Neck and back specialists.
Dr. Castanet specializes in difficult neck and back pain arising from herniated discs, degenerated discs, spinal stenosis, sciatica and pinched nerves. With 28 years experience in orthopedics, physical medicine, physical therapy, neurosurgery and chiropractic, he knows all the non-surgical and surgical treatments and their relative efficacy.
Georgia’s only SpineMED provider.
Dr. Castanet is the only provider in the state of Georgia using the superior SpineMED spinal decompression treatment. This is the most direct and effective treatment for the cause of 98% of difficult neck and back pain. We recommend you listen to some of our videos on a variety of spinal topics, to learn more about the cause of your problem and why our treatment might be right for you.
Knowledge of what causes spine problems.
While difficult neck and back pain is a very common problem in medicine, the Decatur area is poorly served by other physical therapy and chiropractor clinics. The reasons are several. First, clinicians’ conceptual model of spinal pain is often misguided. 98% of spinal pain is the result of the natural process of progressive, degenerative, compression of the spine. This process starts with degenerative changes to the disc, and eventually progresses to involve the joints, ligaments and nerves. But it all starts and depends upon the initial and progressive degeneration of the spinal disc. In this conceptual model, the disc is like a deflating tire. As the disc loses water content and collapses, there is more pressure on the joints and nerves. Other providers’ treatments neglect to intervene in this process. That is a mistake because reversing this process has the most potential to improve difficult neck and back pain in the short term and for the long term prognosis. Improving the microscopic and macroscopic status of the disc is the most effective non-surgical treatment to intervene in this critical process. And scientific research proves that the disc can be partially regenerated with the right treatment- mechanical decompression of the spinal disc. Regeneration has been documented and quantified in animal studies.
Dr. Castanet explains the simple pathogenesis of spinal pain in this video. If you understand how, and why, spinal pain starts and progresses, you’ll make a better choice about the treatments you choose. Unfortunately, most health care professionals practice their specialty with a predictable bias in favor of whatever they were trained to do, and whatever insurance companies reward. I guarantee that if you listen to Dr. Castanet, you’ll be convinced that his explanation of spinal pain makes the most sense. And, his advice about the most appropriate, effective treatment for spinal pain makes the most sense. Dr. Castanet has never been wedded to a myopic approach to spinal treatments. He is an independent thinker, has worked in more clinical specialties than other providers, and has chosen the most effective treatment for neck and back pain. And if a better treatment arrives, he’ll embrace that.
Your interests come first.
There is no other chiropractor in the Decatur area with Dr. Castanet’s broad medical background. But if you really do need surgical treatment or pain management, he will refer you to the best available.
Apart from the above conceptual failings of spinal providers, there are also financial incentives to the status quo treatment, and financial disincentives to changing the present treatment algorithm for patients. It’s not a conspiracy- it’s just that things won’t change with these financial impediments to change.
Specialized, state-of-the-art equipment.
Dr. Castanet has the most specialized equipment for the non-surgical treatment of neck and back pain arising from herniated disc and pinched nerve lesions. These are among the common causes of painful, compressive lesions in the spine. And spinal compression is what gives rise to 98% of neck and back pain. This equipment is expensive and, consequently, not found in other nearby physical therapy clinics. In fact, we are the only clinic in Georgia with SpineMED spinal decompression- the most effective, non-surgical treatment method, which treats the cause of most neck and back pain. See our illustrative videos on this website.
Dr. Castanet Can Help You With:
Back, buttock and leg pain– This is the most common problem we treat. And we almost always get these patients better.
Neck and shoulder pain– This is another very common problem. Often patients with back pain, also have neck pain, because the neck and back in the same person, have the same age and genetics- large determinants in spinal pain risk. Of course, we usually get these problems better too.
Sciatica– We treat this problem all day long, every day. It is a common problem and we can almost always help you get better without injections or surgical treatment.
Spinal Stenosis– This is narrowing of the spinal canal in your neck or low back. In the low back it can cause pinching of the nerves which may then cause pain down your buttocks or legs. In the neck it may cause problems with your spinal cord, affecting your finger coordination or problems walking.
Why necks, backs, and spines hurt
Almost all back and neck pain is caused by COMPRESSION of discs, nerves and joints. Compression is due to time (life), gravity and genetics. Most clinics do not treat compression of the spine, non-surgically, so your chance of improving or resolving your pain is much less. As a consequence, you are much more likely to need injections or surgery for your pain. X-rays and MRI scans reveal COMPRESSION. The doctor, or radiologist, explaining your imaging results, may use terms such as herniated, bulging or degenerated disc(s), arthritis, spondylosis, stenosis, spondylolisthesis, ligamentum flavum hypertrophy, facet arthropathy, etc. These changes all result in compression of discs, joints and nerves, which causes pain and disability. Other clinics don’t usually treat compression. As a result, when your spinal compression progresses to a certain point, you will not improve from their approach to treatment. In fact, exercises- the usual means of treating this problem- can be painful and useless. The reason other clinics don’t focus on spinal compression is several fold:
- They may not appreciate the essential significance of this process, in the etiology (cause) of spinal pain and disability.
- They may not know that anything can be done to change it. This is a simple failure of knowledge and insight.
- They may not know of the unique efficacy of spinal decompression treatment for patients.
Most clinicians have no clinical experience with this treatment and cannot know its relative merit.
They may not want to provide an effective alternative to injections or surgery, especially if they provide those treatments.
- They may not want to invest $100,000.00+ on these treatment tables.
- The medical research literature indicates that spinal compression can be partially reversed, and this approach to treatment is much more effective for patients than conventional therapy. This has been confirmed by my 28 years clinical experience. For the first 20 years of my clinical career I did not have access to this treatment for patients. As a result, many more patients with neck and back pain were referred for injections and surgery.
For the last 9 years, Dr. Castanet has offered this new, rare treatment for patients, and the results are vastly superior to most treatment options. Now, Dr. Castanet would not – nor should any other chiropractor – treat patients without SpineMED spinal decompression, as it provides exactly the kind of approach a painful, disabled spine requires.
Please watch our videos to learn more, or call Backstrong today to start healing.