Generated by Rank Math SEO, this is an llms.txt file designed to help LLMs better understand and index this website. # Integrity Spine & Orthopedics: At Integrity Spine & Orthopedics, our experienced team of spine doctors, orthopedic specialists, and medical professionals is dedicated to providing some of the best spine and orthopedic care in North Florida. Our Jacksonville & Middleburg orthopedics clinics aspire to provide comprehensive, compassionate care with a team of board-certified and fellowship-trained orthopedic specialists and neurosurgeons. ## Sitemaps [XML Sitemap](https://www.integrityspineortho.com/sitemap_index.xml): Includes all crawlable and indexable pages. ## Posts - [Signs You Need to Get Help for Your Back Pain](https://www.integrityspineortho.com/post/signs-you-need-to-get-help-for-your-back-pain/): Occasional back discomfort can often be managed with home remedies and rest. However, there are signs that indicate it’s time to seek professional help. Ignoring these symptoms could lead to chronic issues or more serious underlying conditions. - [Sleeping Habits That Can Cause Chronic Pain](https://www.integrityspineortho.com/post/sleeping-habits-that-can-cause-chronic-pain/): While many factors contribute to chronic pain, sleeping habits are often overlooked as a possible influence. However, poor sleep quality and improper sleeping positions can exacerbate or even cause chronic pain. - [Tips for Getting Rid of That Neck Hump](https://www.integrityspineortho.com/post/tips-for-getting-rid-of-that-neck-hump/): More formally known as kyphosis, a neck hump is often referred to as a “dowager’s hump” since it’s most common in postmenopausal females with decreased bone density due to osteoporosis.  However, anyone can develop a rounded upper spine that causes an unflattering and sometimes painful hump. - [How to Support Joint Health During Pregnancy](https://www.integrityspineortho.com/post/how-to-support-joint-health-during-pregnancy/): From the extra weight you carry to hormonal shifts to emotional stress that can tighten muscles, tendons, and ligaments, natural changes during pregnancy can strain vulnerable joints. This is especially true for weight-bearing joints, including those in the lower back, hips, knees, ankles, and feet. - [Life After Spinal Fusion](https://www.integrityspineortho.com/post/life-after-spinal-fusion/): Spinal fusion surgery is often considered the “last resort” for debilitating back or neck pain that hasn’t responded adequately to conservative treatments. Fortunately, today’s minimally invasive procedures make recovery easier than you might think. - [Why You Should Include Hip Stretches in Your Workout](https://www.integrityspineortho.com/post/why-you-should-include-hip-stretches-in-your-workout/): You could call hips the unsung heroes of our body's mobility. They’re involved in most of your daily movements, from standing, walking, and running to sitting at a desk all day. Targeted stretches can help keep your hips moving like they should. - [Can You Avoid Joint Replacement Surgery?](https://www.integrityspineortho.com/post/can-you-avoid-joint-replacement-surgery/): While often necessary and highly effective, joint replacement surgery is a significant medical procedure that we do our best to help you avoid. Check recommendations from our team about how to prevent or at least delay joint replacement. - [Do This Now If You Want Healthy Shoulders for the Long Haul](https://www.integrityspineortho.com/post/do-this-now-if-you-want-healthy-shoulders-for-the-long-haul/): You can’t always avoid shoulder problems, since accidents and injuries can happen despite your best intentions. However, there is much you can do to help keep your shoulder joints — and the muscles and tendons that support them — healthy. - [5 Benefits of a Customized Pain Management Plan](https://www.integrityspineortho.com/post/5-benefits-of-a-customized-pain-management-plan/): Pain comes in all shapes and sizes. And, like suits, car accessories, and streaming services, pain management works better when customized to fit your needs and lifestyle. - [How to Manage Your Joint Pain This Winter](https://www.integrityspineortho.com/post/how-to-manage-your-joint-pain-this-winter/): Joint pain can occur in any season, but the damp cold of winter can turn mildly achy joints into painful reminders that something has gone wrong. Read our team’s insights regarding managing joint pain year-round, even in winter. - [5 Different Types of Fractures](https://www.integrityspineortho.com/post/5-different-types-of-fractures/): Broken bones (fractures) are common, painful, and may take months to heal. Some fracture types are more common in children; others tend to affect adults, and a few favor athletes. Read more about common fracture types and how they’re treated. - [Are You at Risk for Spinal Stenosis?](https://www.integrityspineortho.com/post/are-you-at-risk-for-spinal-stenosis/): Narrowing (stenosis) of the spinal canal may cause significant symptoms — or not. It all depends on where the stenosis occurs and the extent of the stricture. So who’s at risk? Anyone, but some factors can increase your odds. - [Why Pain Sustained from an Auto Accident Is Often Delayed](https://www.integrityspineortho.com/post/why-pain-sustained-from-an-auto-accident-is-often-delayed/): Motor vehicle accidents can cause significant injury. However, it’s not uncommon to feel fine immediately afterward. You may not develop muscle, joint, or ligament pain for hours, days, or even weeks. Learn the facts about delayed pain. - [4 Signs It’s Time to Consider Disc Replacement Surgery](https://www.integrityspineortho.com/post/4-signs-its-time-to-consider-disc-replacement-surgery/): Surgery is rarely the first treatment we consider for painful back conditions. But there does come a time when damaged discs are best addressed with an operation. Our team discusses when and why it might be time for disc replacement surgery. - [Get Back in the Game: How PRP Injections Help Your Sports Injury Heal Faster](https://www.integrityspineortho.com/post/get-back-in-the-game-how-prp-injections-help-your-sports-injury-heal-faster/): Are you frustrated about spending so much time on the bench while your sprain, strain, or tear heals? Learn more about the benefits of PRP injections and how they can get you back in the game faster after a sports injury. - [5 Ways To Help Prevent Your Sciatica From Acting Up](https://www.integrityspineortho.com/post/5-ways-to-help-prevent-your-sciatica-from-acting-up/): Not looking forward to another episode of the burning, shock-type back and leg pain that accompanies bouts of sciatica? Then, keep reading to learn how to prevent sciatica from spoiling your routine. - [Will a Pinched Spinal Nerve Resolve on Its Own?](https://www.integrityspineortho.com/post/will-a-pinched-spinal-nerve-resolve-on-its-own/): A pinched spinal nerve could eventually resolve on its own. However, are you sure you want to wait that long? Many conservative therapies offer relief from the pain and other symptoms related to irritated or inflamed spinal nerves. - [Get Some Much Needed Relief from Your Gout Symptoms with Injection Therapy](https://www.integrityspineortho.com/post/get-some-much-needed-relief-from-your-gout-symptoms-with-injection-therapy/): Many people have heard of gout, but not so many understand it — unless, of course, you’ve experienced this notoriously painful type of arthritis. Our team explains the fundamentals of gout and how injection therapy can help relieve your symptoms. - [Is Hip Impingement to Blame for Your Pain?](https://www.integrityspineortho.com/post/is-hip-impingement-to-blame-for-your-pain/): Creaky, painful hips are often thought of as a senior issue. However, you’ll likely start feeling the effects of hip impingement long before you hit retirement. Check these facts about hip pain and when your physician might suspect impingement. - [Is Working from Home a Pain in Your Neck?](https://www.integrityspineortho.com/post/is-working-from-home-a-pain-in-your-neck/): Lots of folks treasure the benefits of working from home. However, that comfy spot on the sofa or kitchen table workstation may be causing neck pain. Read more about solving your pain with improved workspace ergonomics. - [When Does a Rotator Cuff Injury Require Surgery?](https://www.integrityspineortho.com/post/when-does-a-rotator-cuff-injury-require-surgery/): Surgery is not usually your first treatment option for rotator cuff issues. However, there can come a time when it’s necessary. Our specialists explain when and why they may recommend surgery to repair your rotator cuff. - [5 Treatments for Managing Spinal Stenosis](https://www.integrityspineortho.com/post/5-treatments-for-managing-spinal-stenosis/): Spinal stenosis tends to worsen over time and may eventually cause unrelenting pain, muscle weakness, and difficulty standing or walking. Our specialty team shares facts about tackling spinal stenosis before it interferes with your daily routine. - [When to Seek Medical Treatment for Sports-Related Back Pain](https://www.integrityspineortho.com/post/when-to-seek-medical-treatment-for-sports-related-back-pain/): Whether you want to go pro or just maintain your starting spot on the neighborhood team, back pain can interfere with your athletic goals. Read what our premier sports medicine team says about sports-related back pain and when to see the doctor. - [Am I Too Old for a Knee Replacement?](https://www.integrityspineortho.com/post/am-i-too-old-for-a-knee-replacement/): Chronic knee pain is a major cause of disability, and it tends to become worse as you get older. When conservative treatments don’t work, knee replacement can be a great option — but can you be too old for this surgery? We have the answer. - [What Does the Bone Fracture Healing Process Look Like?](https://www.integrityspineortho.com/post/what-does-the-bone-fracture-healing-process-look-like/): Bone fracture repair is a natural process — the human body has an incredible ability to regrow new bone after a break. However, fractures must be placed in the optimal environment to ensure a proper and complete healing. - [What Complications Does a Bulging Disc Cause?](https://www.integrityspineortho.com/post/what-complications-does-a-bulging-disc-cause/): A bulging disc is a common, age-related spine injury. The spine is made up of stacked vertebrae with spinal discs sitting between each one. The tough discs provide cushioning, support, and shock absorption and movement to the vertebrae. - [Can a Car Accident Cause Delayed Injuries?](https://www.integrityspineortho.com/post/can-a-car-accident-cause-delayed-injuries/): Here’s the scene: you were involved in a car accident recently. It was scary, and you felt a little shaken up afterward, but you walked away from the scene unharmed and feeling fine. - [Are Bone Spurs Painful?](https://www.integrityspineortho.com/post/are-bone-spurs-painful/): Let’s be honest: a medical condition with the term “spur” in the name sounds painful right off the bat. Bone spurs (also called osteophytes) are overgrowths of bone that form along bone edges — usually around joints. - [What Happens During Spinal Disc Degeneration?](https://www.integrityspineortho.com/post/what-happens-during-spinal-disc-degeneration/): Spinal disc degeneration is a natural and normal part of aging. Tough, rubbery spinal discs wear many hats in the spine — they cushion and protect vertebrae, absorb shock, and facilitate spinal movements like bending and twisting. - [What is the Best Pain Management for a Herniated Disc?](https://www.integrityspineortho.com/post/what-is-the-best-pain-management-for-a-herniated-disc/): A herniated disc in the lumbar or cervical spine can lead to significant back pain. If the disc is pressing against a spinal nerve root, you may also have leg pain, numbness, weakness, and other symptoms. - [4 Tips for Choosing the Right Orthopedic Surgeon in Jacksonville, FL](https://www.integrityspineortho.com/post/4-tips-for-choosing-the-right-orthopedic-surgeon-in-jacksonville-fl/): There are multiple reasons you may need to see an orthopedic surgeon — to repair a sports injury, remove a herniated disc, decompress a pinched nerve, or another reason. - [What Causes Disc Protrusion?](https://www.integrityspineortho.com/post/what-causes-disc-protrusion/): Disc protrusion (also called a bulging disc) is a common back injury that affects intervertebral discs in the spinal column. Intervertebral discs separate vertebrae and provide cushioning, support, movement, and shock absorption in the spine. - [What is a TBI?](https://www.integrityspineortho.com/post/what-is-a-tbi/): Per the CDC, a traumatic brain injury (TBI) is defined as “a disruption in the normal function of the brain that can be caused by a bump, blow, or jolt to the head, or penetrating head injury.” - [Signs and Symptoms of a Head Injury](https://www.integrityspineortho.com/post/signs-and-symptoms-of-a-head-injury/): A head injury is any injury that affects the brain, skull or scalp. Head injuries can range in severity from a mild bump, bruise, or scrap, to a severe brain bleed or traumatic brain injury (TBI). - [What Causes Shin Splints?](https://www.integrityspineortho.com/post/what-causes-shin-splints/): There’s nothing worse than achy, throbbing shins to put a crimp in your exercise regimen. If you’re experiencing shin pain in one or both legs during exercise, you may have a case of shin splints (medically known as medial tibial stress syndrome). - [Integrity Spine & Orthopedics is Your Local Jacksonville Spine Center](https://www.integrityspineortho.com/post/integrity-spine-orthopedics-is-your-local-jacksonville-spine-center/): When your back pain reaches the point where you need to see a doctor, do you know where to turn for the best care? Integrity Spine and Orthopedics is a premier Jacksonville spine center in your local community. - [What Does Tendonitis Feel Like?](https://www.integrityspineortho.com/post/what-does-tendonitis-feel-like/): Tendonitis — also called tendinitis — is a medical condition that describes swelling, inflammation and irritation of a tendon. Tendons are the fibrous, corded tissues that attach muscle to bone and aid in muscle movement. - [Who Are We? Learn More About a Premier Jacksonville Orthopedic Institute.](https://www.integrityspineortho.com/post/who-are-we-learn-more-about-a-premier-jacksonville-orthopedic-institute/): Integrity Spine and Orthopedics is your trusted, local Jacksonville orthopedic institute. We provide forward-thinking spine and orthopedic care in northeast Florida and the Space Coast. - [What Does Whiplash Feel Like?](https://www.integrityspineortho.com/post/what-does-whiplash-feel-like/): What is whiplash? Whiplash is a neck injury commonly sustained in high-impact and rear-end car accidents. - [What Causes Bone Spurs?](https://www.integrityspineortho.com/post/what-causes-bone-spurs/): Bone spurs (osteophytes) are small projections of extra bone that form on the ends of bones, usually in the joints. If you’ve ever felt small, hard bumps in your fingers, toes, or heels, you may be feeling a bone spur. - [5 Steps to Take After Witnessing a Car Accident](https://www.integrityspineortho.com/post/5-steps-to-take-after-witnessing-a-car-accident/): Witnessing a car accident can be nearly as frightening and stressful as being in one yourself. In the aftermath of witnessing a car crash, you may be asking yourself: what are my responsibilities if I see an accident near me? - [Integrity Spine and Orthopedics Makes a Charitable Donation to the Jay Fund](https://www.integrityspineortho.com/post/integrity-spine-and-orthopedics-makes-a-charitable-donation-to-the-jay-fund/): This past year, Integrity Spine and Orthopedics made a charitable donation to the Tom Coughlin Jay Fund in support of the 2020 1010XL Radiothon. - [Is a Pinched Nerve Treatable?](https://www.integrityspineortho.com/post/is-a-pinched-nerve-treatable/): What is a pinched nerve? A pinched nerve occurs when a nerve in the body is compressed by surrounding tissues. A nerve can be compressed by ligaments, tendons, muscles, cartilage or bone. - [Types of Bone Fractures and How They’re Treated](https://www.integrityspineortho.com/post/types-of-bone-fractures-and-how-theyre-treated/): What is a fracture? A fracture occurs when a bone is broken or cracked. While human bones can withstand an incredible amount of force, too much impact exerted on a bone leads to a break. - [What Kinds of Complications Occur From an Annular Tear?](https://www.integrityspineortho.com/post/what-kinds-of-complications-occur-from-an-annular-tear/): An annular tear is an injury that occurs to one of the intervertebral spinal discs. Spinal discs sit between each vertebrae in the spine. They cushion and support the spinal bones, absorb shock, and help the spine move, bend and twist flexibly. - [What Are Common Types of Back Injuries?](https://www.integrityspineortho.com/post/what-are-common-types-of-back-injuries/): A back injury can significantly disrupt your normal life. Back pain and injuries are a primary reason for missed work, missed school, doctor’s visits, and disability in the United States. - [How is SI Joint Pain Treated?](https://www.integrityspineortho.com/post/how-is-si-joint-pain-treated/): Sacroiliac (SI) joint pain is a common cause of low back pain. The two SI joints in the spine connect the bottom of the spine (sacrum) to the tops of the hip bones (ilia) on both sides of the body. - [When Do I Need to See a Neurosurgeon Near Me?](https://www.integrityspineortho.com/post/when-do-i-need-to-see-a-neurosurgeon-near-me/): Neurosurgeons are specialists who treat brain, spine, spinal cord and nervous system injuries and diseases. - [Is My Pain Coming From the SI Joint?](https://www.integrityspineortho.com/post/is-my-pain-coming-from-the-si-joint/): Approximately 25% of cases of low back pain are caused by sacroiliac (SI) joint pain and dysfunction. The SI joints are located deep in the body and attach the spine to the hips. When the joints become inflamed, have excessive movement, or have too little - [5 Causes of Sciatic Nerve Pain](https://www.integrityspineortho.com/post/5-causes-of-sciatic-nerve-pain/): The sciatic nerve is the longest and widest nerve in the human body. It starts in the lumbar spine and branches off to run down each hip, buttock, thigh, calf and foot. The sciatic nerve innervates multiple muscles and skin cells in the lower extremities. - [4 Conditions That Cause Joint Inflammation](https://www.integrityspineortho.com/post/4-conditions-that-cause-joint-inflammation/): The term “inflammation” gets a bad rap, but it’s an incredibly important component of a healthy immune system. - [4 Complications of a Dislocated Shoulder](https://www.integrityspineortho.com/post/4-complications-of-a-dislocated-shoulder/): A dislocated shoulder is a painful and fairly common injury that occurs when the upper arm bone partially or completely pops out of its socket, which is attached to the shoulder blade. - [When is Joint Pain Caused by Arthritis](https://www.integrityspineortho.com/post/when-is-joint-pain-caused-by-arthritis/): Occasional joint pain is common, especially if you play sports or live a very active lifestyle. A creak in your knee, a twinge in your shoulder, a dull ache in your hands some mornings — you may chalk these pains as a normal part of getting older. - [An Overview of Sports Medicine](https://www.integrityspineortho.com/post/an-overview-of-sports-medicine/): Playing sports, exercising and living an active lifestyle is healthy and enjoyable. But with increased activity comes the increased risk of sports-related injuries. - [Make Better Health Your Resolution for the New Year](https://www.integrityspineortho.com/post/make-better-health-your-resolution-for-the-new-year/): Setting a New Year’s resolution is tradition for millions of people across the United States. The start of a brand-new year offers fresh hope and a blank slate to improve your finances, health and wellness, relationships, job or overall life. - [What is AHCA in Florida?](https://www.integrityspineortho.com/post/what-is-ahca-in-florida/): The Agency for Healthcare Administration (AHCA) is Florida’s primary health care agency. - [What Does It Mean to Be AHCA Certified?](https://www.integrityspineortho.com/post/what-does-it-mean-to-be-ahca-certified/): In the State of Florida, the Agency for Health Care Administration (AHCA) is responsible for licensing and regulating Florida’s health care facilities, including long-term and post-acute facilities, hospitals and ambulatory surgery centers. - [What is AHCA?](https://www.integrityspineortho.com/post/what-is-ahca/): What is AHCA? The American Health Care Association (AHCA) was founded in 1941. It’s a national association that represents thousands of health care facilities in the United States. - [What Does an Orthopedic Doctor Do?](https://www.integrityspineortho.com/post/what-does-an-orthopedic-doctor-do/): Your primary care physician is responsible for treating fevers and illnesses, evaluating you for medical conditions, and managing your overall health and well-being. - [Does an Orthopedic Doctor Treat Joint Pain?](https://www.integrityspineortho.com/post/does-an-orthopedic-doctor-treat-joint-pain/): If you’re living with achy knees or hips, morning stiffness that makes it hard to get out of bed, or pain when climbing stairs, you may be wondering what to do next. - [When Should I See an Orthopedic Specialist?](https://www.integrityspineortho.com/post/when-should-i-see-an-orthopedic-specialist/): An orthopedic specialist diagnoses and treats musculoskeletal conditions and injuries. The musculoskeletal system includes your bones, joints, ligaments, tendons, muscles and nerves. - [What Are the Top Back Surgery Procedures?](https://www.integrityspineortho.com/post/what-are-the-top-back-surgery-procedures/): For many people with back pain, back surgery is the last thing they want to think about. - [What Kind of Back Pain Does a Car Accident Cause?](https://www.integrityspineortho.com/post/what-kind-of-back-pain-does-a-car-accident-cause/): Consider this: sleeping in a strange position, lifting a box that’s a little too heavy, dancing in the kitchen…..all of these everyday activities have the potential to cause a back injury. - [What Causes Narrowing of the Spine?](https://www.integrityspineortho.com/post/what-causes-narrowing-of-the-spine/): The medical condition characterized by narrowing of the spine is called spinal stenosis. By itself, spinal stenosis may be a painless condition. Many older adults live with some degree of spinal narrowing and don’t realize it. - [5 Signs of a Concussion — and What to Do Next](https://www.integrityspineortho.com/post/5-signs-of-a-concussion-and-what-to-do-next/): Did you know that a concussion is classified as a mild traumatic brain injury? A violent blow to the head can cause your brain to move around your skull and become injured. - [5 Causes of Spinal Stenosis](https://www.integrityspineortho.com/post/5-causes-of-spinal-stenosis/): Spinal stenosis is narrowing of the open spaces within the spine. Narrowing can occur in the vertebral passageway that protects the spinal cord or in the bony passageways where spinal nerves exit the spine and travel to other areas of the body. - [What Pain Management Options Are Most Effective?](https://www.integrityspineortho.com/post/what-pain-management-options-are-most-effective/): Pain is an incredibly pervasive condition that affects every aspect of our lives. People living with pain often experience difficulty concentrating at work, going out and socializing, and enjoying time spent with family and loved ones. - [5 Things You Should Know About Foraminal Narrowing](https://www.integrityspineortho.com/post/5-things-you-should-know-about-foraminal-narrowing/): Foraminal narrowing is a specific type of spinal stenosis, a back condition that occurs when the open spaces within the spine narrow. The foramina are bony passageways located between the vertebrae in the spine. - [What Should I Do if I Have a Dislocated Knee?](https://www.integrityspineortho.com/post/what-should-i-do-if-i-have-a-dislocated-knee/): A dislocated knee is a rare, but very painful and serious injury. Dislocation occurs when the bones in the knee joint are not in proper alignment. The bones may be disrupted by a traumatic incident like a fall, car accident or sports collision. - [5 Common Symptoms of a Pinched Nerve](https://www.integrityspineortho.com/post/5-common-symptoms-of-a-pinched-nerve/): A pinched nerve in your neck occurs when soft tissues in the body apply too much pressure to a nerve and restrict its ability to function properly. - [How Are Bone Fractures Treated?](https://www.integrityspineortho.com/post/how-are-bone-fractures-treated/): Per year, approximately 6.8 million people in the U.S. experience a bone fracture. Human bones are incredibly strong (as strong as steel), but they will still break when an outside force or impact is applied and exerts more pressure than the bone can bear. - [3 Signs You May Have a Slipped Disc](https://www.integrityspineortho.com/post/3-signs-you-may-have-a-slipped-disc/): Spinal discs are one of the most important structures in the spine. They sit between the vertebrae, where they provide cushioning, support and shock absorption to the bones of the spine. - [Do Whiplash Injuries Require Treatment?](https://www.integrityspineortho.com/post/do-whiplash-injuries-require-treatment/): Neck pain is one of the most common symptoms people experience after being involved in a car accident. And that’s no surprise because the head and neck are relatively unsupported and unstable during high-impact collisions. - [5 Facts You Need to Know About Bone Spurs](https://www.integrityspineortho.com/post/5-facts-you-need-to-know-about-bone-spurs/): What is a bone spur? Bone spurs — also called osteophytes — are outgrowths of bone that form where the ends of bones meet in joints. Bone spurs commonly develop with age and many people live with them for years, undetected. - [What is Personal Injury Protection (PIP) Coverage?](https://www.integrityspineortho.com/post/what-is-personal-injury-protection-pip-coverage/): Under Florida law, all licensed drivers who own a car must carry personal injury protection (PIP) coverage with their insurance company. Why? Because Florida is one of 12 no-fault states. - [What is the Sciatic Nerve?](https://www.integrityspineortho.com/post/what-is-the-sciatic-nerve/): The sciatic nerve is the biggest and longest nerve in the human body. In reality, the “nerve” is not a single nerve. It’s actually made up of 5 nerve roots that cluster in the lumbar spine and sacrum. - [I Was in a Car Accident Today — What Should I Do Now?](https://www.integrityspineortho.com/post/i-was-in-a-car-accident-today-what-should-i-do-now/): Being in a car crash can feel overwhelming, scary and intensely stressful. It may be hard to stay calm and keep a cool head right after a collision, which can lead to uncertainty over what to do next. - [What to Do if You’re Injured in a Car Accident](https://www.integrityspineortho.com/post/what-to-do-if-youre-injured-in-a-car-accident/): Even minor car accidents can cause major injuries. If you believe you’ve sustained a car accident injury, you may be wondering where to turn for help and treatment. - [Where Can I Find a Spine Surgeon Near Me in Jacksonville, FL?](https://www.integrityspineortho.com/post/where-can-i-find-a-spine-surgeon-near-me-in-jacksonville-fl/): If you’re suffering from excruciating back or neck pain, you may be wondering: where is a spine surgeon near me? - [What Should I Do if I Witness a Car Accident Near Me?](https://www.integrityspineortho.com/post/what-should-i-do-if-i-witness-a-car-accident-near-me/): Witnessing a car accident can be scary and stressful, whether it’s a minor accident, a hit and run or a fatal crash. You may not know what to do or how you can provide assistance in that kind of traumatic situation. - [How to Find an Attorney After a Car Accident](https://www.integrityspineortho.com/post/how-to-find-an-attorney-after-a-car-accident/): Being in a car crash is an incredibly frightening and stressful situation. And unfortunately, what comes after is just as stressful: seeking medical help for injuries, repairing damages to your car, and negotiating with your insurance company... - [What Are the Risks of Disc Protrusion?](https://www.integrityspineortho.com/post/what-are-the-risks-of-disc-protrusion/): Disc protrusion is a type of spinal disc herniation. Disc herniation is a common form of intervertebral disc damage that’s caused by age, natural wear and tear, traumatic accidents (falls, car accidents, sports collisions),... - [What to Expect Physically After a Car Accident](https://www.integrityspineortho.com/post/what-to-expect-physically-after-a-car-accident/): The human body is not designed to handle the large amount of force and physical impact it absorbs during a high-impact car accident. - [What is Disc Extrusion?](https://www.integrityspineortho.com/post/what-is-disc-extrusion/): Disc extrusion is a specific type of spinal disc herniation. Although the term “herniated disc” is typically used to describe all herniation injuries, there are 3 types of disc herniation: protrusion, extrusion and sequestration. - [Worried About Undergoing Surgery During COVID-19? Let Us Put Your Fears to Rest.](https://www.integrityspineortho.com/post/worried-about-undergoing-surgery-during-covid-19-let-us-put-your-fears-to-rest/): Whether or not to get surgery during COVID-19 was probably not a decision you expected or wanted to make this year. However, as we face the reality of living with the virus for at least several more months, we have to figure out ways to move forward. - [What Are Degenerative Spine Conditions?](https://www.integrityspineortho.com/post/what-are-degenerative-spine-conditions/): Degenerative spine conditions develop as a result of natural wear and tear on the spine. As we age, years of overuse, repetitive movements and repeated injuries begin to cause deterioration of the structures that make up the spine. - [What to Do After a Minor Car Accident](https://www.integrityspineortho.com/post/what-to-do-after-a-minor-car-accident/): Minor car accidents are extremely common. Unexpected fender benders happen at stop signs and stoplights, and in parking lots, driveways and neighborhoods. If you’re involved in a minor accident, you may be wondering what steps to take next. - [Spinal Stenosis: Central Canal Stenosis Vs. Foraminal Stenosis](https://www.integrityspineortho.com/post/spinal-stenosis-central-canal-stenosis-vs-foraminal-stenosis/): Spinal stenosis is an umbrella term that describes the narrowing of open spaces in the spine. The most common cause of stenosis is age-related degeneration of the joints and intervertebral spinal discs. - [How Do I File an Insurance Claim After a Car Accident?](https://www.integrityspineortho.com/post/how-do-i-file-an-insurance-claim-after-a-car-accident/): It’s likely that you’ll be involved in a car accident at least once in your life. When that situation occurs, it’s important for you to know the steps you should take next to protect your health, safety and finances. - [~Information~](https://www.integrityspineortho.com/post/information/): Integrity Spine & Orthopedics is committed to providing exceptional medical care to our patient while also in the spirit of transparency, and to meet current federal regulations, we provide this list of gross charges for our provider services. - [What is an Annular Tear?](https://www.integrityspineortho.com/post/what-is-an-annular-tear/): Annular tears are back injuries that develop in the spinal discs, which sit between the 33 vertebrae of the spine. The main functions of spinal discs are to cushion the vertebrae, absorb shock and help the spine move fluidly. - [An Update on COVID-19 Precautions](https://www.integrityspineortho.com/post/an-update-on-covid-19-precautions/): At Integrity Spine and Orthopedics, we are closely watching the COVID-19 pandemic and following how it’s affecting people in our practice area and around the country. - [Back Injuries Caused by Car Accidents](https://www.integrityspineortho.com/post/back-injuries-caused-by-car-accidents/): WHAT ARE COMMON BACK INJURIES CAUSED BY CAR ACCIDENTS? - [What is Degenerative Joint Disease?](https://www.integrityspineortho.com/post/what-is-degenerative-joint-disease/): Degenerative joint disease (DJD) goes by several different names, including osteoarthritis, degenerative arthritis, and wear and tear arthritis. It’s a common form of arthritis that affects over 32.5 million adults in the U.S. - [How Do I Know if My Shoulder is Dislocated?](https://www.integrityspineortho.com/post/how-do-i-know-if-my-shoulder-is-dislocated/): The shoulder is the body’s most mobile joint and can move in several directions. For us, that’s amazing, because it means we can perform a wide range of pushing, pulling and swinging motions with ease. - [What is Degenerative Disc Disease?](https://www.integrityspineortho.com/post/what-is-degenerative-disc-disease/): Degenerative disc “disease” (DDD) is not truly a disease. It’s a condition that develops when normal wear and tear on the spinal discs cause pain, instability and other symptoms. - [What is a Rotator Cuff Injury?](https://www.integrityspineortho.com/post/what-is-a-rotator-cuff-injury/): Rotator cuff injuries and tears can cause significant shoulder pain and make everyday activities like getting dressed, opening doors and carrying bags difficult. At night, laying on painful shoulder injuries can cause you to lose sleep. - [What is a Collapsed Disc?](https://www.integrityspineortho.com/post/what-is-a-collapsed-disc/): What is a collapsed Disc? Spinal discs sit between the 33 vertebrae of the spine. They cushion the vertebrae, absorb shock and pressure, and aid in spinal flexibility and mobility. - [What Neck Injuries Do Car Accidents Cause?](https://www.integrityspineortho.com/post/what-neck-injuries-do-car-accidents-cause/): Car accidents are a primary cause of neck injuries, with more than 80,000 car crashes with neck injuries reported in the U.S. annually. - [What is SI Joint Pain?](https://www.integrityspineortho.com/post/what-is-si-joint-pain/): Research indicates that between 15-30% of people with chronic low back pain are suffering from sacroiliac (SI) joint pain. ## Pages - [Dr. Scott Glickman, DO, PhD, MPH, FACOS](https://www.integrityspineortho.com/provider/dr-scott-glickman-do-phd-mph-facos/): Dr. Scott Glickman is a board-certified neurological surgeon with more than 20 years of experience at Endoscopic & Minimally Invasive Spine Specialists (EMISS). A Fellow of the American College of Osteopathic Surgeons, he is committed to individualized, osteopathic patient care using advanced minimally invasive techniques. - [Opt-out preferences](https://www.integrityspineortho.com/opt-out-preferences/): This page was last changed on March 6, 2026, last checked on March 6, 2026 and applies to citizens and legal permanent residents of the United States. - [Dr. Eli Loch, DO](https://www.integrityspineortho.com/provider/dr-eli-loch-do/): Dr. Loch began his medical education at the Lake Erie College of Osteopathic Medicine and completed a competitive anesthesiology residency at the University of Florida in Gainesville. There, he discovered a passion for treating complex spine, joint, and nerve conditions. He stayed at UF for an elite fellowship in interventional pain management, training with nationally recognized leaders in the field. Board-certified in anesthesiology and interventional pain management by the American Board of Anesthesiology, Dr. Loch has performed over 10,000 image-guided spine, joint, and nerve injections. - [Robotic Orthopedic Surgery](https://www.integrityspineortho.com/service/robotic-orthopedic-surgery/): Experience advanced robotic orthopedic surgery at Integrity Spine & Orthopedics in Jacksonville, FL. Our state-of-the-art centers are revolutionizing orthopedic care with cutting-edge robotic technology designed to enhance surgical precision and improve patient outcomes. Whether you need joint replacement, sports injury repair, or other orthopedic procedures, our minimally invasive surgical options promote faster recovery and better overall results. - [Regenerative Medicine](https://www.integrityspineortho.com/service/regenerative-medicine/): Welcome to Integrity Spine & Orthopedics, your premier destination for regenerative medicine in Jacksonville, FL. Our state-of-the-art treatment centers are dedicated to providing cutting-edge solutions for spine and orthopedic conditions, helping you regain mobility and live a pain-free life. - [Kyphoplasty](https://www.integrityspineortho.com/service/kyphoplasty/): At Integrity Spine & Orthopedics, we specialize in providing advanced kyphoplasty procedures at our state-of-the-art clinics in Jacksonville, FL. If you're experiencing pain from spinal compression fractures, our team of expert spine specialists is here to help you regain your quality of life. Our kyphoplasty surgical centers are renowned for their excellence in patient care and surgical outcomes. We utilize minimally invasive techniques to treat vertebral compression fractures, ensuring reduced pain and faster recovery times. Patients seeking kyphoplasty in Jacksonville or Middleburg will find that our centers offer unparalleled expertise and compassionate care. - [Total Disc Replacement](https://www.integrityspineortho.com/service/total-disc-replacement/): Experience top-rated total disc replacement at Integrity Spine & Orthopedics in Jacksonvill, FL. We specialize in providing world-class spinal care at our cutting-edge facilities, aiming to restore your quality of life through advanced treatments delivered by the best spine specialists in the region. - [Robotic Spine Surgery](https://www.integrityspineortho.com/service/robotic-spine-surgery/): Experience advanced robotic spine surgery at Integrity Spine & Orthopedics in Jacksonville and Middleburg, FL. At our state-of-the-art centers, we are revolutionizing spine care with cutting-edge facilities equipped with the latest technology. We provide patients with minimally invasive surgical options that promote faster recovery and superior outcomes. - [Surgery Info](https://www.integrityspineortho.com/surgery-info/): Integrity Spine & Orthopedics' surgery info guide provides everything you need to prepare for your surgical procedure. You’ll receive care from the best spine specialists and orthopedic doctors, supported by a friendly, caring staff dedicated to your well-being. - [Dr. Ralph Rizk, DO](https://www.integrityspineortho.com/provider/ralph-rizk-do/): Dr. Ralph Rizk is a fellowship-trained orthopedic surgeon specializing in hip and knee reconstruction/replacement, and the surgical treatment of shoulder, hand, foot, and ankle conditions. He is also skilled in advanced treatments like PRP (Platelet Rich Plasma) and stem cells. - [Terms & Conditions](https://www.integrityspineortho.com/our-terms/): Integrity Spine & Orthopedics ("we," "us," or "our") provides this website ("Site") to you conditioned on your acceptance without modification of the terms, conditions, and notices contained herein. Your use of this Site constitutes your agreement to all such terms, conditions, and notices. - [General Orthopedic Services](https://www.integrityspineortho.com/service/general-orthopedic-services/): At Integrity Spine & Orthopedics, we are proud to offer the most comprehensive orthopedic care in Northeast Florida, located in Jacksonville. Our orthopedic services are designed to provide patients with a full spectrum of treatment options to address a wide range of musculoskeletal conditions. Whether you're dealing with a sports injury, chronic pain, or a traumatic injury, our team of expert spine specialists and orthopedic providers is here to help. - [Spine Services](https://www.integrityspineortho.com/service/spine-services/): Integrity Spine & Orthopedics is proud to offer the most comprehensive spine services in Northeast Florida, with convenient locations in Jacksonville. Our spine care services offer a wide range of treatment options, ensuring that patients receive the highest quality of care tailored to their unique needs. - [Referrals](https://www.integrityspineortho.com/referrals/): "*" indicates required fields - [FAQ](https://www.integrityspineortho.com/faq/): We are located at 14785 Old St. Augustine Rd, Suite 100, just one mile south of Baptist South Hospital.  - [Accessibility Statement](https://www.integrityspineortho.com/accessibility-statement/): This is an accessibility statement from Integrity Spine & Orthopedics. - [Carpal Tunnel](https://www.integrityspineortho.com/service/carpal-tunnel/): Are you struggling with carpal tunnel syndrome and seeking top-notch care in Jacksonville, FL? Look no further than Integrity Spine & Orthopedics. Our specialized carpal tunnel treatment center is designed to provide comprehensive care, leveraging the latest medical advancements to ensure the best possible outcomes for our patients. - [Injections](https://www.integrityspineortho.com/service/injections/): At Integrity Spine & Orthopedics, we proudly offer top-tier orthopedic injection therapy at our state-of-the-art clinics located in Jacksonville, FL. Our advanced facilities are designed to provide the highest quality care, ensuring our patients receive the most effective treatments available. Whether you’re suffering from chronic pain or recovering from an injury, our orthopedic injection therapies are tailored to meet your unique needs. - [Joint Replacement](https://www.integrityspineortho.com/service/joint-replacement/): At Integrity Spine & Orthopedics, we take pride in providing exceptional joint replacement services at our state-of-the-art clinics located in Jacksonville and Middleburg, FL. Our commitment to excellence is evident in every aspect of our practice, from our cutting-edge facilities to our dedicated and compassionate staff. - [Shoulder Pain](https://www.integrityspineortho.com/service/shoulder-pain/): At Integrity Spine & Orthopedics, we understand the debilitating impact of shoulder pain on your daily life. - [Minimally Invasive Spine Surgery](https://www.integrityspineortho.com/service/minimally-invasive-spine-surgery/): If back pain, neck discomfort, or visible spinal deformity causes you pain and suffering, simple treatments can offer long-lasting comfort. At Integrity Spine & Orthopedics in Jacksonville, Florida, our expert team of orthopedic specialists offers minimally invasive spine surgery to help you make a full recovery and live your best life. Call our office to learn more about your treatment choices, or request an appointment online today. - [Sciatica](https://www.integrityspineortho.com/service/sciatica/): At Integrity Spine & Orthopedics, our clinics in Jacksonville, FL, provide exceptional care for patients suffering from sciatica. Our state-of-the-art facilities are equipped with the latest technology, ensuring that you receive the best possible treatment for your pain. - [Knee Replacement](https://www.integrityspineortho.com/service/knee-replacement/): At Integrity Spine & Orthopedics, we are dedicated to providing exceptional knee replacement services at our state-of-the-art clinics in Jacksonville and Middleburg, FL. Our centers are renowned for offering top-tier treatment, advanced medical technology, and a compassionate approach to patient care. - [Arthritis](https://www.integrityspineortho.com/service/arthritis/): At Integrity Spine & Orthopedics, we are dedicated to providing exceptional arthritis care at our state-of-the-art clinics in Jacksonville and Middleburg, FL. Our arthritis treatment centers stand out for their commitment to patient-centered care, advanced medical technology, and highly skilled specialists. - [Neck Pain](https://www.integrityspineortho.com/service/neck-pain/): At Integrity Spine & Orthopedics, we understand that neck pain is a common and often debilitating issue that can significantly disrupt your daily activities and quality of life. Conveniently located in Jacksonville, FL, our clinics specialize in providing effective and personalized neck pain treatments. Our cutting-edge facility, equipped with the latest medical technologies, ensures that you receive the highest standard of care. - [Knee Pain](https://www.integrityspineortho.com/service/knee-pain/): If you're suffering from knee pain and seeking expert care in Jacksonville, FL, look no further than Integrity Spine & Orthopedics. Our clinics are dedicated to providing top-notch treatment for knee pain, to help you get back to your daily activities without discomfort. - [Pinched Nerve](https://www.integrityspineortho.com/service/pinched-nerve/): If you're struggling with numbness, tingling, burning, or shooting pain due to a pinched nerve, relief is within reach. At Integrity Spine & Orthopedics, located in Jacksonville, Florida, our expert team of orthopedic specialists offers advanced treatments for pinched nerves to ease your discomfort and restore your quality of life. - [Pain Management](https://www.integrityspineortho.com/service/pain-management/): At Integrity Spine & Orthopedics, we provide top-notch pain management services in Jacksonville, FL. Our clinic is dedicated to offering comprehensive care designed to alleviate pain and improve the quality of life for our patients. Whether you are dealing with chronic back pain, joint discomfort, or any other orthopedic issue, our state-of-the-art facilities and experienced professionals are here to help. - [Spine Fusion](https://www.integrityspineortho.com/service/spine-fusion/): At Integrity Spine & Orthopedics, we offer top-tier spine fusion treatments at our state-of-the-art clinics in Jacksonville, FL. Our spine fusion treatment centers are renowned for their excellence, providing patients with cutting-edge facilities and the best spine specialists and orthopedic doctors in the region. - [Hip Pain](https://www.integrityspineortho.com/service/hip-pain/): At Integrity Spine & Orthopedics, we understand that hip pain can significantly impact your daily life. That's why our specialized clinics in Jacksonville, FL, are dedicated to providing comprehensive and compassionate care to help you regain your mobility and quality of life. - [Disc Replacement](https://www.integrityspineortho.com/service/disc-replacement/): Integrity Spine & Orthopedics offers premier disc replacement surgery at our state-of-the-art facility in Jacksonville, FL. If you're suffering from persistent neck or back pain due to a damaged spinal disc, our expert surgeons can provide the solution you need. - [Fractures](https://www.integrityspineortho.com/service/fractures/): At Integrity Spine & Orthopedics, we understand how disruptive bone fractures can be to your daily life. Our clinics in Jacksonville, FL, are dedicated to providing the highest quality care to help you heal quickly and effectively. Our fracture care and treatment centers are renowned for their comprehensive approach and patient-centered care. - [Sports Medicine](https://www.integrityspineortho.com/service/sports-medicine/): At Integrity Spine & Orthopedics, our clinic in Jacksonville, FL, is dedicated to providing top-tier sports medicine treatment that caters to athletes of all levels. Whether you're a weekend warrior or a professional athlete, our state-of-the-art facilities and expert team are here to help you achieve peak performance and swift recovery. - [Workers’ Compensation](https://www.integrityspineortho.com/service/workers-compensation/): At Integrity Spine & Orthopedics, we are dedicated to providing top-notch workers' compensation care at our clinics in Jacksonville, FL. Our workers' compensation treatment centers are designed to help injured workers recover efficiently and safely, allowing them to return to work and their daily lives as soon as possible. - [Motor Vehicle Accident Injury](https://www.integrityspineortho.com/service/motor-vehicle-accident-injury/): Our motor vehicle accident injury treatment center in Jacksonville stand out due to our comprehensive approach and cutting-edge technology. We employ advanced diagnostic tools and innovative treatment methods to ensure accurate diagnosis and effective treatment plans tailored to each patient’s unique needs. Whether you are dealing with whiplash, herniated discs, or fractures, our experts are equipped to handle all types of injuries resulting from auto accidents. - [Spinal Stenosis](https://www.integrityspineortho.com/service/spinal-stenosis/): If you are among the 500,000 individuals experiencing persistent back or neck pain due to spinal stenosis, Integrity Spine & Orthopedics is here to help. Located in Jacksonville, FL, our clinics offer specialized treatment for spinal stenosis, utilizing the latest medical advancements and technology. - [Herniated Disc](https://www.integrityspineortho.com/service/herniated-disc/): At Integrity Spine & Orthopedics, located in Jacksonville and Middleburg, FL, we understand how debilitating a herniated disc can be. Chronic pain from a herniated disc can significantly interfere with your quality of life, making it difficult to stay physically active. Our clinics are dedicated to providing top-notch care to help you reclaim your life. - [Back Pain](https://www.integrityspineortho.com/service/back-pain/): Your spine endures a lot of stress, so it’s no surprise that back pain is a common problem. However, you might be shocked to learn that chronic back pain isn’t just suffered by older adults; it affects 40% of adults younger than 44. At Integrity Spine & Orthopedics, we understand the challenges of living with back pain and are dedicated to providing relief to our patients in Jacksonville, FL. - [Rotator Cuff Tear](https://www.integrityspineortho.com/service/rotator-cuff-tear/): Experiencing persistent shoulder pain and weakness might be a sign of a rotator cuff tear. At Integrity Spine & Orthopedics, located in the heart of Jacksonville, Florida, we specialize in providing top-tier care for this common yet debilitating condition. Our team of expert orthopedic specialists is adept at diagnosing and treating rotator cuff tears with precision and care. - [Contact Us](https://www.integrityspineortho.com/contact-us/): Our mission at Integrity Spine & Orthopedics is to provide Jacksonville with top-notch spinal and orthopedic care with compassion and expertise. Book an appointment online or contact our office to schedule the next step in your recovery and a better life. - [Patient Testimonials](https://www.integrityspineortho.com/testimonials/): We take great pride in our reputation and reviews at Integrity Spine & Orthopedics. Please browse through our collection of wonderful reviews from our satisfied patients. - [Patient Forms](https://www.integrityspineortho.com/patient-forms/): Patient Forms Save time by downloading your patient forms here. Bring these completed documents on your first visit to Integrity Spine & Orthopedics. This will help us provide more efficient care and minimize time spent in the waiting room. You are also welcome to email these forms in advance to scheduling@integrityspineortho.comNew Patient FormsIntegrity Privacy PracticesPatient Bill of Rights Nuevo Paciente Prácticas de PrivacidadDerechos del PacienteAcrobat Reader is required to access and open our forms. Click here to install Acrobat.Additional Resources Integrity Orthopedic BlogFrequently Asked QuestionsPatient ReferralsSurgery Info & PrepBook Online - [Blog](https://www.integrityspineortho.com/blog/) - [Services](https://www.integrityspineortho.com/service/): Dr. Scott Glickman is a board-certified neurological surgeon with 20+ years of experience specializing in minimally invasive and endoscopic spine surgery, offering personalized, patient-focused care with advanced techniques to maximize outcomes and minimize recovery. - [Providers](https://www.integrityspineortho.com/provider/) - [About Integrity Spine & Orthopedics](https://www.integrityspineortho.com/about/): Welcome to Integrity, a comprehensive spinal and orthopedic medical center proudly serving the communities of Northeast Florida. With a history of excellence and expertise, our orthopedic surgeons, neurosurgeons, and spine specialists provide superior care for various muscular and skeletal conditions. Our staff, doctors, and medical personnel are here to help create success stories for our patients. Our mission is to provide the highest level of care to set our patients on a path of recovery and healing. - [Integrity Spine & Orthopedics](https://www.integrityspineortho.com/): From diagnosis to personalized treatment plans and recovery, Integrity Spine & Orthopedics is your home for Neurosurgery, General Orthopedics and Interventional Pain Management. - [Privacy Policy](https://www.integrityspineortho.com/your-privacy/): We are committed to protecting your privacy and developing technology that gives you the most powerful and safe online experience. This Statement of Privacy applies to our Practice's Web site and governs data collection and usage. By using this website, you consent to the data practices described in this statement.