Institute of Orthopedics, Spine, & Sports

Institute of Orthopedics, Spine, & Sports The Institute of Orthopedics, Spine, & Sports is here to help patients reclaim their lives from pain.

The Institute of Orthopedics, Spine, & Sports was founded by Dr. Calvert to focus on the non-surgical care of spine, orthopedics, and all other causes of pain. Our foundation is patient-centric care where patients are fully informed and active participants in their care.

08/22/2026

Chronic tailbone pain even though your MRI looks normal? You may still have treatment options.

This patient had lived with severe tailbone pain for years.

She had gone through multiple spine surgeries, physical therapy, medications, and evaluations with several doctors. She was eventually told her imaging looked fine and there was nothing else to do.

But she still couldn’t sit for more than about 2 minutes without burning, stabbing pain.

After a targeted ultrasound-guided ligament injection above the tailbone, she returned two weeks later reporting her pain was 80% better and she could sit for more than 20 minutes at a time.

Normal imaging does not always explain every source of chronic coccyx or tailbone pain.

If you have persistent tailbone pain, pain when sitting, or coccydynia that hasn’t improved with physical therapy or other treatment, a targeted non-surgical evaluation may uncover options you haven’t tried yet.

👉 Learn more or request an evaluation:
https://youmaynotneedspinesurgery.com/

📍 NJ Locations: Lyndhurst, Paramus, Millburn, Edison, Flemington, Little Silver, Dover
📞 (908) 897-0655

08/20/2026

Tailbone pain making it hard to sit for more than a few minutes?

If you’re constantly shifting in your chair, sitting on a cushion, or feeling a sharp or burning pain around your tailbone, you may be dealing with coccyx pain, also called coccydynia.

Chronic tailbone pain can come from the coccyx itself, the surrounding ligaments and soft tissues, or nearby nerves. And for some patients, X-rays and MRIs can look normal even though sitting is still extremely painful.

If physical therapy and other conservative treatments haven’t helped, there may be additional non-surgical tailbone pain treatments to consider.

One option we may start with is a targeted ultrasound-guided injection around the ligament over the tailbone. It’s a minimally invasive procedure performed in the office and designed to target a potential source of persistent coccyx pain.

If your tailbone hurts when sitting and the pain just isn’t going away, you may have more options than you’ve been told.

👉 Learn more or request a non-surgical evaluation:
https://youmaynotneedspinesurgery.com/

📍 NJ Locations: Lyndhurst, Paramus, Millburn, Edison, Flemington, Little Silver, Dover
📞 (908) 897-0655

08/18/2026

Still having pain months after joint surgery? It may be time for another evaluation.

A surgery can look successful on imaging while you’re still struggling with pain, stiffness, limited range of motion, or difficulty walking and exercising.

That does **not automatically mean you need another surgery.**

Persistent joint pain after surgery can have several possible causes, which is why finding the actual source of the pain matters. For the right patient, targeted minimally invasive and non-surgical treatment options may help reduce pain, improve movement, and get you progressing again.

If your surgeon says everything looks good but your joint still doesn’t feel right, it may be worth getting a **non-surgical second evaluation** before assuming another operation is your only option.

👉 Learn more or request an evaluation:
https://youmaynotneedspinesurgery.com/

📍 NJ Locations: Lyndhurst, Paramus, Millburn, Edison, Flemington, Little Silver, Dover
📞 (908) 897-0655

08/16/2026

Chronic elbow pain that keeps coming back even after physical therapy or injections?

If you’ve already tried PT, had a steroid injection, and are still dealing with persistent elbow tendon pain, surgery may not be the only option.

For some patients with chronic elbow tendinopathy, a minimally invasive procedure called percutaneous tenotomy may be considered.

Using ultrasound guidance, the abnormal area of the tendon can be targeted through a very small opening. The goal is to treat the damaged tendon tissue so you can progress back into rehabilitation, rebuild strength, and return to the activities that elbow pain has been limiting.

If you’ve been told you may need surgery for a chronic elbow tendon problem, it may be worth getting a non-surgical second evaluation first.

👉 Learn more or request an evaluation:
https://youmaynotneedspinesurgery.com/

📍 NJ Locations: Lyndhurst, Paramus, Millburn, Edison, Flemington, Little Silver, Dover
📞 (908) 897-0655

08/14/2026

Still having knee pain after surgery, even though everything looks structurally repaired?

Persistent knee pain after surgery doesn’t always mean the surgery failed.

Sometimes the procedure did exactly what it was supposed to do, but another source of pain may still be contributing to your symptoms. For some patients, the peripheral nerves around the knee can continue sending pain signals even after the original structural problem has been treated.

That’s where peripheral nerve stimulation (PNS) may be an option.

PNS is a targeted, minimally invasive treatment designed to help change the pain signals traveling through a specific peripheral nerve, with the goal of reducing chronic pain and helping patients get back to moving and living more comfortably.

If you’re still dealing with persistent knee pain after surgery and are looking for a non-surgical knee pain treatment, the next step may be identifying what is actually causing the pain.

👉 Learn more or request an evaluation:
https://youmaynotneedspinesurgery.com/

📍 NJ Locations: Lyndhurst, Paramus, Millburn, Edison, Flemington, Little Silver, Dover
📞 (908) 897-0655

08/01/2026

What if the nerve causing your back pain could be turned off? 👇

Many people assume chronic back pain automatically means surgery.

But that's often not the case.

If testing confirms your pain is coming from the facet joints—the small joints in your spine—there may be a non-surgical treatment option that provides long-lasting relief.

Here's how it works 👇

First, a diagnostic injection helps confirm whether the facet joints are truly the source of your pain.

If the pain temporarily improves, we've identified the pain generator.

The next step may be radiofrequency ablation (RFA).

RFA is a minimally invasive, same-day procedure that uses heat to interrupt the tiny nerves carrying pain signals from the facet joints.

The goal isn't simply to mask the pain.

It's to reduce pain so you can move more comfortably, stay active, and get back to doing the things you enjoy.

The key is making sure the treatment matches the actual source of your pain.

👉 If you've been living with chronic low back pain and haven't found lasting relief, schedule a non-surgical spine evaluation to learn your options:
https://youmaynotneedspinesurgery.com/

📍 NJ Locations: Lyndhurst, Paramus, Millburn, Edison, Flemington, Little Silver, Dover
📞 (908) 897-0655

Follow for more answers about back pain, non-surgical treatments, and spine health.

07/30/2026

Should you stop physical therapy after your procedure? 👇

The answer is no.

One of the biggest misconceptions is that once the pain is gone, treatment is over.

But pain relief is only part of the recovery process.

After living with chronic back pain, many people develop:

✔️ Weak muscles
✔️ Limited mobility
✔️ Movement patterns that put extra stress on their spine

Even if a procedure successfully relieves your pain, your body still needs to relearn how to move efficiently and safely.

That's where physical therapy plays an important role.

Physical therapy can help you:

• Rebuild strength
• Improve mobility
• Restore healthy movement patterns
• Reduce the risk of your pain returning

The goal isn't just to get you out of pain.

It's to help you stay active and make your results last.

Pain relief is the beginning of recovery—not the end.

👉 If you're looking for a treatment plan that combines pain relief with long-term recovery, schedule a non-surgical spine evaluation:
https://youmaynotneedspinesurgery.com/

📍 NJ Locations: Lyndhurst, Paramus, Millburn, Edison, Flemington, Little Silver, Dover
📞 (908) 897-0655

Follow for more answers about back pain, recovery, and non-surgical treatment options.

07/28/2026

Why does your back hurt more when standing than sitting? 👇

That pain pattern can tell us a lot about what's actually causing your symptoms.

Many people assume every case of back pain comes from a disc.

But that's not always true.

Your spine also contains facet joints—small joints that help provide movement and stability.

When those joints become irritated or arthritic, they can become a significant source of low back pain.

One important clue? 👇

If your pain gets worse when you:

✔️ Stand for long periods
✔️ Walk
✔️ Lean backward
..your facet joints may be contributing to your pain.

That doesn't mean everyone with standing back pain has facet joint pain.

But the way your pain behaves provides valuable information that helps guide the diagnosis.

That's why understanding your symptoms is just as important as reviewing your MRI.

Before jumping to surgery or other major treatments, make sure the true source of your pain has been identified.

👉 If your back pain is worse when standing or walking, schedule a non-surgical spine evaluation:
https://youmaynotneedspinesurgery.com/

📍 NJ Locations: Lyndhurst, Paramus, Millburn, Edison, Flemington, Little Silver, Dover
📞 (908) 897-0655

Follow for more answers about back pain, spine health, and non-surgical treatment options.

07/26/2026

How do we know what's actually causing your back pain? 👇

Before choosing a treatment, you need to know where your pain is coming from.

That's because an abnormal MRI doesn't automatically mean you've found the cause of your pain.

One of the biggest mistakes we see is assuming every disc bulge or MRI finding is responsible for a patient's symptoms.

The reality?

Every MRI finding should be interpreted alongside:

✔️ Your symptoms
✔️ A thorough physical exam
✔️ Your medical history

Only then can you determine what's actually causing your pain.

Sometimes the problem isn't the disc at all.

It may be the facet joints—small joints in your lower back that can become arthritic and cause significant pain.

When we suspect the facet joints are the source, we may use a simple diagnostic procedure called a medial branch block.

Here's why it's different 👇

The goal isn't to treat your pain right away.

The goal is to confirm the diagnosis.

If your pain temporarily goes away after the procedure, it tells us we've likely identified the true source of your pain.

If it doesn't, we move forward knowing it's time to investigate another cause.

That's how you build a treatment plan based on answers—not assumptions.

👉 Before choosing a treatment for your back pain, schedule a non-surgical spine evaluation to identify the source:
https://youmaynotneedspinesurgery.com/

📍 NJ Locations: Lyndhurst, Paramus, Millburn, Edison, Flemington, Little Silver, Dover
📞 (908) 897-0655

Follow for more answers about back pain, spine health, and non-surgical treatment options.

:00: How do we know what's actually causing your back pain?
0:02: Before we treat back pain, we always wanna know the true source of your pain.
0:06: Having abnormal MRI findings does not conclusively mean they're causing your pain.
0:11: Every fine on your MRI should be in context of not only your symptoms, but a thorough physical exam.
0:16: The biggest mistakes I see in spine care is when all the abnormal MRI findings are attributed as a source of the patient's low back pain.
0:24: The real question is, Has the doctor also done a thorough physical exam and considered your symptoms, not just your MRI?
0:32: Many times, patients will have mild findings such as disc bulges on MRI's, but no one has actually looked at something called the facet joints.
0:39: Small joints in your low back that can be arthritic and cause significant low back pain.
0:44: When we suspect it's the facet joints, we have a very simple diagnostic procedure we do called medial branch blocks.
0:49: The goal isn't to treat the pain, to test our theory and make sure we have found the true source of your pain.
0:55: If the pain temporarily goes away, we can be confident we found the source of your pain.
0:59: If the pain does not go away, then we know we can move with confidence to the next step in your treatment.
1:05: Before you choose a treatment for your low back pain, you should know the source.
1:09: Give us a call today at the Institute of Orthopedic Sine and Sports, so you can know the source of your pain and be confident in your treatment plan.

07/24/2026

How do you know if you really need spine surgery? 👇

It's one of the most important decisions you'll ever make.

Many people are told they need surgery after an MRI shows a disc bulge or disc herniation.

But here's what many patients don't realize...

Not every disc bulge or disc herniation requires surgery.

The patients who benefit most from surgery are those whose:

✔️ Symptoms
✔️ Physical exam findings
✔️ MRI results

all point to the same source of pain.

That's why an MRI alone should never determine whether you need surgery.

The goal isn't to treat what shows up on a scan.

It's to identify the true source of your pain and determine whether surgery is actually the best option.

Before moving forward with surgery, ask yourself:

Do my symptoms, physical exam, and MRI all match?

If they don't, it may be worth getting a second opinion and exploring non-surgical treatment options first.

👉 If you've been told you need spine surgery but aren't sure it's the right next step, schedule a non-surgical spine evaluation:
https://youmaynotneedspinesurgery.com/

📍 NJ Locations: Lyndhurst, Paramus, Millburn, Edison, Flemington, Little Silver, Dover
📞 (908) 897-0655

Follow for more answers about back pain, spine surgery, and non-surgical treatment options.

Address

1050 Wall Street West, Suite 315
Lyndhurst, NJ
07071

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm

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