Neck and Back Injury
While the vast majority of orthopedic injuries are painful, there can be no arguing that perhaps the most concerning and debilitating injuries involve neck and back pain. Virtually everybody in North America at some time in their life will experience low back pain or cervical pain at least once in their lifetime. A significant percentage of these patients will have such dramatic symptoms and clinical findings that they will experience lost work time. Fortunately only a small percentage of these patients go on to any significant disability or necessitate surgical intervention. However, with proper treatment including physical therapy, massage therapy, interventional treatment such as trigger point injections and lumbar or cervical epidural injections, patients can experience significant relief returning to a more normal life.
It is our philosophy to avoid the use of heavy medication including narcotics which can perpetuate the pain cycle. Instead our focus at Dayton Orthopedic Surgery and Sports Medicine Center revolves around a combination approach involving aggressive physical therapy, in conjunction with massage therapy and the appropriate interventional treatment based on imaging studies that support the need for more advanced treatment. Surgery should be a last resort but if this becomes acutely necessary then rest assured that our practice utilizes only the best orthopedic and neurosurgical specialists in the area. With the proper approach relying on good clinical examination, imaging studies, and time tested treatment options most patients can experience relief with their symptoms without surgical intervention.



Neck & Spine Injury Knowledge Center
Scoliosis in Adolescents: Early Detection and Intervention Strategies
Scoliosis in Adolescents Scoliosis, a spinal deformity where the spine curves abnormally either to the left or the right, is a condition that often emerges during the growth spurts in the adolescent years. While mild cases might not impact daily life, more severe...
Herniated Disc: Non-Surgical Treatment Options
Herniated Disc: Non-surgical treatment options for a slipped lumbar disc A herniated disc, sometimes referred to as a slipped or ruptured disc, ranks among common spinal conditions that can lead to pain, numbness, and weakness. However, even with its daunting...
The Importance of Proper Posture: Tips to Improve Spine Health
Improve Spine Health Let's talk spines! They're the backbone (pun intended) of our entire body. Yet, in our chair-loving Western societies, spine health often takes a backseat. Dive in, as we explore the profound importance of posture, and some golden nuggets to keep...
Herniated Disc: What are your Options?
A herniated disc, also known as a slipped or ruptured disc, occurs when the soft tissue inside the spinal column pushes through a crack in the tougher outer layer of the disc. In a healthy spine, vertebral discs cushion your bones as you move, but an acute injury or...
6 Ways to Reduce Lower Back Pain
Lower back pain affects as many as four in five people at some point in their lives. It can range from a dull, constant ache to a sudden, sharp pain. The pain may be caused by a variety of factors, such as muscle strains, herniated discs, spinal stenosis, or...
What Could Be Causing Your Back Pain?
Back pain or pain in your neck can often be a mystery, and it's not always easy to figure out a possible cause. While this graphic is in no way exhaustive, we've created this easy-to-understand chart that may help you understand what could be causing your back pain....
Spinal Cord Stimulation
Spinal cord stimulation is a type of neuromodulation that effectively treats neuropathic (nerve-related) pain. Spinal cord stimulation has been shown to reduce the amount of pain medication required, reduce pain scores (patients’ measures of their pain), improve...
Cervicalgia: A Pain in the Neck
Cervicalgia is the medical term use to describe pain located in the back of the neck, over the cervical spine. It is very common and affects approximately 2/3 of the population at some point in their life. Cervicalgia is the 4th major cause of disability. Risk factors...
What is Whiplash?
Whiplash is a type of neck injury caused by rapid change of direction. It can happen in any situation where the head is suddenly forced from one position to another. Whiplash is commonly caused by rear-ending car accidents, but it can also happen as a result of sports...
Scoliosis
Scoliosis is an abnormal lateral (side to side instead of forward or backward) curvature of the spine. This condition often develops in adolescence during the growth spurt before puberty. It is more common in girls than in boys. The exact cause of the most common type...
Sacroiliac Joint Dysfunction and Pain: Everything you Need to Know
Sacroiliac joint dysfunction is a medical condition that leads to sacroiliac (SI) joint pain. While the exact cause of SI joint pain has not been determined, there are a variety of treatments available to alleviate joint pain. Fortunately for most patients, SI joint...
Frequently Asked Questions about Sciatica
What is Sciatica?Sciatica is a collection of symptoms that occur when the sciatic nerve in your lower back is compressed or injured. Symptoms include lower back pain, pain that radiates into your hips and down one or both legs, leg weakness and numbness, tingling...
You should Never Ignore Whiplash
"Whiplash" is a commonly known injury usually associated with car accidents. It is a type of neck injury that results from the sudden, forceful back-and-forth motion of the neck, like the cracking of a whip. According to the Mayo Clinic, "Most people will get better...
OUR SPECIALTIES
Since 1993, Dayton Orthopedic Surgery has been dedicated to delivering the gold-standard for Orthopedic care in the Miami Valley. With over 60 years’ combined experience, our expert staff treats a wide range of bone and joint dysfunctions caused by trauma, sports injuries and degenerative conditions.
From initial diagnosis all the way through to physical therapy, Dayton Orthopedic Surgery is devoted to getting you back to you again.
Workplace injury
Physical Therapy
Medical Marijuana
Regenerative Medicine
Total joint replacement
Shoulder injury
Knee Injury
Carpal Tunnel
Sports Medicine
Bone & Joint Health
Neck & Spine Injury
Lower Limb surgical procedures
Upper Limb Surgical Procedures
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Happy Patients

“Listened & understood my needs before surgery. The surgery went very well, and was just as he explained. Post surgery recovery time was much less than expected. Absolutely no pain, very minimal discomfort, and was back doing my normal routine with only slight modification within 2 months. I am very, very happy with Dr. Paley & his staff.”
Vitals.com

After another Doctor screwed my knee up and told me it was all in my head I went to Dr. Paley he has done two surgeries to correct the first one and is by far the best and most caring Doctor I have seen. His whole office staff are wonderful people that are always happy to be there and his Physicians Assistants actually know what they are doing. Great great great!