Kenneth J. Koval MD


Subacromial Smoothing and Acromioplasty for Rotator Cuff Disorders

Surgery may be used to treat a rotator cuff disorder if the injury is very bad or if nonsurgical treatment has failed to improve shoulder strength and movement sufficiently. Subacromial smoothing involves shaving bone or removing growths on the upper point of the shoulder blade ( acromion ). It removes damaged tendon…

Percutaneous Discectomy for a Lumbar Herniated Disc

Covers surgical removal of herniated disc material that presses on a nerve root or the spinal cord. Discusses why it may be done such as for a bulging disc, to relieve pain, or help prevent serious nerve damage. Looks at how well it works and risks.

Degenerative Disc Disease

Degenerative disc disease (DDD) is not really a disease but a term used to describe the normal changes of the discs in the spine as a person ages. The breakdown of the discs can result in back pain, neck pain, or other problems. Age-related changes that cause DDD include a loss of fluid in the discs and tiny tears or…

Rotator Cuff Problems: Should I Have Surgery?

Guides you through the decision to have surgery for rotator cuff disorders. Lists risks and benefits of surgery. Talks about other treatment. Explains rehabilitation for rotator cuff surgery. Includes interactive tool to help you decide.