Kenneth J. Koval MD


Lumbar Herniated Disc

Discusses herniated disc, which is also called a slipped or ruptured disc. Covers symptoms like back pain, numbness, and weakness. Looks at sciatica and bulging disc. Discusses nonsurgical and surgical treatment options. Offers prevention tips.

Hip Fracture Repair (Hip Pinning)

Surgery is usually the best treatment for a broken (fractured) hip. Three types of surgery can be used. Hip repair (internal fixation). Hip repair involves stabilizing broken bones with surgical screws, nails, rods, or plates. This type of surgery is usually for people who have fractures in which the bones can be…

Bulging Discs

A bulging spinal disc occurs when the disc’s soft, jellylike center (nucleus) is squeezed into cracks in the disc’s outer covering, weakening and stretching that covering. As a disc bulges out from between the neighboring bones (vertebrae), it can press on nerves that travel to the legs or arms and can cause numbness…

Laminectomy and Laminotomy

Laminectomy and laminotomy are surgeries done to relieve pressure on the spinal cord and/or spinal nerve roots by removing all or part of the lamina. The lamina, the thin part of the bones that make up the spine (vertebrae), protects the spinal cord. Age-related changes in the spine may narrow the opening through which…