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Find Relief From Neck Pain, Numbness, and Weakness

Posted on July 12, 2019

It’s crucial to get neck pain treatment as soon as possible to live a pain-free life and prevent the possibility of additional damage.


  1.   Disease — neck pain can be a side effect of rheumatoid arthritis, meningitis, cancer and more.
  2.   Herniated disc — the cushions between vertebrae have a soft nucleus and tough shell. If any of the nucleus matter pushes through the shell, it can compress nerves.
  3.   Spinal stenosis — a narrowing of the spinal canal pinches the nerves. Common to people over age 50,  osteoarthritis results from normal wear and tear, but treatment can relieve symptoms.
  4.   Muscle strains — overworking the muscles by spending too many hours hunched over your electronics or doing too many reps at the gym.
  5.   Whiplash — whenever the head is yanked back and forth quickly, the soft tissues of the neck might get stretched farther than they should.

If you experience acute neck pain plus confusion, drowsiness, fever, headache, light sensitivity or vomiting, cervical spine pain may be just a symptom of a more serious problem. You need neck pain treatment immediately to discover the underlying cause, which may be a medical emergency.


Neck pain treatment always starts with physical therapy. Options include stretching and exercise to relieve pain and increase range of motion; anti-inflammatory medications or muscle relaxants; steroidal injections at the location of the pain. When these don’t do enough, one of these neck pain surgery options may be indicated:

Anterior Cervical Discectomy and Fusion (ACDF) removes one or more herniated discs and joins two adjacent vertebrae together.

Cervical Spine Fusion joins two bones to help stabilize the neck; in some cases, titanium implants or plates join the vertebrae together until new bone grows between them.

Posterior Laminectomy and Laminoplasty reduce pinching on the nerves by removing the thin bony layer covering the spinal canal so a disc can move back into place while removing bone spurs in the canal.

Cervical Corpectomy and Fusion removes a whole vertebra or disc then joins surrounding vertebrae.

Complex Revision of an ACDF removes previously inserted implants and hardware which have failed or inserts new hardware, implants or additional bone grafts.

Dr. Brisson will always explain the details, risks, and benefits of any procedure. After 25 years in practice in Manhattan, Dr. Brisson has earned a reputation few physicians can match for relieving pain. Contact the office today if you need neck pain relief. The sooner treatment starts, the sooner you find relief.

Relieve Neck Pain Without Invasive Surgery

Posted on July 10, 2019

Surgery is always an option when cervical (neck) pain invades your life, but ongoing research has given orthopedists like Dr. Paul M. Brisson, MD, new tools that can reduce or cure neck pain without resorting to the scalpel. We’ll all probably be in pain at some point, due to accident or injury, lifestyle, work habits or just the fact that we’re getting old.

Treatment depends on the source and severity of your pain — most neck pain is a short-term problem that the body heals on its own, with a little help from pain relievers, chiropractic and lifestyle improvements.


Most neck injuries occur in the soft tissues — muscles, tendons or ligaments. Patients describe them as a persistent ache, stabbing or burning; areas sensitive to the touch; numbness and tingling or headaches. To help these small problems work themselves out:

  1. Apply Ice: These are different treatments for different situations. The body often rushes additional blood to an injured area, but, when the body overdoes it and swelling occurs, ice helps reduce blood flow by constricting blood vessels.


  1. Apply Heat: As swelling goes down, switch to heat (via heating pad, hot tub or warm wrap, to loosen muscles and send more blood to the area. Apply it for about 20 minutes at a stretch, several times daily.


  1. Correct Your Posture: Sitting up straight, walking with shoulders high is old, and very sage advice, but there’s more. Tilting your neck forward 20 degrees, like looking at your phone or tablet — puts 30 extra pounds of pressure on your spine. Over time, this can erase the natural curve of your neck, weaken muscles and cause shoulder muscles to tighten, producing create chronic neck pain. Sit with your eyes facing straight forward as much as possible then move around and stretch out regularly.


  1. Exercise: Appropriate exercise strengthens neck muscles, enabling them to do more without pain. Aerobic exercises increase blood flow to soft muscles and tissues of the neck, loosening tight muscles, strengthening weak ones and increasing range of motion. Discuss your goals with your physician, who can help you design a suitable exercise program.


  1. Eat Right, Quit Smoking, Don’t Misuse Drugs: These should be no-brainers, but some people insist on risking their long-term health with bad habits.



Dr. Brisson is a fully-qualified, well-respected member of the New York City medical community, with over 30 years in practice and a skilled staff to back him up. Located just east of Madison Square Park on 25th Street in Manhattan, his practice provides the best service to every one of his patients. If you’re in pain, contact Dr. Paul M. Brisson, MD, today for a consultation. You don’t have to live with neck pain.

We’re All Getting Older, Back Pain Doesn’t Have to Get Worse

Posted on July 10, 2019

Degenerative disc disease may be a natural change in the spine as we age or a result of years of heavy use.  In addition to the intervertebral discs, the vertebrae themselves, the muscles and ligaments (like just about every other body part) wear out as we age. Tension and stress placed on the spine due to work, sports or other activities, can accelerate this damage. In Manhattan, Paul M. Brisson, MD, understands degenerative discs and their treatment like few other doctors. If you choose Dr. Brisson, you can be confident that you’ve chosen the best spine surgery doctor in Manhattan.


Spinal discs are soft, gel-filled tissues which cushion the vertebrae, keeping the bones separate to prevent them rubbing against each other. Degenerative disc disease includes tearing in the disc, also called a disc herniation, and bulging discs, which result in compression of the nerves of the spinal cord. The cartilage and water content of discs also decrease over time, reducing their effectiveness. Any changes to the spinal column will affect the nerves, resulting in localized or radiating pain, numbness, tingling, weakness and a general decreased in motor function or other forms of nerve damage.

Nerve and spinal disk damage are not a time to “just walk it off”, and not conditions that heal themselves.


Degenerative disc treatment must cater to each patient’s individual needs. Dr. Brisson begins with a thorough examination to diagnose each patient’s particular issues. He follows that with conservative methods, including physical therapy, stretching and exercise, which can temporarily relieve the compression of spinal regions. These increases nerve space and decreases back pain, as the nerves are no longer being pinched.

When the basic therapies don’t provide sufficient relief, spinal disc or nerve damage may need surgical treatment. A discectomy or microdiscectomy may be indicated. These require the removing all or some of a herniated disc or discs pressing on the neural tissue. In other cases, artificial disc replacement, a more advanced and more challenging alternative, must be considered.


For over a quarter century, Dr. Brisson has been helping patients with back pain issues.  His skills and experience have earned him 10 consecutive years of recognition by Castle Connolly and many other honors. Contact Dr. Brisson’s office today, to ask any questions or to schedule a consultation then come to NY Spine Care, where you’ll find the highest quality and standard of care for all your spinal issues.

Improving Your Recovery with Bloodless Spine Surgery

Posted on July 10, 2019

Bloodless spine surgery is designed to minimize blood loss and avoid transfusions. Originally developed for patients with religious objections, research now shows that, overall, patients do better post-surgically when they don’t require them. In Manhattan, Paul M. Brisson, MD, has been doing transfusion-free procedures for many years; he has both the skill and experience to deal expertly with your spinal issues.


Patients considering bloodless surgery see numerous possible benefits:

  • Avoiding potential blood reactions and contaminants, including being given the wrong type of blood.
  • Eliminating certain risks of immune responses.
  • Eliminating transfusion-associated circulatory overload (TACO), a result of giving too much blood.
  • Eliminating transfusion-related acute lung injury (TRALI), in which the lungs fill with fluid creating the potential for respiratory failure.
  • Faster recovery and shorter hospital stays, resulting in fewer hospital infections.

There are also potential mid- and long-term effects of blood transfusions. Research on this subject is in its early stages, but some doctors are beginning to see transfusion risks, for some patients, as significant as transplant risks.


In 2012, the Archives of Internal Medicine published a study focused on Jehovah’s Witnesses, who decline transfusions. The study found no greater risk for bloodless cardiac surgery than for patients who chose the traditional route. It also found that, compared to transfusion patients, no-transfusion patients spent less time in the ICU; less total hospital time on average; and had a higher survival rate — 95 percent for Jehovah’s Witnesses versus 89 percent for patients overall.

Likewise, the University of Pennsylvania’s Center for Bloodless Medicine and Surgery noted that blood-management programs help hospitals reduce unneeded blood draws, reducing costs of acquiring and storing blood, which savings can be passed on to patients and insurance companies.


Dr. Brisson has been helping patients relieve back pain for more than 25 years.  He eliminates the need for most transfusions through exceptional surgical skills which have earned him recognition by the Bloodless Medicine and Surgery Institute. He’s also listed with Castle Connolly as one of New York Metro’s Top Doctors — an honor repeatedly earned for 10 consecutive years. When you come to NY Spine Care, you’ll find the expertise and experience you need and the highest quality and standard of care beginning the moment you come through the door. Contact Dr. Brisson’s office today, to ask any questions or to schedule a consultation.

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