Procedures & Treatments

"Our goal is restoring quality of life"

Collier Spine Institute was formed in 2003 by Dr. Frank Collier. At Collier Spine Institute, we specialize in providing successful conservative alternatives to surgery. We offer a broad range of services including rehabilitation programs and diagnostic and therapeutic procedures that help alleviate your pain, thus improving overall function and restoring quality of life. With a team of 15 clinical providers and staff members, and three office locations, Collier Spine Institute is here to take care of you.

Back pain or injury is often the result of a combination of factors unique to each patient. Age, profession, overall health and activity level can impact diagnosis and outcome. Our medical providers offer experience and specialized training in performing medical examinations and utilizing the proper diagnostic tools to pinpoint the cause of your problem. A comprehensive treatment program is then specifically tailored to meet each patient's needs.

Commonly treated conditions

At The Collier Spine Institute we diagnose and treat an array of conditions including:

  • Herniated Discs
  • Degenerative Disc Disease
  • Spinal Osteoarthritis
  • Spinal Stenosis
  • Spondylolisthesis
  • Sacroiliac Dysfunction
  • Reflex Sympathetic Dystrophy
  • Coccydynia
  • Headaches
  • Knee Pain
  • Neck Pain
  • Shoulder Impingement
  • Arthritis 
  • Degenerative or Herniated Discs
  • Compression Fractures
  • Carpal Tunnel Syndrome
  • Neuropathic Pain
  • Myofascial Pain
  • Fibromyalgia
  • Cancer Pain
  • Diabetic Neuropathy
  • Hip Pain
  • Back Pain
  • Sciatica
  • Bursitis
  • Compression fractures
  • Neuropathic Pain (Nerve Pain)
  • Muscle Strain

EMG/NCV Testing

Procedure Room

EMG/NCV testing is used to help diagnose neuromuscular diseases. These include carpal tunnel syndrome, peripheral neuropathy, radiculopathy, brachial plexopathy, etc. You may undergo EMG testing, NCV testing, or both, depending on your presenting symptoms. It will take between 45 minutes and 1 hour to complete both procedures.

Nerve Conduction Velocity Study (NCV)

Nerve conduction studies test the flow of electrical currents across your nerves. This will help your physician determine if there is an abnormal nerve condition or nerve injury. This test is usually ordered in patients experiencing numbness or weakness in the arms or legs.

A physician will place small electrodes on the skin. An electrical impulse is then used to stimulate the nerves. The reaction of the nerve to the impulse will be recorded by a computer and a calculation will be made to determine the severity of a nerve injury.

Please cleanse all surfaces thoroughly before your appointment and do not wear any powder or skin lotion. This preparation will help ensure proper electrode adhesion.

Spinal Cord Stimulators

When more conservative treatment fails, a spinal cord stimulator is an option in treating persistent or chronic pain.  In spinal cord stimulation therapy, electrical pulses are used to block the nerve impulses responsible for pain reaching the brain.  A small transmitter is implanted under the skin with wires running from a power source to the spinal column.  Low-level electric impulses are generated to block the pain pathway from the spine to the brain. 

Spinal cord stimulation can be a good choice of pain management for those who have had a failed back surgery or have nerve related pain or numbness.  It has also been known to help with the pain from post-herpetic neuralgia, multiple sclerosis, peripheral vascular disease, spinal cord injury and phantom limb pain.

One of the best known sufferers of chronic pain is entertainer Jerry Lewis, who suffered from years of back pain due to a failed slapstick stunt on a television special in the 1960’s that left him almost paralyzed.  After years of failed treatments he underwent transplantation of a spinal cord stimulator.  He experienced amazing pain relief along with significant improvement in function.  You can read about how this procedure helped Jerry, and others, on the Web site  For additional information on this procedure please refer to the Boston Scientific website as well at

If you think that you may be a candidate for the spinal cord stimulator, call our office at (904) 296-2229 to set up an appointment with our providers to discuss if spinal cord stimulation is an option for you.

Physical Therapy

We offer on site Physical Therapy. Our therapists are all trained in manual physical therapy and provide patients with the latest in evidence-based interventions. They work very closely with our Providers maintaining vital communication which enhances patient outcomes. 

Some of the treatments offered are the following:

  • Hand Therapy
  • Foot Therapy
  • Physical Therapy
  • Post-Operative Therapy
  • Pre-Operative Therapy
  • Spine, Neck and Back Educational Programs
  • Sport Injury Rehabilitation
  • Work Injury Rehabilitation

Medical Massage

We offer therapeutic Medical Massage, mostly covered by health insurance.  Medical Massage is result oriented and the treatment is specifically directed to resolve conditions that have been diagnosed and prescribed by a Physician. Our skilled massage therapist will use a variety of modalities or procedures during the session to treat the pain. 

It has been shown to be useful in addressing conditions such as:

  • Carpal Tunnel Syndrome
  • Piriformis Syndrome
  • Migraines/headaches
  • Back and Neck Pain
  • Repetitive Use Injuries
  • Muscle Cramps
  • Work Injuries
  • Thoracic Outlet Syndrome
  • Sciatica
  • Rotator Cuff Injuries
  • Range of Motion Issues
  • Plantar Fasciitis  (Pain in the foot)
  • Tennis Elbow, Golfer’s Elbow
  • Sports Injuries
  • Auto Injuries
  • Pain associated with restricted fascia

Common Therapeutic Spinal Procedures

Collier Spine Institute provides the latest in non-invasive pain management treatments. The following are some of the treatments performed by our physician.

Exam Room

Facet Joint Injections

Facet Joint Injections are chemical sensory nerve blocks which temporarily block and treat low back pain stemming from inflammation, or irritation of the facet joints in the spine. These joints are located on each side of the vertebrae.

Epidural Steroid Injections (ESI)

An ESI is a common type of injection that is given to provide relief from certain types of low back pain and neck pain. This treatment is performed by injecting corticosteroids, via fluoroscopy, into the epidural space of the vertebral column. The injected medication coats the irritated spinal nerves relieving pain.

Transforaminal Epidural Steroid Injections

The Transforaminal approach is a more selective injection around a specific nerve root to deliver the steroids exactly near the involved root.

Facet Neurolysis/Rhizotomy

A Facet Rhizotomy is the destruction of a facet nerve, either in the lower lumber region or the cervical region using radiofrequency waves (heat waves).

Please Note: This website and the articles contained herein are intended for your information only and are not to be construed as medical advice.
If you have any concern about your health, please contact your physician.

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