Orthopedics is the medical specialty dedicated to the musculoskeletal system — bones, joints, muscles, ligaments, tendons, and the nerves that control them. At Grewal Orthopedic & Spine Care we treat the full musculoskeletal picture: shoulder injuries, knee problems, hip arthritis, fractures, and sports injuries — not just back pain.
How the Spine Affects Everything Else
Posture and Alignment
Spinal misalignment — kyphosis, scoliosis, or forward head posture — creates muscle imbalances throughout the body. These imbalances predispose the shoulder, hip, and knee to overuse injury and early degeneration. Correcting spinal alignment isn’t just about back pain — it’s about preventing downstream joint problems.
Nerve Function
The spinal cord transmits every signal between the brain and the body. Cervical cord compression can cause weakness and coordination problems in the hands. Lumbar nerve compression causes leg weakness, numbness, and reflex changes. Identifying whether arm or leg symptoms originate in the spine or the peripheral nerve or joint requires careful electrodiagnostic and imaging evaluation.
Balance and Fall Risk
Spinal stenosis and cervical myelopathy can impair proprioception. Older patients with gait problems, frequent falls, or difficulty walking are often found to have significant spinal pathology as the underlying cause.
Spine Anatomy — Foundation for Understanding Your Condition
| Region | Vertebrae | What It Does |
| Cervical (neck) | C1–C7, 7 vertebrae | Supports the head; enables rotation and flexion; exits nerve roots to the arms |
| Thoracic (mid-back) | T1–T12, 12 vertebrae | Anchors the rib cage; protects heart and lungs; relatively stable |
| Lumbar (lower back) | L1–L5, 5 vertebrae | Bears body weight; provides power for lifting; exits nerve roots to the legs |
| Sacrum | 5 fused vertebrae | Connects the spine to the pelvis; transfers load to the hips and legs |
| Coccyx (tailbone) | 3–4 fused vertebrae | Attachment for pelvic floor muscles and ligaments |
Common Orthopedic Conditions We Treat
| Ready to stop the pain? Most patients are seen within the same week — most insurance accepted. Call (516) 743-9450 |
Treatment Philosophy: Non-Surgical First
“I expect most patients will be treated without surgical intervention.” That is Dr. Grewal’s stated philosophy, and it shapes every aspect of care at all four locations. Non-surgical options are always exhausted first. Surgery is discussed openly, with honest presentation of the evidence, and the decision belongs to the patient.
Non-Surgical Options
- Physical therapy through Go Rehab — spine-focused rehabilitation at all Grewal Spine locations
- Epidural steroid injections and nerve root blocks — performed by Dr. Patwary, Interventional Pain Management
- Platelet-rich plasma (PRP) injections — regenerative treatment for osteoarthritis and tendinopathy
- Viscous supplementation (hyaluronic acid) injections — joint cushioning for knee and hip arthritis
- Bracing — cervical, lumbar, knee, and wrist/hand braces fitted on-site at all locations
- Medications — NSAIDs, muscle relaxants, nerve-targeted medications, short-course oral steroids
Surgical Procedures (When Genuinely Indicated)
- Minimally invasive lumbar discectomy — outpatient; small incision; >90% satisfaction in properly selected candidates
- Lumbar laminectomy / decompression — for stenosis with neurogenic claudication
- MIS TLIF — spinal fusion for instability and recurrent disc disease
- ACDF — gold standard for cervical radiculopathy requiring surgery; most cases outpatient
- Cervical disc replacement — motion-preserving alternative to ACDF for appropriate candidates
- Kyphoplasty — same-day percutaneous vertebral fracture repair
Common Questions
What conditions does an orthopedic practice treat?
The full musculoskeletal system—spine, shoulder, knee, hip, fractures, and sports injuries.
Will I need surgery for my orthopedic problem?
Usually not. Dr. Grewal’s philosophy is non-surgical first—exhausting therapy, injections, and bracing before considering surgery.
What non-surgical treatments do you offer?
Physical therapy, epidural and joint injections, PRP, hyaluronic acid injections, bracing, and medications.
