The Spine Pod

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  • Tune into The Spine Pod for an insider’s view on cutting-edge spine solutions. Join hosts Courtney Schutze & Brady Riesgraf as they lead conversations with pioneers in the field, uncovering advancements in motion preservation and the latest in spine technology. Discover how these innovations are setting new benchmarks and shaping a new era in patient treatment options.
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Ciencia Ciencias Biológicas Economía Enfermedades Físicas Hygiene & Healthy Living
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Episodios
  • Restoring Motion in Spine: Disc Replacement & the Future of Treating Back Pain, Jason Cuéllar, MD

    Restoring Motion in Spine: Disc Replacement & the Future of Treating Back Pain, Jason Cuéllar, MD
    May 1 2025

    In this episode of The Spine Pod, hosts Courtney Schutze and Brady Riesgraf sit down with Dr. Jason Cuéllar, a fellowship-trained orthopaedic spine surgeon based in Palm Beach Gardens, FL, whose practice is built on a simple but powerful goal—restoring motion and function to every patient possible. With over two decades of education and training—earning his MD, PhD, and completing educational stints at prestigious institutions including UC-Davis, Stanford, NYU, and Cedars-Sinai—Dr. Cuéllar brings a rare mix of scientific depth, surgical expertise, and personal experience. Having also undergone spine surgery himself, he understands what it means to be both surgeon and patient. That dual perspective has shaped a career built on empathy, precision, and an unwavering commitment to preserving motion whenever possible. In this episode, Dr. Cuéllar shares what it was like training alongside motion preservation pioneers like Dr. Todd Lanman, Hyun Bae, and Neel Anand, and how those experiences fueled his passion for multi-level disc replacement and hybrid solutions. Now practicing in Florida, his reputation has drawn patients from across the country—and driven demand so high, he's expanding clinic locations from Jupiter to Miami and building a dedicated motion-preserving spine surgery center. Dr. Cuéllar goes on to discuss the philosophies that guide his decision-making—how his own experience as a spine surgery patient shaped the empathy he brings to each case, and why motion preservation isn't just a technique—it's a commitment to giving patients back their quality of life. From non-operative therapies to multi-level cervical disc replacement and fusion reversals, Dr. Cuéllar is pushing spine care forward with every patient encounter. In this episode, you’ll learn: • Why Dr. Cuéllar’s personal experience with spine surgery led to a more empathetic, patient-first approach to care. • How cervical disc replacement has evolved into a routine, reliable solution—and what’s needed to bring lumbar procedures to the same level. • How research into the biological mechanism of pain and inflammation spurred the creation of a new non-operative treatment for degenerative conditions. • The biggest barriers to broader adoption of motion preservation—from training to reimbursement. • Why volume and specialization matter in motion-preserving surgery—and how they can drive better long-term outcomes for patients suffering from leg and/or back pain. As a surgeon, researcher, and patient advocate, Dr. Cuéllar is advancing the field of spine with thoughtful innovation and genuine compassion. Whether you're a surgeon, patient, or part of the spine industry, this episode offers a dynamic look at the shifting landscape of spine care—and how motion remains at the center of it all.

    Learn more about Dr. Cuéllar: • Cuéllar Spine: https://cuellarspine.com/ • LinkedIn: https://www.linkedin.com/in/jason-cuellar-md-phd-34a6046/ • Instagram: https://www.instagram.com/cuellarspine?igsh=MXFrbDI0ZXNzMjBnZg==

    You can find The Spine Pod on all Podcast Streaming Platforms, including: • YouTube: https://www.youtube.com/channel/UCcA8vODr8pDabWImOrHv3ZQ • Spotify: https://open.spotify.com/show/0DBzWfV... • Apple Podcasts: https://podcasts.apple.com/us/podcast... • Amazon Music: https://music.amazon.com/podcasts/98f... • iHeart Radio: https://www.iheart.com/podcast/269-th...

    Follow The Spine Pod on Facebook to learn more about the latest episodes and happenings in the world of motion preservation: ⁠https://www.facebook.com/profile.php?..⁠.

    The information in this podcast is for educational and informational purposes only and is not intended as medical advice. It does not replace consultation with a qualified healthcare professional. Always seek the advice of your physician or another qualified healthcare provider regarding any medical condition or treatment.
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    1 h y 38 m
  • From Early Trials to Today’s Tech: Motion Preservation, Robotics & Spine Care, Jonathan Stieber, MD

    From Early Trials to Today’s Tech: Motion Preservation, Robotics & Spine Care, Jonathan Stieber, MD
    Apr 8 2025
    In this episode of The Spine Pod, hosts Courtney Schutze and Brady Riesgraf sit down with Dr. Jonathan Stieber, Director of the Spine Center at both OrthoManhattan and OrthoEnglewood, Associate Professor of Orthopedic Surgery at Mount Sinai and Clinical Associate Professor at NYU Grossman School of Medicine. Practicing in the heart of New York City for more than 17 years, Dr. Stieber brings a uniquely comprehensive perspective on how spine care has evolved—and where it’s headed. Having trained during the early surge of motion preservation, Dr. Stieber shares his firsthand experience participating in some of the first clinical trials for lumbar disc replacement and, almost two decades later, clinical trials for the first lumbar total joint replacement. From the early days of the Flexicore disc to being one of the first to utilize annular closure devices, Dr. Stieber has evolved alongside the technologies that have become a mainstay in spine care today. His early exposure to the promise and limitations of these technologies helped shape a surgical philosophy rooted in function, durability, and thoughtful patient selection. And as a spine patient himself, Dr. Stieber opens up about what really matters when making treatment decisions—restoring function, durability, and giving patients treatments tailored to their specific needs. Dr. Stieber also explores how enabling technologies like navigation, robotics, and advanced imaging are redefining precision in the OR and expanding access to motion-preserving procedures. Beyond the operating room, he discusses his latest endeavor: launching a purpose-built outpatient spine and joint surgery center just outside Manhattan, designed to deliver a more streamlined and personalized care experience for patients. In this episode you’ll learn: How motion preservation has evolved from early hype to real-world results—and why it’s here to stay this time.The importance of tailoring procedures to each patient—and how pre-operative goal setting can help patients make more informed long-term decisions.How enabling technologies like robotics, navigation, minimally-invasive approaches are coalescing to provide a higher-level of treatment options to patients suffering from chronic leg and/or back pain.Where non-instrumented motion preserving alternatives fit into the care continuum and how they may provide an alternative to patients who are facing a cervical or lumbar spinal fusion.How Dr. Stieber is creating a new approach to surgical care—giving patients expanded treatment options, across the entire orthopedic spectrum, under one roof. Whether it’s cervical disc replacement, minimally invasive procedures, or lumbar total joint replacement, Dr. Stieber brings a deep understanding of the full motion preservation toolbox—and when to use each option. With a strong focus on individualized care, innovation, and surgical excellence, Dr. Stieber offers invaluable insight for surgeons, industry professionals, and patients alike. Learn more about Dr. Stieber: LinkedIn: https://www.linkedin.com/in/jonathan-stieber-m-d-aa09494/Jonathan Stieber: https://www.stiebermd.com/OrthoManhattan: https://www.orthomanhattan.com/OrthoEnglewood: https://www.orthoenglewood.com/ You can find The Spine Pod on all Podcast Streaming Platforms, including: YouTube: / @thespinepodSpotify: https://open.spotify.com/show/0DBzWfV...Apple Podcasts: https://podcasts.apple.com/us/podcast...Amazon Music: https://music.amazon.com/podcasts/98f...iHeart Radio: https://www.iheart.com/podcast/269-th... Follow The Spine Pod on Facebook to learn more about the latest episodes and happenings in the world of motion preservation: ⁠https://www.facebook.com/profile.php?..⁠. The information in this podcast is for educational and informational purposes only and is not intended as medical advice. It does not replace consultation with a qualified healthcare professional. Always seek the advice of your physician or another qualified healthcare provider regarding any medical condition or treatment.
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    1 h y 11 m
  • Do You Really Need A Fusion? The Truth About Back Pain And Your MRI Results, Ahilan Sivaganesan, MD

    Do You Really Need A Fusion? The Truth About Back Pain And Your MRI Results, Ahilan Sivaganesan, MD
    Mar 26 2025
    Struggling with leg and/or back pain and overwhelmed by confusing MRI results? You’re not alone—and this episode is for you. In this special episode of The Spine Pod, hosts Courtney Schutze and Brady Riesgraf rejoin forces with Dr. Ahilan Sivaganesan (Dr. Siva), a neurosurgeon building an all-encompassing spine program with Hospital for Special Surgery (HSS) at NCH in Naples, Florida. After creating a successful practice at Thomas Jefferson University in Philadelphia, Dr. Siva has taken a bold step into a new frontier—starting from scratch and building a spine program designed to treat the breadth of back and leg pain patients that all too often ‘fall through the cracks.’ His goal is to design a new-style spine practice, utilizing the whole spectrum of the care continuum—from conservative care options to surgical treatment methods, specifically aimed at addressing patients' needs earlier, more thoughtfully, and with more innovative options. Dr. Siva offers an honest take on the realities of spine care today—especially for the millions of patients suffering from chronic low back pain who often fall into the category of "non-specific back pain." In this episode, he shares why it’s time for spine surgeons to reframe their role—not just as proceduralists, but as clinicians. In the second half of this episode, Dr. Siva breaks down the difference between imaging findings and a true diagnosis. He outlines how to navigate complex radiology reports and explores how endoscopic techniques and motion-preserving implants can offer outpatient alternatives to the traditional spinal fusion. He also walks us through real patient images, demystifying common findings like facet degeneration, spondylosis, and spondylolisthesis, and how a thoughtful, diagnosis-first approach can radically improve care. In this episode, you’ll learn: Imaging ≠ Diagnosis MRI results like “annular tear”, “facet arthritis”, and “stenosis” are just part of the story—and why diagnosis should start with your symptoms and physical exam, not your scan.Why So Many Patients Get Lost in the Care Cycle Many people with chronic back and/or leg pain get stuck in a frustrating loop: bouncing between PT, injections, or fusion recommendations—without fully understanding what’s causing the pain.How Comprehensive Spine Care Can Redefine the Surgeon’s Role Dr. Siva shares how he's reshaped his own mindset: from "what surgery can I offer?" to "what’s the root cause of this person’s pain?"—and how this shift is foundational to future spine care.The Emergence of Endoscopic Spine Surgery as a First-Line Surgical Intervention For well-selected patients with discogenic or facetogenic back pain, endoscopy offers an outpatient, motion-preserving early-stage alternative—without the drawbacks of traditional fusion.The Importance of Building Comprehensive, Fusion-Free Spine Practices Dr. Siva and his team are using this fresh start to create a more thoughtful, tech-forward, and patient-centered model for spine care—one that listens to patient goals and preserves motion whenever possible.Where You Fit in the Continuum of Care Whether you're at the beginning of your back pain journey or feeling stuck after years of dead-ends, Dr. Siva outlines a more personalized, stepwise approach—one that gives patients options before jumping to fusion. With a passion for patient-centered decision-making, innovation in technique, and humility in practice, Dr. Siva is helping lead a quiet revolution in how back pain is evaluated and treated—and invites us all to be a part of that evolution. Whether you're a surgeon, patient, or industry professional, this episode offers new insight into how we understand—and treat—the most common cause of disability in the world: chronic back pain. Learn more about Dr. Siva and HSS at NCH: LinkedIn: https://www.linkedin.com/in/ahilansiva/ Dr. Siva at HSS at NCH: https://www.hss.edu/physicians_sivaganesan-ahilan.aspIf you would like to schedule a consultation with Dr. Siva you can call or email his practice at: 239-624-1700 or ahilan.siva@nchmd.org The information in this podcast is for educational and informational purposes only and is not intended as medical advice. It does not replace consultation with a qualified healthcare professional. Always seek the advice of your physician or another qualified healthcare provider regarding any medical condition or treatment.
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    1 h y 35 m
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