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At the Spine Center at Valley View, we approach all patients with the
philosophy that surgery should always be the last resort as a treatment option. Our providers work to create an individualized treatment plan for each patient, by obtaining a thorough history, conducting a physical examination, analyzing records from prior diagnostic tests, and listening to your needs and concerns.


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Overview of The Spine Center

Causes and Treatment of Low Back Pain

Low back pain is the most common and costly musculoskeletal disorder in developed countries. The reported incidence is 80%, which means that most people will experience an episode of low back pain in their lifetime lasting at least two to three days.

There are many causes of low back pain, as various parts of the spine can be affected. Since back pain is a symptom, it is necessary to identify the cause before treatment can be started.


Prevention includes proper seating with lumbar support (at work, in the car, and at home), proper lifting techniques and supportive shoes. Core strengthening and general physical activity are also important.

If the pain does not resolve in two to three days, seek medical attention to be diagnosed so that proper treatment can be initiated.

    1. Lumbar sprain/strain: This is the most common cause of low back pain and is due to injury to muscles and tendons. It usually resolves within a few days.
    2. Pinched nerves: This is a result of pressure on a nerve coming from a herniated disk or bone spur, resulting in back pain shooting down the leg, commonly referred to as sciatica.
    3. Spinal stenosis: This is a narrowing of the spinal canal, the channel through which run the spinal nerves. This causes the nerves to be compressed, producing back and often leg pain affecting both legs.
    4. Facet arthritis: This is usually due to aging or arthritis of the joints in the spine also producing back pain.
    5. Tumors: Not a common cause of low back pain, but often awakens you at night.
    6. Fractures: Fractures are usually caused by significant injury, but sometimes occur without any injury in people with osteoporosis.
    7. Infection: This is rare, but can be a serious cause of intense pain affecting the disc or vertebra.
    1. Conservative care: Medications, physical therapy, chiropractic, acupuncture, and postural advice. Usually, symptoms of low back pain respond to nonsurgical treatment.
    2. Injections: Trigger point injections, facet injections, and epidural steroid (cortisone) injections.
    3. Surgery: Removal of a herniated disc or bone spurs, and/or spinal fusion, which can be performed using microsurgery techniques or open surgery.



In 2006 when he was riding his bike down from Vail Pass and around Lake Dillon, George had a bicycle crash that left him unconscious for around six minutes. He woke up with a cracked helmet, and plenty sore from bruises, “toe to ear,” but shook off the injuries and tried not to let the accident slow him down. “I skied all winter like I always do, but by that spring I couldn’t walk for about a week.”

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At what felt like the end of a very long road of trying to find a solution for a painful condition in her neck, Aspen resident Lisa LeMay saw an ad in the newspaper for the Brain and Spinal Center at Valley View Hospital, and met Dr. Wade Ceola.

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