A myelogram is a specialized x-ray study of the spine. It is performed in an out-patient setting using iodine-based contrast that shows up on x-ray. It is done to identify sites of compression of the spinal cord or nerves. The contrast (dye) is injected into the spinal canal through a spinal tap or lumbar puncture under local anesthesia. This will highlight the spinal cord and nerves. X-ray films and a CAT scan are then taken before you go home.

Please have someone drive you to this procedure. Dr. Jamaris recommends drinking "plenty of fluids" and "laying around" for two days to avoid a spinal headache.

Dr. Jamaris will describe the study results either during the procedure or call within 2 - 3 days.

Epidural Steroid Block

An epidural steroid injection (ESI) is an attempt to reduce the pain of spinal inflammation, thereby avoiding the need for more aggressive intervention, such as surgery. It is an injection into the lower spine, which begins to work gradually over about 10 days. Some patients experience immediate relief, but for others it may take up to 2 weeks before improvement. Epidurals are done in a series of as many as three.

Please have someone drive you to this procedure. There is no other preparation needed.

Carpal Tunnel Release

The median nerve and the tendons that allow your fingers to move pass through a narrow passageway in the wrist called the carpal tunnel. A number of conditions can cause the tunnel to compress the nerve, resulting in numbness and tingling of the hand, pain and loss of function.

During a carpal tunnel release, an incision is made in the palm. The flexor retinaculum (carpal ligament) is cut, releasing the nerve. The palm will be covered with a bulky dressing and the patient discharged with a sling. The patient is asked to keep the arm elevated or in the sling for 2-3 days, at which time a wound check will be arranged in the office.

Cubital Tunnel Release (Anterior Transposition of Ulnar Nerve)

The ulnar nerve or "funny-bone nerve" is often damaged by significant pressure in the elbow, producing pain, numbness and even weakness of the hand. In severe cases, Dr. Jamaris recommends an anterior transposition of the affected ulnar nerve. This entails an incision above and below the elbow, freeing the nerve out of its bony canal and creating a soft, fleshy home in the fat and muscles in front of the elbow.

The following spinal surgeries are all performed microscopically or with minimally invasive technique when indicated and safely administered:

Microdiscectomy (Microdecompression) Spine Surgery

In a microdiscectomy or microdecompression spine surgery, a small portion of the bone over the nerve root and/or disc material from under the nerve root is removed to relieve neural impingement and provide more room for the nerve to heal.

Laminectomy and Laminotomy

Spinal stenosis is a narrowing of spaces in the backbone that results in pressure on the spinal cord and/or nerve roots, and is another common cause of back pain, often producing leg pain, numbness and even weakness. The surgical option for this condition is called a laminectomy (removal of the entire lamina) or a laminotomy (partial removal of the lamina). The lamina is the small bony plate located in the back of each vertebra. Partial or total removal of this plate gives the surgeon access to the inververtebral disc.


A foraminotomy is a surgical procedure used to expand the opening through which nerves exit the spinal canal. This procedure is usually done to treat a compressed or pinched nerve, and is often done in conjunction with a discectomy or laminectomy.

Anterior Cervical Decompression and Fusion

This is a surgery to remove discs and/or boney pressure through an approach through the front of the neck and then filling the cavity formed with bone from the hip (or donor bone) and possibly placing screws and plates to hold the entire construct in place, thereby increasing the likelihood of bone healing (or fusion).

Posterior Cervical Laminoforaminotomy

This surgery removes the pressure on a nerve caused by a herniated disc or arthritic bone spurs in the neck. This surgery, also done microscopically, involves a short incision on the back (posterior) of the neck.