Comprehensive Spine & Back Care


  • Cervical
  • Complex spinal surgery
  • Disc herniations
  • Lumbar
  • Minimally-invasive
  • Thoracic
  • Tumor surgery
  • Scoliosis

A healthy back and spine are essential to everything you do: from relaxing at home to running errands after work. Any discomfort can throw off your routine and keep you from going about your day as normal.

When pain holds you back, it’s time to call CNOS. Our multidisciplinary team of highly trained surgeons, therapists and nurses use a structured approach to provide comprehensive care, whether you’re experiencing slight low back pain or need surgery.

Our neurosurgeons and orthopaedic spine surgeons always take a personalized look at your condition, even without a referral. They'll deliver the least invasive—but most advanced—treatment available to encourage a faster recovery.

CNOS Spine Care Team

Neurosurgical Spinal Clinic Services

Trust Siouxland's most comprehensive neurosurgical team for restoration and maintenance of your spine. These spinal conditions can disrupt patients of any age or stage of life, and we're here to help: whether it requires laser, injection, surgery, or conservative treatments.

Birth Defects

When the spine and spinal membranes don’t develop correctly, a child can experience spinal birth defects. Our expert team specializes in meningocele, or myelomeningocele, repairs for these issues.

Cerebral palsy occurs in children (often before birth) and causes symptoms such as exaggerated and involuntary reflexes, as well as floppy or rigid limbs. Though incurable, this impairment can be treated and managed through therapy, medication, and occasionally surgery.

Central Nervous System

The brain and spinal cord control your body’s activity, so any hindrance to their function can have an extended impact. Infections such as epidural abscesses can cause swelling in areas like the outer covering of the brain and spinal cord, and the bones of the skull or spine. Treatment can be as simple as antibiotics but sometimes severe spinal conditions require surgery, so it’s important to seek help as early as possible.

Your peripheral nervous system is responsible for sending information from your brain and spinal cord (central nervous system) to the rest of your body. When it’s damaged, you can experience weakness, numbness, and pain in the hands and feet. This is known as peripheral neuropathy and usually surfaces in result to conditions such as diabetes, injuries, or infections.

At CNOS, our highly trained spine physicians are familiar with the symptoms and causes of these disorders, and we will be able to get you on the fastest route to recovery.

Orthopaedic Spinal Clinic Services

Spinal injury can occur in many forms, from lower back pain to osteoporosis. The orthopaedic specialists at CNOS will care for cervical, thoracic and lumbar spine conditions in the best way possible: with personalized treatments that prioritize fast, effective recovery.

Arthritis & Inflammation

Osteoarthritis causes flexible tissues at the ends of bones to wear down, and often causes pain in the lower back. Other pain areas might include hands, neck, knees, or hips. Targeted therapy can help ease discomfort and restore movement to these areas.

Ankylosing Spondylitis is a type of arthritis more specific to the spine, affecting that and large joints. More common in men, this condition can reduce spine flexibility and result in a hunched posture that then causes further pain in the back and joints.

Discitis, an inflammation that develops between the intervertebral spine discs, is relatively uncommon—but not hard to treat. The condition can be made better with a few weeks of intravenous antibiotic therapy.

These and other arthritic conditions are often made better through common treatments like medication and physical therapy. Rare cases may require surgery, but in any instance, the CNOS specialists will provide your least-invasive options that will help you feel better, faster.

Spinal Injuries & Injuries

Injuries like tailbone trauma can cause a bruise, dislocation, or break that’s slow to heal. However, cautious treatment can help restore tailbone function. Our highly trained physicians and therapists will do just that.

Osteoporosis can cause bone fractures—in the tailbone as well as other areas—as a result of weakened and brittle bones. Treatments such as medications, healthy diets, and strengthening exercises can help prevent bone loss and improve those that are already weak.

Lordosis is a condition in which the lower back curves inward. Whether inherited or developed, some degree of this condition is normal. Too much, however, is referred to as “swayback” and can require physical therapy.

A rare condition known as torticollis causes the neck muscles to contract and the head to twist to one side. It occurs in children, soon after birth, and may resolve without treatment. If persistent, torticollis can require physical therapy or surgery.

Our specialists are prepared to help you with any of your health concerns. We’ll take a complete look at each person’s symptoms and causes, and recommend the best possible route to health.

Other Spine Services

Any spine injury has the potential to cause a lasting loss of strength, sensation, and function. With that can also come a loss of independence: seemingly simple tasks instead require assistance.

Rather than letting that happen, CNOS physicians, physical therapists, and surgeons use rehabilitation, assistive devices and surgery (if necessary) to help patients lead productive, independent lives. Ease your pain by seeing our experts for compression fractures, herniated discs, spine trauma, and anything else that inhibits your day-to-day life.

Back Pain

Conditions like cervical spondylosis come as a result of age-related wear and tear. Although there’s no specific treatment, the effects can be made better through medication, physical therapy, and surgery when necessary.

Sciatica often accompanies herniated discs, causing pain that radiates along the sciatic nerve (extending from the lower back down one or both legs). Your treatment might include anti-inflammatory medications and physical therapy.

Spondylolisthesis is the result of a bone (or vertebra) slips forward onto the bone below it. If it moves too far, this bone can cause severe back pain or nerve crowding, resulting in leg pain or numbness. Severe cases may require surgery, but most cases are improved through rest and medication.

Spine Curvature

Spine issues can disrupt life at any age. Scoliosis, for example, occurs most often in young adults, although it can start during childhood years and become more severe over time. This spine deformity causes a sideways curvature of the spine that can range from not needing treatment to correction through a brace or surgery.

Kyphosis is another spine deformity that causes a hunching of the back. Most common in older women, this condition is often a result of osteoporosis. Patients with kyphosis might experience pain and stiffness that requires medication, physical therapy and sometimes surgery.

Physical Therapy

Every spine injury and condition requires its own method of care. We use various physical therapy options to suit your unique condition. 

The right physical or occupational therapist smoothes your path to recovery and helps you heal more quickly. Our physical therapists are well equipped to teach patients how to prevent or manage their condition so that they will achieve long-term health benefits.

Talk to a CNOS Physician Today

When it comes to your health, there’s no time to waste. Our team of specialists is ready to help you heal. Talk to us today about any back or spine pain, and we’ll help you get on the personalized path to recovery.

CNOS Spine Care Clinic Locations

The following CNOS clinics offer spine treatment in communities throughout Siouxland. Find a clinic near you to visit with a CNOS physician from our list below.

South Dakota