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Precise Diagnostics for Effective Back Pain Management in NJ

At Progressive Spine & Orthopaedics, we understand how persistent neck, back, and joint pain can steal the joy from everyday life. Led by board‑certified orthopedic and spine surgeon Dr. Joshua S. Rovner and supported by non‑surgical specialist Dr. Montero‑Cruz, our team begins every journey with the least invasive, most effective solutions available. Our goal is simple: pinpoint the true source of your pain and restore your active lifestyle before surgery is ever on the table.

Progressive Spine & Orthopaedics Progressive Spine & Orthopaedics

Your Personalized Evaluation

Every treatment plan starts with an in‑depth consultation and advanced imaging to identify the precise cause of your discomfort. Once we understand why you hurt, we create a tailored strategy that may combine lifestyle coaching, targeted therapies, and precision‑guided procedures—all designed for maximum relief and minimal downtime. Discover compassionate, expert-led pain management in NJ.

Conditions We Treat Non‑Surgically

  • Lower back & neck pain
  • Sciatica and nerve compression
  • Arthritic joint pain (knee, shoulder, hip, elbow)
  • Muscle spasms & myofascial pain
  • Degenerative disc disease
  • Sports injuries & overuse syndromes
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Lifestyle & Ergonomic Coaching

Sometimes the biggest culprit is how you sit, work, train, or even scroll your phone. We help you adjust:

  • Activity modification & rest when flare‑ups strike
  • Posture training and ergonomic work‑station design
  • Movement education to lift, bend, and exercise safely

Medication & Topicals

For many patients, conservative medication can quiet inflammation and ease muscle tension while deeper healing takes place. These may include:

  • OTC relief like acetaminophen or NSAIDs (Aleve®, Advil®, Motrin®)
  • Topical options such as lidocaine patches, Voltaren® gel, and capsaicin cream
  • Prescription agents or stronger NSAIDs, muscle relaxants, oral steroids, and other physician‑directed therapies

Image‑Guided Injections & Ablation

Trigger Point Injections

  • Ideal for: muscle knots in neck, shoulders, back, arms, legs
  • How it Works: Medication relaxes tight bands, boosts blood flow, and calms inflammation.

EMGs

  • Ideal For: Nerve compression, pinched nerves, or issues affecting muscle control.
  • How it Works: Electrodes measure nerve signals to pinpoint dysfunction. Dr. Montero uses them to identify the source of nerve or muscle issues.

Nerve Root Blocks

  • Ideal For: Diagnostic & therapeutic relief
  • How it Works: Steroid/anesthetic placed where the nerve exits the spine to confirm—and calm—the pain source.

Radiofrequency Ablation

  • Ideal For: Chronic facet or sacroiliac pain
  • How it Works: Heat deactivates tiny sensory nerves for 6–18 months of relief.

BOTOX® for Pain

  • Ideal For: Chronic migraines, neck spasm, myofascial pain
  • How it Works: Neurotoxin relaxes overactive muscles; results last 3–6 months.

Other Therapies for Back Pain Management in NJ

We work closely with a network of trusted providers to offer these services in conjunction with your care. This collaborative approach ensures you receive comprehensive treatment tailored to your unique needs.

  • Physical Therapy: For Injury recovery, surgical rehab, or chronic pain. Customized exercises help improve strength, flexibility, and long-term function.
  • Chiropractic Care: Best for spinal misalignment, tension, or joint stiffness. Manual adjustments can support mobility and nervous system balance.
  • Epidural Steroid Injections: These are primarily used for disc-related or radiating nerve pain. The anti-inflammatory steroid bathes irritated nerve roots for targeted relief.
  • Facet Joint Injections: Used for localized or arthritic back pain. Steroid + anesthetic calms inflamed facet joints for improved movement.

You Don't Want to Have This Condition - Dr. Bernstein

Watch Us Give a Cortisone Injection with Dr. Porter

What is Chronic Pain?

Chronic pain is defined as a painful condition that lasts more than 12 weeks, according to the NIH (National Institutes of Health). Unfortunately, the source of the pain can be very difficult for a general practitioner to isolate, and a typical treatment is a prescription for pain medication. The reduced range of motion, flexibility, strength, and stamina can lead to disability in many cases. Every effective treatment is tailored to the individual patient – there is no cookie-cutter solution. You deserve to have a pain-free life, and we are here to help.

Chronic Pain: The Facts

Chronic pain affects millions of people across America, and is more common than diabetes, heart disease, and cancer combined. About twenty percent of people -- or a staggering 100 million people -- have had their lives disrupted by pain, whether in sleep, work, or other activity. Many rely upon powerful pain medications to make it through a day – but these medications have some grim side effects.

Our pain management treatments can help you live a happier life, free from the constant need for pain medication.

Statistically, the most common pains reported by patients in America are:

  • Headaches
  • Back pain
  • Arthritis pain
  • Neck pain

We offer cutting edge treatments for these pains and urge you to find out more about our array of non-surgical pain management treatments.

At Progressive Spine & Orthopaedics, we offer our patients an array of the latest generation of treatments for chronic pain, including BOTOX injections, nerve root blocks, and trigger point injections. We are committed to helping you achieve a pain-free life, at last.

Pain Management and Quality of Life

No matter what you do or where you go, your quality of life is greatly reduced if you live with chronic pain. At Progressive Spine and Orthopaedics, our research has led us to an array of highly-effective pain management treatments and techniques to treat chronic pain. Imagine life ahead free from pain, and the ability to sleep comfortably, work without pain, or enjoy your family. Our goal is to identify the underlying cause of your pain and develop a treatment plan that is effective.

Modern Medicine Brings New Hope

Whether you suffer from arthritis pain, muscle spasms, back pain, joint pain, shoulder pain, or other musculoskeletal condition, modern medicine has led to new developments that can successfully address pain -- often without undergoing surgery. We don’t take our responsibility to our patients lightly; we have sought out the most advanced techniques to isolate the source of pain and treat it appropriately.

Progressive Spine & Orthopaedics

Lower Back Pain: A Serious Problem

Lower back pain is debilitating, with about six million people suffering from chronic pain that limits activities – and the ability to enjoy life. Our goal is to identify the most effective treatment and bring you real relief, without powerful opioids or surgery. While some conditions must be treated surgically, many advanced pain management therapies we offer have proven to be exceptionally effective.

State-of-the-Art Pain Management

We believe our patients should have access to the latest developments in pain management. While your condition may require surgery, in many cases it can be avoided with the proper treatment. We invite you to discover our state-of-the-art treatments for musculoskeletal pain.

Progressive Spine & Orthopaedics Progressive Spine & Orthopaedics Progressive Spine & Orthopaedics

Progressive Spine and Orthopaedics: Where Medicine and Technology Meet

Dr. Rovner focuses on providing his patients with the most advanced, least invasive treatments for relief from chronic pain. In many cases, chronic pain can be successfully treated without the need for surgical intervention.

Dr. Rovner is recognized for his high-level skills in spinal surgery, and for using some of the most groundbreaking technology in pain management that New Jersey offers. As an innovator who has access to the most advanced treatments, you can trust that your condition will be addressed with professionalism, compassion, and a personal dedication to helping you achieve a happier, pain-free life going forward.

Progressive Spine & Orthopaedics

Non-Surgical FAQs

How many appointments should I expect?

A typical non‑surgical program spans about six to twelve weeks. Most patients come in weekly or bi‑weekly for therapy sessions and receive one to three precision injections throughout treatment. Your exact schedule depends on your diagnosis, our chosen therapies, and how quickly your body responds.

Is non‑surgical spine care safe for seniors or for teens with sports injuries?

Absolutely. We adjust medication doses, exercise intensity, and brace use based on age, bone density, and growth‑plate status. This ensures safe, effective care for patients from adolescence well into their nineties.

Do I need a physician referral?

For most insurance plans, no referral is required. If your plan does mandate a referral, our staff will guide you through the process.

What should I do to prepare for an injection or ablation appointment?

Unless a cardiologist instructs otherwise, stop blood‑thinning medications (like aspirin or certain supplements) five to seven days beforehand, arrange a driver if sedation will be used, and wear loose clothing that allows easy access to the treatment area.

Can I pair chiropractic care or acupuncture elsewhere with your treatment plan?

Yes. Integrative approaches often enhance results. Just let us know about any outside therapies so we can coordinate timing and ensure they complement, rather than compete with, your spine program.

What happens if non‑surgical options don’t fully resolve my pain?

Fewer than 15 percent of our non‑surgical patients ultimately need surgery. If symptoms persist despite conservative care, you already have direct access to Dr. Rovner’s minimally invasive and robotic surgical expertise. We’ll transition seamlessly to the next level of treatment, armed with precise diagnostic data from your non‑surgical phase.

Ready to Reclaim Your Life?

A pain‑free future begins with a single conversation. Call 201‑820‑0768 or click Schedule a Consultation to start your personalized, non‑surgical spine care plan today.

If you are suffering from back or neck pain, it is crucial for you to receive a professional diagnosis as soon as possible. Dr. Rovner is one of the best spine surgeons in NJ who has the experience and expertise necessary to help patients actualize successful outcomes with orthopedic spine surgery.

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