Kenneth J. Koval MD


Intradiscal Electrothermal Therapy (IDET)

Intradiscal electrothermal therapy (IDET) is a minimally invasive treatment for chronic low back pain caused by a spinal disc problem. Using “live” X-ray imaging (fluoroscopy), a doctor inserts a hollow needle containing a flexible tube (catheter) and heating element into the spinal disc. The catheter is positioned in a…

Herniated Disc

The bones (vertebrae) that form the spine (backbone) are cushioned by small, round, flat discs. When these discs are damaged from an injury, normal wear and tear, or disease, they may bulge abnormally or break open. This is called a herniated or slipped disc.

Arthrodesis

Arthrodesis is a type of surgery that joins (fuses) 2 bones in a diseased joint so that the joint can no longer move. It may be done when pain and disability or instability from a diseased joint can no longer be managed with medicines, splints, and other methods. The surgery may be done on joints such as the fingers…

Knee Bursitis and Tendon Injury: Preventing Pain

Patellar tendinopathy, also known as jumper’s knee, affects the tendons that attach the kneecap to the shinbone and the quadriceps tendon to the kneecap. Prolonged kneeling can cause prepatellar bursitis , which can develop into an egg-shaped bump on the front of the kneecap. To prevent and ease knee pain during work…

Diffuse Idiopathic Skeletal Hyperostosis (DISH)

Diffuse idiopathic skeletal hyperostosis (DISH) is a disorder in which there is bone growth in the ligaments, particularly where they attach to the bones of the spine. You may have no symptoms. Or you could have minor spinal stiffness and pain. Over time your spine will stiffen and your vertebrae may fuse together.