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Why You Should Trust Your Urgent Spine Problems to a Spine Specialist

Progressive Spine & Orthopaedics is led by board-certified, fellowship-trained orthopedic spine surgeons who focus their entire practice on spine care. Our team is known throughout New Jersey for:

  • Advanced minimally invasive and robotic spine surgery
  • Expertise in disc replacement, discectomy, and complex spine reconstruction
  • A patient-first, highly personalized approach to every case

Most urgent-care clinics and many emergency rooms lack spine specialists on site and often cannot perform advanced imaging or surgery. In severe cases, they will typically stabilize you and then refer you to a spine surgeon anyway. Coming directly to a center built around spine care can save time, reduce duplicate visits, and get you in front of the right expert faster.

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When is Neck or Back Pain an Emergency?

Not all spine pain is an emergency. Many episodes improve with rest, medication, and time. However, some symptoms demand immediate spine evaluation and may require emergency disc surgery or discectomy.

You should seek urgent or emergency care right away if you experience:

  • Sudden, severe neck or back pain that is not improving and feels different from prior episodes
  • Pain that shoots into the arms or legs with rapidly worsening weakness, numbness, or difficulty walking, which are often signs of radiculopathy or nerve compression
  • New problems with bladder or bowel control
  • Numbness in the groin or inner thighs (“saddle anesthesia”) is a potential sign of cauda equina syndrome
  • Severe pain after a fall, accident, or major trauma
  • Back or neck pain with fever or chills, which can indicate infection
  • Neck or back pain accompanied by night pain, unexplained weight loss, or new severe symptoms

These can be signs of serious conditions such as a large herniated disc, spinal infection, fracture, or spinal cord compression, which are conditions that demand immediate specialist evaluation.

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Same-Day Emergency Neck and Back Pain Appointments


If you’re in severe pain but stable enough to travel, our team can often:

  • Arrange a same-day or next-day appointment with a spine specialist
  • Coordinate urgent MRI or other imaging
  • Begin a targeted treatment plan immediately—including medication, injections, bracing, or urgent surgical planning


Because our practice is dedicated to spine and orthopedic care, you bypass the “wait and refer” loop that often happens when you start with urgent care or a general clinic.

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Emergency Disc Surgery vs. Emergency Discectomy

Emergency disc surgery” refers to urgent operations performed when a damaged or herniated disc is causing significant nerve or spinal cord compression. Large herniated discs can rapidly produce severe arm or leg pain, weakness, numbness, or even bowel/bladder changes—classic signs of severe nerve involvement.

A discectomy removes the portion of a disc that is pressing on a nerve. In emergency cases, this procedure is performed quickly to protect nerve function and prevent long-term damage.

Depending on the location and severity, our surgeons may perform:

  • Minimally invasive lumbar discectomy
  • Cervical discectomy as part of disc replacement or fusion
  • Endoscopic or tubular approaches

Because our team specializes in minimally invasive and robotic techniques, patients often experience:

  • Smaller incisions
  • Less blood loss
  • Lower post-operative discomfort
  • Faster recovery

In an emergency setting, both procedures aim to relieve dangerous pressure on the nerves or spinal cord:

  • Emergency discectomy is typically used when a disc fragment is compressing a single nerve root
  • Emergency disc replacement may be offered when the entire disc is severely damaged and the patient is an appropriate candidate for a motion-preserving solution

The FDA provides guidance on cervical artificial discs, noting that they preserve natural spine motion compared to fusion. After urgent imaging and evaluation, your surgeon will determine which approach provides the safest and most durable benefit.

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Why Choose Progressive Spine & Orthopaedics for Urgent Spine Care in New Jersey?


When a spine emergency happens, you need a team that can respond with precision, speed, and deep experience; Progressive Spine & Orthopaedics provides that level of care every day. We offer:

  • Elite spine specialists: Fellowship-trained surgeons with expertise across disc replacement, discectomy, minimally invasive surgery, and complex spine reconstruction.
  • Advanced technology: Robotic guidance, minimally invasive systems, motion-preserving disc technologies, and state-of-the-art imaging.
  • Personal, one-on-one care: Your surgeon performs your procedure and oversees your recovery from start to finish.
  • Immediate access: Same-day or next-day evaluation for urgent neck and back pain, helping you avoid delays at urgent care centers.


Your spine is too important to wait. If you're worried, contact us today. We’re here to help.

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What to Expect During Urgent Spine Evaluation


Rapid Triage & Imaging

When you call our office for an urgent spine problem, our team will:

  • Assess your symptoms to determine whether you need the ER or a same-day evaluation
  • Arrange for you to be seen by a spine specialist, not a general provider
  • Coordinate X-rays or MRI as quickly as possible to evaluate your discs, nerves, vertebrae, and spinal cord


Clear Diagnosis & Treatment Plan

You will receive:

  • An explanation of what is causing your pain
  • A review of all treatment options, including advanced non-surgical care
  • A clear discussion of risks, benefits, and expected outcomes


If Emergency Surgery is Needed

Our surgeons perform all operations personally—never residents or trainees—and use advanced technologies designed to maximize safety and precision.

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If You’re in Severe Neck or Back Pain Right Now:

  • Call 911 or go to the ER immediately if you have symptoms such as loss of bowel/bladder control, saddle anesthesia, rapidly worsening weakness, fever with spine pain, or recent severe trauma.
  • If you're stable but in significant pain, call Progressive Spine & Orthopaedics. We can often arrange a same-day evaluation with a spine specialist so you can get answers—and relief—without delay.

Emergency Neck and Back Pain Treatment FAQ

Do I need an MRI before seeing a spine surgeon?

No. If your symptoms are urgent, our team can coordinate same-day imaging as part of your evaluation. In many emergencies, waiting for a separate MRI referral only delays care. Seeing us first ensures the right imaging is ordered immediately and interpreted by physicians who specialize in spine conditions.

Can emergency neck or back pain improve without surgery?

Yes. Even in cases of severe pain, not all patients require surgery. Many conditions can be improved with advanced non-surgical options, such as anti-inflammatory medications, nerve medications, targeted injections, or short-term bracing. The key is identifying whether the nerves are at risk—when they are, surgery may be necessary; when they aren’t, conservative care is safe and effective.

How quickly can emergency spine surgery be performed if needed?

If urgent surgery is required to protect nerve function, our team can often coordinate surgery within hours or the next day, depending on the severity of your condition, imaging results, and medical stability. Because our surgeons perform all operations themselves, care moves quickly and seamlessly from diagnosis to treatment.

What are the risks of emergency disc surgery or discectomy?

All spine surgeries carry potential risks. These may include infection, bleeding, anesthesia complications, blood clots, spinal fluid leak, nerve injury, or persistent symptoms. In emergency cases, the primary risk of not treating a dangerous disc herniation is permanent nerve damage. Your surgeon will review both sets of risks with you, allowing you to make an informed and confident decision in a moment of urgency.

Is emergency disc replacement different from a scheduled disc replacement?

The surgical steps are similar, but the timing and urgency differ. Emergency disc replacement is considered when a severely damaged disc is causing significant neurological symptoms and immediate decompression is required. The benefit is that the damaged disc is addressed while also preserving motion in the affected segment, which helps maintain long-term spinal function.

What if my pain started suddenly without an injury?

Sudden severe pain without trauma can still be a sign of a herniated disc, spinal stenosis flare, infection, or inflammatory condition. These issues can progress quickly even without an accident. Any abrupt onset of intense pain—especially with weakness, numbness, or balance changes—should be evaluated urgently.

Should I go to urgent care first or call a spine specialist directly?

If you are stable and able to travel, it is usually best to call us first. Urgent care centers and many ERs lack spine-specific imaging and do not have spine surgeons available, so they frequently refer patients to us after evaluation. Consulting a spine specialist directly helps you avoid delays, unnecessary repeat visits, and slower diagnosis.

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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