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Ashtanga Yoga

ORTHOPEDIC SPINE SURGERY & INTERVENTIONAL SPINE CARE

Comprehensive, Patient-Centered Spine Care 

Our spine team includes both an orthopedic spine surgeon and an interventional spine specialist, offering patients the full spectrum of care for conditions affecting the spine and musculoskeletal system. This collaboration allows us to evaluate, diagnose, and manage a wide range of issues involving the muscles, tendons, ligaments, bones, and joints of the spine and extremities. 

 

By bringing together the expertise of Spine Surgery and Spine Medicine & Rehabilitation, our specialists work collaboratively to create personalized treatment plans tailored to each patient’s unique needs. 

 

Spine Surgery 
Spine surgery is often considered when non-surgical treatments no longer provide relief and a patient’s pain, or loss of function begins to affect quality of life. Modern spine surgery combines advanced technology with minimally invasive techniques to reduce recovery times, minimize pain, and restore mobility. Procedures may address herniated discs, spinal stenosis, degenerative conditions, deformities, or traumatic injuries. At Coastal Orthopedic Associates, our surgical team emphasizes a patient-centered approach — carefully evaluating each individual’s needs and tailoring treatment to achieve the best possible outcome.  

Meet the Spine and Musculoskeletal Specialists at Coastal Orthopedics:

Ariel Kwart, M.D.. Spine Surgeon at Coastal Orthopedics

Ariel Kwart, M.D.

Orthopedic Surgeon Specializing in non-operative and surgical treatment of the full spectrum of conditions affecting the spine, including the neck and back.

Dr. Jeffrey Touma, Interventional Spine Specialist

Jeff Touma, D.O.

Interventional Spine Specialist Interventional Pain Management, Diagnostic Musculoskeletal Ultrasound, Regenerative Medicine

Surgical Procedures We Perform 

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  • Lumbar laminectomy and microdiscectomy 

  • Minimally invasive single- or multi-level spinal fusion 

  • Cervical disc replacement 

  • Cervical fusion 

  • Spinal deformity and scoliosis surgery 

  • Sacroiliac joint fusions 

 

Interventional Spine Procedures 

Interventional spine and musculoskeletal medicine focuses on minimally invasive, image-guided procedures to precisely identify and treat pain at its source. In many cases, these procedures allow patients to pursue a conservative treatment plan and avoid surgery. When surgery is necessary, our orthopedic spine surgeon provides advanced surgical options to effectively address symptoms and restore function. 

Our minimally invasive procedures use fluoroscopic (live X-ray) or ultrasound guidance for precise accuracy. 

 

Fluoroscopic (same-day surgical center) 

  • Injections – Local anesthetic and corticosteroid delivered to targeted spinal areas for diagnostic and therapeutic relief 

  • Radiofrequency neurotomy – Image-guided heat treatment to deactivate nerves transmitting pain signals 

 

Ultrasound-guided (in-office) 

  • Steroid injections – For joints, bursae, tendons, and nerves, providing diagnostic insight and months of pain relief 

  • Platelet-Rich Plasma (PRP) – Concentrated platelets injected into injured tissues to stimulate healing, paired with a guided rehabilitation plan 

 

Conditions We Treat 

  • Spine pain: low back, thoracic, and neck 

  • Back and hip pain 

  • Facet joint syndrome 

  • Herniated disc 

  • Lumbar degenerative disease 

  • Lumbar spinal stenosis 

  • Sacroiliac joint pain 

  • Sciatica 

  • Spondylolisthesis 

  • Arthritic conditions 

  • Joint pain (hip, knee, shoulder) 

  • Musculoskeletal injuries and conditions 

  • Sports injury rehabilitation 

 

Our Approach 

We take a comprehensive and patient-centered approach to spine care, offering procedures only when they will truly benefit the individual. Every patient receives a thorough evaluation and a personalized treatment plan designed to reduce pain and restore function. 

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Our focus is always on the patient’s goals — whether that means walking without discomfort, returning to sports, or enjoying time with family. From athletes to older adults, we help patients regain mobility and improve quality of life. 

Collaboration across specialties is a cornerstone of our care model. Our interventional spine specialist and orthopedic spine surgeon work closely together to ensure patients receive the right level of care at the right time — whether that means injections, physical therapy, or advanced surgery when necessary. 

At Coastal Orthopedics, you can schedule an orthopedic appointment by phone at 978-927-3040,
submit our online form, or walk in to one of our three locations in Danvers, Gloucester or Beverly, MA.

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