatment is the most appropriate method available, Spine Care New Jersey’s experts, led by spine health expert Dr. Grigory Goldberg, will provide a quick diagnosis, immediate pain management, and a safe, effective procedure. Contact Dr. Goldberg today to find out more about available non-operative and surgical treatments in spinal health.

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Workplace Health: Posture and Spine Care Tips

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spine-servicesSpine health is a major concern for the modern workforce. The office lifestyle, with its long hours spent at a desk, can be taxing on the spine, causing discomfort, pain, and even more serious conditions over the long term. Thankfully, today’s office workers can take some simple steps to reduce the impact of a sedentary job and ensure their spine stays in good health.

First and foremost, simple awareness can go a long way. Check your posture and stance throughout the day to gauge whether your shoulders are at equal heights. With a full length mirror, you can further adjust your posture to ensure your ankles, knees, hips, shoulders, and ears are all aligned in the same straight vertical. You can make sure you’re sitting ergonomically by placing both feet flat on the floor and supporting your spine with the cushion of your seat. Place any necessary office items within easy reach to keep from straining your shoulders, neck, and back, and place your monitor where you can see it without straining your neck, back,  or eyes.

Even a little standing makes a meaningful change, so look for opportunities to have a standing meeting, take a phone call up on your feet, or enjoy a short walk as a break from work. These methods can help preserve good spine health, but some persistent issues will require professional attention. For these concerns, Spine Care New Jersey is available to help: call or write today with any questions.

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Three Types of Spine Conditions

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spine conditionsAlmost everyone will experience back pain at some point in their lives. The spine is an essential part of the body, responsible for optimal function across the full range of everyday motion and activity. Spine conditions are common among all patients and especially significant for athletes, who rely on good spine health to stay competitive. Yet many causes can contribute to spine conditions, including aging, a sedentary lifestyle, serious physical activity like heavy lifting, or degenerative diseases like osteoporosis. Since back pain is so common, many patients do not seek out a medical professional at the onset of back pain symptoms. If these symptoms persist beyond a few weeks, however, or if the pain is especially severe, visiting a spine care expert is critical in preventing further problems and restoring mobility.

At Spine Care New Jersey, Dr. Grigory Goldberg treats all spine conditions, addressing any back pain concerns with the latest techniques and most accurate knowledge. Spine issues generally fit into one of three major categories: correctly identifying the condition in a given case can help spine doctors provide the most suitable treatment from the outset. Sudden, or acute injuries, such as torn or ruptured discs, compressed nerves, fractures, and dislocations, require prompt attention for optimal healing. Chronic diseases like spine stenosis or degenerative disc disease need regular monitoring to prevent any further issues. Overuse injuries, common to workers who lift weights or use their bodies in uncomfortable positions, are unique in their complications and need a practiced expert for extended care. Spine Care New Jersey features more information on these conditions and on Dr. Goldberg, who is a specialist prepared to handle any of these and many more spine care injuries for his community of patients.

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Welcome to Spine Care New Jersey

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spine-conditionWelcome to Spine Care New Jersey, the online portal for Dr. Grigory Goldberg, M.D., FAAOS. Among the foremost orthopedic specialists in the area, Dr. Goldberg serves as an authority in his field and provides his patients with care at the absolute highest standard. Dr. Goldberg specializes in restoring mobility and function through minimally invasive surgical procedures as well as non-surgical treatments, both informed by the latest research in the field of spinal health. At Spine Care New Jersey, Dr. Goldberg allows current and prospective patients a convenient means to contact the practice with any questions, as well as an ideal destination for newcomers to learn more about available treatment options.

The Spine Care New Jersey blog will feature regular updates from the practice as well as curated spine health knowledge from throughout the medical field. Those interested can keep up with Spine Care New Jersey blog posts and find the practice on social media to learn more. Dr. Goldberg is eager to connect with satisfied patients past and present as well as meet new people and make a difference in even more cases as 2015 proceeds. Spine Care New Jersey is a brand new way for locals in Freehold and throughout the region to learn key information, schedule appointments, and improve their lives every day.

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