Neuro-Spine

A herniated disc or a stiff, aching back can turn the simplest parts of your day — getting out of bed, sitting at work, picking up your child — into something you dread. When the pain radiates down an arm or a leg, it's frightening, and it's exhausting. You deserve a clear answer about what's wrong and a real plan to fix it.

At Vanguard Ortho & Spine in Winter Park, our spine team treats neck and back conditions for patients across Orange County and surrounding areas. We start by finding the true source of your pain, then match it to the right treatment — from conservative care to advanced spine surgery.

We offer the full spectrum of care, including bracing, physical therapy, activity modification, targeted injections, and advanced arthroscopic and reconstructive surgery. Every treatment plan is personalized to restore strength, stability, and motion.

Conditions we treat

Our spine specialists care for the full range of neck and back problems, including:

• Herniated Discs & Traumatic Disc Injuries

• Radiculopathy, Sciatica & Nerve Compression

• Spinal Stenosis & Spinal Cord Compression

• Vertebral, Sacral & Coccygeal Fractures

• Whiplash & Spinal Ligament Injuries

• Spinal Instability & Spondylolisthesis

• Facet Joint Injuries

• Sacroiliac (SI) Joint Injuries & Dysfunction

Every successful treatment starts with the right diagnosis. We pinpoint the source of your pain before recommending the best course of care.

Your treatment options

We start with the least invasive treatment that works and move to surgery when it's the right call, following the approach used at leading institutions:

• Physical therapy to relieve pressure, rebuild strength, and improve how your spine moves.

• Medication to calm inflammation and muscle spasm.

• Image-guided injections, such as epidural steroid injections, to reduce inflammation around an irritated nerve.

• Chiropractic care, coordinated with the rest of your team.

When pain or weakness persists despite conservative care — or when there are warning signs — our neuro-spine surgeon discusses surgical options, which may include minimally invasive procedures like microdiscectomy, laminectomy, or, when appropriate, fusion. The goal is always the smallest intervention that gives you lasting relief.

What to expect at Vanguard

A thorough evaluation, a clear explanation of your options in plain language, and a single coordinated plan across our neuro-spine, pain, and chiropractic specialists so you are never navigating your recovery alone.