Main Office Number : 903-957-7246
Fax: 903-957-0049
Around 65 million people in the United States experience back pain at any one time, with 16 million adults having chronic spinal pain that limits everyday activities.
Most practices specializing in spinal treatments offer either non-surgical or surgical solutions. At Silver Spine & Neurological Center – Interventional Pain Management & Spine Surgery, patients receive care from highly skilled doctors who embrace both approaches, choosing whatever best serves their patients’ needs.
Dr. Silver is a double board-certified neurosurgeon with over 20 years of experience in outpatient spinal surgeries and interventional pain management. His unique hybrid skill set allows him to treat spine conditions from every angle, offering both powerful non-surgical treatments and advanced surgical solutions when needed.
This blended approach gives patients more choices, more flexibility, and better outcomes.
Spine problems rarely affect only one part of life. Pain can disrupt sleep, limit movement, and make even simple tasks feel impossible. Because every patient’s situation is different, a single type of treatment rarely fits all.
That’s where hybrid care stands out. Instead of choosing between surgery and conservative therapy too early, we evaluate the whole picture, including your:
By understanding all the moving pieces, we can build a treatment plan that uses the least invasive, most effective option first.
If your body responds well to conservative treatments like targeted injections, physical therapy, or image-guided pain procedures, surgery may never be necessary. If symptoms persist or structural issues require correction, surgical intervention becomes the next step.
Many patients worry that surgery is their only choice. In reality, most spine conditions improve without it. We use a full range of interventional pain management techniques designed to reduce inflammation, calm irritated nerves, and help patients move more comfortably. These options may include:
Steroid injections relieve inflammation and nerve pain for patients with conditions like herniated discs or sciatica.
Facet joint or medial branch blocks identify and treat arthritis and other causes of spinal pain.
RFA provides longer-lasting relief from chronic back or neck pain by deadening the nerves responsible for transmitting pain signals to the brain.
The SI joints in your pelvis are a common cause of lower back and pelvic pain.
SCS uses an implantable device placed in a minimally invasive procedure to scramble pain signals in the spinal cord.
Combining these treatments with guided exercise, lifestyle adjustments, and strengthening routines helps many patients return to normal activities without surgery.
Dr. Silver’s training allows him to fine-tune non-surgical options with a deep understanding of the spine’s anatomy and surgical considerations — something not all pain specialists can offer.
While non-surgical care helps many people, certain conditions need a more direct, corrective approach.
The benefit of working with a hybrid neurosurgeon is the continuity of care: the same physician who guided your conservative treatments also performs your surgery, if needed. This leads to smoother decision-making and a more personalized experience. Surgical options may address:
Dr. Silver offers minimally invasive outpatient spine procedures whenever possible. These approaches use smaller incisions, reduce muscle disruption, and often lead to faster recovery, less pain, and a lower risk of complications.
Because he works daily in both interventional and surgical settings, he knows how to choose the least-invasive method that still offers meaningful, long-term improvement.
Hybrid spine care blends two worlds — precision interventions and advanced surgery — to support healing at each stage. This model:
Because Dr. Silver manages both sides of your care, he can adjust your plan quickly if your symptoms change or if you respond better (or worse) than expected to certain treatments.
Spine care is complex. Working with a physician who understands every layer of diagnosis, pain management, and surgical correction offers a significant advantage. With over two decades of experience, Dr. Silver has dedicated his career to delivering safe, effective, patient-first spine care using the most advanced tools available.
Whether you’re managing chronic neck pain, struggling with stenosis, or facing a new spinal injury, hybrid care brings clarity and balance to your treatment options. Call Silver Spine & Neurological Center - Interventional Pain Management & Spine Surgery to schedule a consultation, or book an appointment online.