'listings', // Adjust this to your CPT name 'posts_per_page' => 10, 'paged' => get_query_var('paged') ? get_query_var('paged') : 1, ); $listings_query = new WP_Query($args); if ($listings_query->have_posts()) : while ($listings_query->have_posts()) : $listings_query->the_post(); ?>

$listings_query->max_num_pages, )); else : echo '

No listings found.

'; endif; wp_reset_postdata(); ?>

Add widgets to the Listings Sidebar in your WordPress dashboard.

Pay My Bill
Patient Portal Login
Request an Appointment
Menu

Spine Care

Experience lasting relief and improved mobility with our advanced spine care solutions. Designed to support spinal health, our treatments focus on reducing pain, enhancing flexibility, and promoting long-term wellness. Whether through targeted therapies, expert-guided rehabilitation, or innovative pain management techniques, we help you regain comfort and confidence in daily movements. Take the first step toward a healthier spine and a more active life.

4.9 stars 4.95 out of 5 (1611 reviews)  About star rating

Extensive Spine Care

At OIP, our orthopedic spine specialists prioritize conservative treatments, with surgery reserved as a last resort. In fact, over 95% of our patients find relief without surgical intervention.

Back and neck pain are common, often caused by injuries, degeneration, or arthritis. Most cases improve with rest and over-the-counter medications. However, if pain persists beyond two weeks or becomes severe, it’s essential to seek evaluation from a spine specialist.

Our expert team thoroughly assesses each patient using advanced diagnostic tools, including digital X-rays, MRIs, CT scans, and EMGs, to pinpoint the source of pain and recommend the best course of treatment.

Common Conditions We Treat

Our experienced spine surgeons specialize in treating complex spinal conditions, including:

  • Scoliosis
    Abnormal curvature of the spine.
  • Spondylolisthesis
    When a vertebra slips out of place.
  • Spinal Stenosis
    Narrowing of the spinal canal, causing nerve compression.
  • Disk Herniation
    A ruptured or bulging disc pressing on nerves.
  • Spinal Tumors
    Abnormal growths within or near the spine.
  • Infections
    Bacterial or viral infections affecting the spine.
  • Fractures
    Broken or cracked vertebrae due to trauma or osteoporosis.

Need specialized help?

We also care for many patients with other less common conditions.

Request an Appointment

Non-Surgical Treatments

At OIP, we prioritize conservative treatments for back and neck conditions, focusing on non-surgical options such as activity modification, medication, home exercises, physical therapy, cortisone injections, nerve blocks, and bracing. If surgery becomes necessary, our specialists will thoroughly discuss all available options, following a “less is better” approach. Whenever possible, we utilize minimally invasive techniques or microsurgery to promote faster recovery and less discomfort. For more complex cases requiring a significant operation, our surgeons provide a detailed explanation of the procedure, post-operative expectations, and recovery timeline, ensuring you feel informed and confident about your treatment plan.

Advanced Spine Surgery

Our surgeons combine extensive experience with cutting-edge technology to provide the best possible spine care. We specialize in a range of advanced surgical techniques, including:

  • Microsurgery – Relieves nerve pressure from herniated discs or arthritis, often performed as an outpatient procedure     
  • Minimally Invasive Surgery – Uses smaller incisions for faster recovery and reduced downtime.
  • Kyphoplasty – A no-incision procedure to treat spinal compression fractures from osteoporosis, often providing immediate pain relief with an overnight hospital stay.
  • Disc Replacement Surgery – A modern alternative to fusion that preserves spinal movement, depending on individual suitability.
  • Laminectomy & Spinal Fusion – Utilizes the latest techniques to improve recovery from back surgery.
  • Deformity Correction – Treats spinal curvatures such as scoliosis, kyphosis (hunchback), and lordosis (straight back).
  • Motion Preservation Technology – Maintains natural spine movement after surgery, offering an alternative to fusion.

Your surgeon will discuss the best treatment options with you, ensuring you play an active role in your care plan.

Call 717-761-5530 to schedule an appointment at our orthopedic spine center in Central PA!

Spine Care Specialists

Patient Testimonial

After my hip replacement, I was worried about how long it would take to get back on my feet. The rehab team at OIP was fantastic. They guided me every step of the way, and I’m now walking without any pain!” Brian B., York, PA

Brian B., York, PA

Main: 717-761-5530 / Orthopedic Injury Clinic: 855-OUCH-OIP

Appointments

About OIP

For Providers

Specialties & Services

For Patients

Locations

OIP Affilations

Copyright © 1971 – 2025 Orthopedic Institute of Pennsylvania. All Rights Reserved.

Medical Web Design by iCreativeMedical

For Providers

For Patients

About OIP

Locations

Appointments

MRI Upper Extremity (Shoulder, Upper Arm, Elbow, Forearm, Wrist, or Hand) Preauthorization Documentation Guidelines

1. Suspicious mass or tumor
      a. On initial evaluation or follow up
2. Staging of known cancer
3. Suspected or known infection (septic arthritis or osteomyelitis)
4. Suspected Osteonecrosis
5. Evaluation of Rheumatoid Arthritis or other autoimmune diseases
6. Evaluation of Post-op Complications
      a. Infection, delayed union, other
7. Suspected fracture with prior imaging non-diagnostic
8. Abnormal bones scan with non-diagnostic Xray
9. Significant injury with suspected ligament, cartilage, tendon, nerve or bone injury with non-diagnostic prior imaging
      a. Suspected massive rotator cuff tear
10. Evaluation of pain or more minor injury with initial imaging non-diagnostic:
      a. Pain lasting 3 months or greater
      b. Failed conservative therapy: Must include each one:
           i. Rest: modified activities or assistive devices/rigid splints or braces
           ii. Ice or heat
           iii. Medications and/or injections
           iv. Physical therapy or a physician directed home exercise program
           or chiropractic care
                1. Document instructions given
                2. Document compliance and results
                3. Document duration and dates

MRI Spine Preauthorization Documentation Criteria

1. Tumor, masses, or cancer: suspected or known
2. Neurological Deficits
3. Trauma or acute injury
       a. With neurological deficits
       b. With progressive symptoms during conservative treatment
4. Infection: known or suspected
5. Inflammation: Ankylosing Spondylitis
6. Pre-op Evaluation
7. Post-op Complications
8. Acute or Chronic Axial or radicular pain
       a. Pain lasting 6 weeks or greater
       b. ADLs must be affected
       c. Progressive neurological deficit or an abnormal EMG
             i. Must document specific dermatome, muscle weakness, reflex
abnormalities
       d. Failed conservative therapy: Must include each one:
             i. Rest: modified activities or bracing
             ii. Ice or heat
             iii. Medications, acupuncture or stimulators
                   1. Specific name of medication start date and duration and
                   results
             iv. Epidurals or other injections (not trigger point injections)
             v. Physical therapy or a physician directed home exercise program
             or chiropractic care
                   1. Document instructions given
                   2. Document compliance and results
                   3. Document duration and dates

MRI Pelvis Preauthorization Documentation Criteria

1. Musculoskeletal Pelvic MRI:
     a. Mass or tumor
    b. Significant injury to rule out fracture or other injury
    c. Osteonecrosis of hips
    d. Sacroiliitis
    e. Sacroiliac joint dysfunction
    f. Pain lasting 3 months or greater
    g. Failed conservative therapy: Must include each one:
            i. Rest: modified activities or assistive devices/rigid
            splints or braces
            ii. Ice or heat
            iii. Medications and/or injections
            iv. Physical therapy or a physician directed home
            exercise program or chiropractic care
                    1. Document instructions given
                    2. Document compliance and results
                    3. Document duration
    h. Persistent Pain not responsive to 4 weeks of conservative treatment

2. Prostate Cancer Evaluation, follow up, and surveillance

3. Mass or Tumors

4. Cancer detection, staging, or surveillance
    a. 3, 6, or 12 month follow up

5. Infection:
        a. Appendicitis
        b. Diverticulitis not responding to conservative care
        c. Inflammatory bowel disease
        d. Abscess suspected
        e. Fistula
        f. Abnormal fluid collection

6. Pelvic Floor failure

7. Uterine abnormalities

8. Undescended Testes

9. Pre-op Evaluation

10. Post-op Complication

MRI Lower Extremity (Hip, Knee, Leg, Ankle, or Foot) Preauthorization Documentation Guidelines

1. Suspicious Mass or Tumor
       a. On initial evaluation or follow up
2. Staging of known Cancer
3. Known or suspected infection
4. Suspected Osteonecrosis or Legg-Calve-Perthes Disease
5. Suspected SCFE, tarsal coaltion
6. Evaluation of Post-op complication:
       a. Infection, delayed union, other
7. Suspected fracture with prior imaging non-diagnostic
8. Abnormal bone scan with non-diagnostic xray
9. Significant injury with suspected ligament, cartilage, or bone injury
10. Evaluation of pain or more minor injury with initial imaging negative:
       a. Pain lasting 3 months or greater
       b. Failed conservative therapy: Must include each one:
             i. Rest: modified activities or assistive devices/rigid splints or braces
             ii. Ice or heat
             iii. Medications and/or injections
             iv. Physical therapy or a physician directed home exercise program orchiropractic care
                  1. Document instructions given
                   2. Document compliance and results
                   3. Document duration

MRI Chest Preauthorization Documentation Guidelines

1. Mediastinal or hilar mass
2. Myasthenia gravis with suspected thymoma
3. Brachial Plexus Dysfunction
4. Thoracic/Thoracoabdominal aneurysm
5. Suspected or confirmed Congenital Heart Disease
6. Thoracic Outlet Syndrome

MRI Brain Preauthorization Documentation Criteria

1. Suspected or known MS
2. Seizure disorder, known or suspected new or refractory
3. Suspected Parkinson’s disorder
4. Neurological symptoms or deficits
     a. Acute, new or fluctuating deficits
5. Mental status changes
6. Trauma to the head with neurological changes, vomiting, headache
7. Evaluation of headaches
      a. Chronic with change in pattern/character
      b. Sudden onset severe headache
      c. New onset headache in pregnancy
8. Suspected brain tumor or cancer
9. Known or suspected stroke
10. Suspected Infection
11. Suspected Congenital abnormality
12. New onset tinnitus or vertigo associated with visual changes

MRI Abdomen and MRCP Preauthorization Documentation Criteria

MRI
1. Suspicious Mass or Tumor
2. Surveillance of Mass, Tumor, or Cancer    
      a. 3, 6, 12 month follow up
3. Suspected infection:
      a. Appendicitis
      b. Peritonitis
      c. Pancreatitis
      d. Inflammatory bowel disease
      e. Cholecystitis
      f. Abscess
      g. Fistula
      h. Hepatitis C
4. Preoperative Evaluation
5. Post-op complication

MRCP
1. Suspected Congenital Abnormality
2. Chronic pancreatitis or related complications
3. Biliary tree symptoms
4. Pre-op Evaluation
5. Post-op complication or surveillance
6. Inconclusive abnormalities identified on other imaging