The Spine & Back Blog

Common Reasons to See a NeurosurgeonWhen people hear the word "neurosurgeon," they often think of complex brain surgeries or emergency trauma procedures. While these high-stakes treatments are a vital part of neurosurgery, the reality is that neurosurgeons are also experts in diagnosing and treating a wide range of conditions affecting the brain, spine, and nervous system — many of which are far more common than you might expect.

At the Neuroscience and Spine Center of the Carolinas, Dr. William Hunter, MD, a board-certified neurosurgeon with over a 30 years of experience, is dedicated to improving the lives of patients with neurological and spine-related concerns. His advanced expertise, combined with compassionate care, ensures that patients receive the most effective and minimally invasive treatment options available.

Knowing when to seek a neurosurgeon’s care can make a significant difference in managing your symptoms, improving your mobility, and enhancing your overall well-being. Here are some of the most common reasons you may need to see a neurosurgeon:

1. Chronic Back or Neck Pain

Back and neck pain are among the most common reasons people seek medical care, yet many individuals struggle for years without lasting relief. When pain becomes persistent or starts to limit your mobility, it may indicate a deeper issue requiring specialized care.

Common spine-related conditions that may require a neurosurgeon’s evaluation include:
  • Herniated or Bulging Discs: When spinal discs become compressed or rupture, they can irritate nearby nerves, causing sharp pain, numbness, or weakness.
  • Spinal Stenosis: Spinal Stenosis occurs when the spinal canal narrows, putting pressure on the spinal cord and nerve roots. Symptoms often include pain, tingling, or weakness that worsens with walking or standing.
  • Degenerative Disc Disease: Age-related changes to the spine can cause discs to lose flexibility and cushioning, resulting in pain and stiffness.
  • Sciatica or Pinched Nerves: Compression of the sciatic nerve can cause severe pain that radiates down the back of the leg.

If conservative treatments like physical therapy, medications, or injections fail to provide relief, Dr. Hunter can assess your condition and determine if minimally invasive surgery or advanced treatments are appropriate.

2. Sciatica and Nerve Pain

Sciatica is a distinct type of nerve pain that often originates in the lower spine and travels down one leg. It can cause:

  • Sharp, shooting pain
  • Tingling or numbness in the legs or feet
  • Muscle weakness
  • Difficulty walking or standing for long periods

While mild cases may respond to rest and physical therapy, persistent or worsening sciatica may indicate a herniated disc, bone spur, or nerve compression that requires surgical intervention.

Dr. Hunter specializes in identifying the root cause of nerve pain and developing customized treatment plans that may include minimally invasive decompression procedures or other innovative techniques.

3. Brain and Spinal Tumors

Although the word "tumor" can be alarming, not all tumors are cancerous. However, both benign and malignant tumors in the brain or spine can impact essential functions such as balance, coordination, and cognition.

Common symptoms that may suggest a tumor include:
  • Persistent headaches (especially in the morning)
  • Seizures or sudden neurological changes
  • Vision disturbances
  • Difficulty speaking or understanding language
  • Weakness, numbness, or loss of coordination

Dr. Hunter is highly experienced in performing delicate procedures that remove tumors while preserving healthy tissue and minimizing post-operative complications. Early detection and treatment significantly improve outcomes, making prompt evaluation essential.

4. Carpal Tunnel Syndrome

Carpal tunnel syndrome occurs when the median nerve,the primary nerve in the wrist, becomes compressed, resulting in:

  • Numbness or tingling in the fingers
  • Weakness or difficulty gripping objects
  • Pain that radiates from the wrist to the arm

Mild cases can often be managed with splinting, medication, or lifestyle adjustments. However, if symptoms persist or worsen, Dr. Hunter may recommend carpal tunnel release surgery, a minimally invasive procedure designed to relieve pressure on the nerve and restore normal hand function.

5. Traumatic Brain or Spinal Cord Injuries

Accidents, falls, or sports-related injuries can cause severe trauma to the brain or spine. Common injuries that require neurosurgical intervention include:

  • Skull fractures
  • Brain hemorrhages or bleeding
  • Spinal fractures or instability
  • Nerve damage leading to paralysis

In these urgent cases, Dr. Hunter provides specialized care to stabilize injuries, minimize damage, and promote optimal recovery.

Want to Talk To An Expert?

Contact the team at the NSSC Spine Clinic in Gastonia, NC. We’ll be happy to answer all your questions.

 We invite you to join us for this informative session hosted by Dr. William Hunter, a renowned specialist in orthopedic spinal surgeries.

Spine Fusion and Joint Care with Bone Marrow & Platelet Rich Plasma Webinar

October 29th - 5:30-6:30PM (CST)
Learn More / Register Now

During the webinar, Dr. Hunter will share his insights, practical tips, and strategies for how Bone Marrow & Platelet Rich Plasma can be utilized in Spine Fusion and Join Care procedures. This is an excellent opportunity for you to learn more about minimally invasive procedures, bone marrow & PRP utilization, and the latest advancements in spinal & joint treatments.

Spine Fusion and Joint Care with Bone Marrow & Platelet Rich Plasma Webinar

Warlick Family YMCA Trick or Trail 5k Trail Run and 1 Mile Fun Run

We’re thrilled to once again be part of the Warlick Family YMCA’s Trick or Trail 5K and 1-Mile Fun Run as the title sponsor! Whether you’re a seasoned runner or just want a fun day out with the family, this event has something for everyone. Join NSSC as we participate in the Warlick Family YMCA Trick or Trail Run at the Warlick Family YMCA on Saturday, October 26th

Warlick Family YMCA
2221 Robinwood Road
Gastonia, NC US 28054

As the title sponsor, all of us at the Neuroscience & Spine Center of the Carolinas would love to see you come out, have a great time, and support a wonderful organization.

Warlick Family YMCA

The Trick or Trail Run supports the Warlick Family YMCA, a non-profit organization committed to helping members of our community live a balanced, healthy life in spirit, mind, and body. The YMCA makes a positive impact in the Gaston County community by encouraging wellness and family on their beautiful 118-acre campus.

EVENT DETAILS

SATURDAY, OCTOBER 26, 2024
5K and 1-mile Fun Run on the Sytz Trail
at the Warlick Family YMCA

  • 7:00am Warm Up Your Morning (Coffee/Hot Chocolate)
  • 8:00am 5K Race begins
  • 9:00am Fun Run begins
  • 9:45 After Party, Awards, Fall Festival

What does the 5K Trail Look Like? 
Both the 5K race and 1 Mile Fun Run courses are on the Sytz Trail System at the Warlick Family YMCA.
View a map of the Sytz Trail System.

Can I dress up in costume?
Please do! It makes the race even more fun! Plus, the after-race party will include prizes for best costume and performance. Dogs included!

Register Now

Visit the Warlick Family YMCA Trick or Trail Run website to register now.

Warlick Family YMCA Trick or Trail 5k Trail Run and 1 Mile Fun Run - NSSC Spine Clinic

Minimally Invasive Surgery- TLIF

Dr. William D. Hunter performs a minimally invasive TLIF L5-S1 fusion in Gastonia, N.C. Watch as the intra-operative procedure is performed.

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TRAnscript:

This video is reviewing the maximum access transforaminal lumbar interbody fusion. The MRI here shows the boxes are the bones, between the bones the disk spaces, and the white where the nerves are running. The last disk space is shorter in height, and there’s a herniated disk (the black area) pressing on the area white area where the nerves are. This is the plan for attack to perform a fusion surgery. The patient is in the prone position, properly prepped and draped, and then we make small skin incisions the size of a finger to go ahead and place the screws in place. We dilate the muscles. We’re not stripping any muscles, only dilating the muscles. We’re putting the screws in first. We’re putting two screws in at l5 and also s1, and between the two screws is the disk space that we’re going to attack. We use the monitoring system to make sure that when we’re putting the screws in that we’re in the safe zone. Because we’re using the small skin incisions, we use the C arm, the x-ray machine, as well as the monitoring system to make sure we’re safe. Green means we’re safe, and we’re going to go ahead and proceed in placing the screws in the area of where they should be within the vertebral bodies going through the pedicles. So there are pedicle screws being placed. Once the screws are placed - we have two screws in place (one at l5 and one at S1) - we then go ahead and we’re going to take the disc out between the two screws. Once we have the screws in place, we place the retractor and make a skin incision between the two screws, and now we have basically the size of two fingers to put attack the disk space. You can see here drilling down this is exactly what I see in the operating room. Between my drill right there you can see the two screws that are on either side. We drill down the bone. We’re getting down to where the disk space is. The disk space is covered by bone, so we remove the bone, and we’re going to go attack between the two screws where the disk space is. We’re now opening up the space for the nerves to run through. We identify the nerves, and we go ahead and take the disc out that’s causing the pressure. We remove the herniated disc and we’re taking the rest of the disc out. Once we take the rest of the disc out, you can see we have an instrument inside the disc space. Now, the disc space has been removed, and now we have to size up the disc space. We go ahead and put trials in so we can use the correct size, and we can jack that disk space up, which allows the nerves to have more room to run through. Here, we’re tapping in the trial to make sure that we’re all in the correct space and size. We then use the actual graft itself, and we place the graft inside that space. Then once we do that, we go ahead and put the rod between the two screws, torque it, and then we go ahead and remove the retractor system. We close the area up, and we’ve performed our procedure within a matter of minutes, we’ve now performed our fusion. You can see that there are the screws there. The top screw is the l5 screw, and the bottom screw is the s1 screw. There’s the l5, and s1. Between the screws of the rod is the rod, and inside that disk space it’s been jacked up, and we now have a graft inside the disk space, and you can see the hash marks show on the back and the front. That’s the procedure in performing our mass TLIF.