# VSI > A nationally recognized spine care center based in Reston, VA. VSI provides world-class surgical and non-surgical solutions for back, neck, and spine conditions, led by a team of board-certified spine specialists. --- ## Key Resources - [Home](https://www.spinemd.com/): Start here to learn about VSI. - [Why VSI](https://www.spinemd.com/about/why-vsi/): What sets our care apart. - [Medical Team](https://www.spinemd.com/medical-team/): Meet our board-certified specialists. - [Schedule Appointment](https://www.spinemd.com/contact-us/schedule-appointment/): Request a visit or second opinion. - [Our Model](https://www.spinemd.com/patient-experience/our-model/): Patient experience and care pathway. --- ## Treatments - [Artificial Disc Replacement](https://www.spinemd.com/treatment/artificial-disc-replacement/): Preserves spinal motion by replacing damaged discs. - [Hybrid Spine Surgery](https://www.spinemd.com/treatment/hybrid-spine-surgery/): Combination of spinal fusion and disc replacement. - [Spinal Fusion Surgery](https://www.spinemd.com/treatment/spinal-fusion-surgery/): Stabilizing the spine to reduce pain. - [TOPS™ System](https://www.spinemd.com/treatment/tops-spine-surgery/): FDA-approved spinal implant that stabilizes the lower back while preserving natural range of motion; a motion-preserving alternative to fusion for lumbar spinal stenosis and spondylolisthesis. - [Bertolotti Resection](https://www.spinemd.com/treatment/bertolotti-resection/): Specialized surgery for Bertolotti Syndrome. - [Scoliosis Deformity Correction](https://www.spinemd.com/treatment/scoliosis-deformity-correction/): Complex correction of spinal curves. - [Revision Spine Surgery](https://www.spinemd.com/treatment/revision-spine-surgery/): Improving outcomes from prior procedures. - [Endoscopic Spine Surgery](https://www.spinemd.com/treatment/endoscopic-spine-surgery/): Minimally invasive approach for faster recovery. - [Ultrasonic Spine Surgery](https://www.spinemd.com/treatment/ultrasonic-spine-surgery/): Advanced technology for precision treatment. - [Microdiscectomy](https://www.spinemd.com/treatment/microdiscectomy/): Removing herniated disc material. - [Laminectomy](https://www.spinemd.com/treatment/laminectomy/): Relieving pressure on the spinal cord or nerves. - [Injections](https://www.spinemd.com/treatment/injections/): Diagnostic and therapeutic injections — including epidural steroid, spinal, and Botox injections — used to reduce inflammation, identify pain generators, and provide targeted pain relief. - [Radiofrequency Ablation (RFA)](https://www.spinemd.com/treatment/radiofrequency-ablation/): Minimally invasive procedure that uses controlled radio waves to disrupt pain-transmitting nerves, providing longer-lasting relief for chronic neck, back, joint, and nerve-related pain. - [Non-Surgical SI Joint Fusion](https://www.spinemd.com/treatment/sacroiliac-joint-fusion/): Minimally invasive PainTEQ LINQ® procedure that stabilizes the sacroiliac joint without metal hardware, offering a non-surgical alternative to traditional SI joint fusion surgery. - [mild® Procedure](https://www.spinemd.com/treatment/mild-spinal-stenosis/): Minimally Invasive Lumbar Decompression (mild®) removes excess ligamentum flavum tissue to relieve lumbar spinal stenosis without implants, stitches, or general anesthesia; most patients resume normal activities within 24 hours. - [Physical Therapy](https://www.spinemd.com/solutions/physical-therapy/): Comprehensive rehab and recovery support. - [Aquatic Therapy](https://www.spinemd.com/treatment/aquatic-therapy/): Water-based therapy for low-impact recovery. - [Manual Physical Therapy](https://www.spinemd.com/treatment/manual-physical-therapy/): Hands-on therapy for mobility and pain relief. - [Trigger Point Dry Needling](https://www.spinemd.com/treatment/trigger-point-dry-needling/): Targeted treatment for muscle pain. - [Hyperbaric Oxygen Therapy](https://www.spinemd.com/treatment/hyperbaric-oxygen-therapy/): Enhances healing by delivering oxygen to damaged tissues. - [Functional Exercise](https://www.spinemd.com/treatment/functional-exercise/): Targeted movement therapy to restore strength and mobility. - [Shockwave Therapy](https://www.spinemd.com/treatment/shockwave-therapy/): Non-invasive treatment that stimulates healing of musculoskeletal conditions. - [Massage Therapy](https://www.spinemd.com/treatment/massage-therapy/): Hands-on therapy to relieve pain and improve circulation. - [Laser Therapy](https://www.spinemd.com/treatment/laser-therapy/): Light-based therapy to reduce inflammation and promote tissue repair. - [Sports Performance](https://www.spinemd.com/treatment/sports-performance/): Optimizing movement and preventing injury. - [Neurology](https://www.spinemd.com/solutions/neurology/): Diagnostic and treatment expertise in neurological disorders. - [Sports Medicine](https://www.spinemd.com/solutions/sports-medicine/): Specialized care for athletes and active individuals. - [Regenerative Medicine](https://www.spinemd.com/solutions/regenerative-medicine/): Non-surgical treatments that support the body's natural healing processes. - [Stem Cell Therapy](https://www.spinemd.com/treatment/stem-cell-therapy/): Uses stem cells to repair damaged tissues and reduce pain. - [Platelet-Rich Plasma (PRP)](https://www.spinemd.com/treatment/platelet-rich-plasma-prp/): Concentrated platelets used to accelerate healing. - [Fat Injections](https://www.spinemd.com/treatment/fat-injections/): Uses adipose tissue for regenerative healing applications. - [VIA Disc NP](https://www.spinemd.com/treatment/via-disc-np/): Minimally invasive disc treatment for degenerative disc disease. - [Prolotherapy](https://www.spinemd.com/treatment/prolotherapy/): Injection-based therapy that stimulates tissue repair. - [Aesthetic Treatments](https://www.spinemd.com/treatment/aesthetics/): Aesthetic and wellness services supporting overall patient confidence and well-being. --- ## Conditions - [Adult Scoliosis](https://www.spinemd.com/conditions/adult-scoliosis/): Abnormal spinal curvature in skeletally mature patients, arising from degenerative changes or progression of adolescent scoliosis; treated with non-surgical therapies, injections, or deformity correction surgery depending on severity. - [Adolescent Scoliosis](https://www.spinemd.com/conditions/adolescent-scoliosis/): Spinal curvature in growing patients requiring age-appropriate monitoring and treatment to prevent progression. - [Concussion](https://www.spinemd.com/conditions/concussion/): Traumatic brain injury causing headache, cognitive changes, and other symptoms; evaluated and treated with evidence-based protocols to aid recovery and prevent further injury. - [Spinal Stenosis](https://www.spinemd.com/conditions/spinal-stenosis/): Narrowing of the spinal canal that compresses nerves, causing leg pain, numbness, and difficulty walking; treated with non-surgical options including the mild® procedure, injections, and RFA, or surgically when indicated. - [Spondylosis](https://www.spinemd.com/conditions/spondylosis/): Age-related degeneration of spinal discs and joints causing chronic neck or back pain; managed with evidence-based non-surgical and surgical care. - [Spondylolisthesis](https://www.spinemd.com/conditions/spondylolisthesis/): Forward slippage of one vertebra over another, causing back pain and nerve symptoms; treated with non-surgical therapies or stabilization surgery including the TOPS™ System as an alternative to fusion. - [Spondylolysis](https://www.spinemd.com/conditions/spondylolysis/): A stress fracture in the vertebral arch most common in young athletes and active adults; treated with conservative care and activity modification. - [Whiplash](https://www.spinemd.com/conditions/whiplash/): Neck injury from rapid acceleration-deceleration forces, typically caused by vehicle accidents or sports; treated to reduce pain and restore cervical function. - [Failed Prior Surgery Syndrome](https://www.spinemd.com/conditions/failed-prior-surgery-syndrome/): Persistent or recurrent pain following spinal surgery; evaluated for revision surgery, regenerative treatments, or other advanced interventions. - [Radiculopathy (Pinched Nerve)](https://www.spinemd.com/conditions/radiculopathy-pinched-nerve/): Nerve root compression causing radiating pain, numbness, or weakness in the arm or leg; diagnosed with imaging and treated with injections, physical therapy, RFA, or surgery. - [Bertolotti's Syndrome](https://www.spinemd.com/conditions/bertolottis-syndrome/): Lower back pain caused by an enlarged transitional vertebra (LSTV) that abnormally articulates with the sacrum or ilium; VSI performs specialized Bertolotti resection surgery and is a national referral center for this rare condition. - [Spinal Fractures](https://www.spinemd.com/conditions/spinal-fractures/): Vertebral fractures ranging from compression injuries to high-energy trauma; diagnosed and treated urgently to prevent neurological damage. - [Spinal Arthritis](https://www.spinemd.com/conditions/spinal-arthritis/): Inflammation-driven breakdown of spinal joint structures causing stiffness and pain; managed with injections, physical therapy, and surgical options as needed. - [Segmental Instability](https://www.spinemd.com/conditions/segmental-instability/): Abnormal or excessive movement between spinal vertebrae (hypermobile spine) causing pain and functional limitation; treated with stabilization surgery or conservative care. - [Sciatica](https://www.spinemd.com/conditions/sciatica/): Sharp, shooting pain radiating from the lower back through the leg along the sciatic nerve; VSI diagnoses the root cause and treats with targeted, personalized interventions. - [Sacroiliac Joint Dysfunction](https://www.spinemd.com/conditions/sacroiliac-joint-dysfunction/): Pain arising from the joint connecting the spine to the pelvis, often mimicking disc or hip pathology; treated with physical therapy, injections, RFA, or the non-surgical LINQ® SI joint fusion procedure. - [Pseudarthrosis](https://www.spinemd.com/conditions/pseudarthrosis/): A failed spinal fusion in which the vertebrae do not fully heal together, causing persistent pain; treated with revision surgery customized to the patient's anatomy. - [Myofascial Pain Syndrome / Muscle Spasms](https://www.spinemd.com/conditions/myofascial-pain-syndrome-muscle-spasms/): Chronic muscle pain caused by trigger points and inflammation in the soft tissues; treated with dry needling, physical therapy, injections, and other targeted therapies. - [Myelopathy](https://www.spinemd.com/conditions/myelopathy/): Neurological damage to the spinal cord from compression, causing progressive weakness, balance problems, and loss of coordination; a serious condition often requiring prompt surgical decompression. - [Migraines](https://www.spinemd.com/conditions/migraines/): Chronic headache disorder treated by VSI's in-house neurology team using evidence-based interventions including Botox and RFA; same-week consultations available. - [Neuropathy](https://www.spinemd.com/conditions/neuropathy/): Peripheral nerve damage causing numbness, tingling, burning, or weakness; evaluated and managed with treatments targeting the underlying nerve dysfunction. - [Temporomandibular Joint Disorders (TMD)](https://www.spinemd.com/conditions/temporomandibular-joint-disorders-tmd/): Jaw joint dysfunction causing pain, clicking, and limited mouth opening; treated with non-surgical options to relieve pain and restore function. - [Frozen Shoulder](https://www.spinemd.com/conditions/frozen-shoulder/): Adhesive capsulitis causing progressive shoulder stiffness, inflammation, and severe restriction of range of motion; treated with physical therapy, injections, and regenerative options. - [Carpal Tunnel Syndrome](https://www.spinemd.com/conditions/carpal-tunnel-syndrome/): Median nerve compression at the wrist causing hand pain, numbness, and weakness; diagnosed and treated with conservative and interventional options. - [Tennis Elbow](https://www.spinemd.com/conditions/tennis-elbow/): Lateral epicondylitis from overuse of the forearm extensors; treated with physical therapy, bracing, steroid injections, or regenerative medicine including PRP. - [Knee & Leg Conditions](https://www.spinemd.com/conditions/knee-leg/): ACL injuries, meniscus tears, arthritis, IT band syndrome, and other knee and leg conditions treated with personalized, non-surgical-first care plans. - [Foot & Ankle Conditions](https://www.spinemd.com/conditions/foot-ankle/): Plantar fasciitis, Achilles tendon injuries, sprains, fractures, and arthritis of the foot and ankle treated with customized care. - [Shoulder Conditions](https://www.spinemd.com/conditions/shoulder/): Comprehensive evaluation and treatment of shoulder pain and dysfunction using joint, muscle, and motor control assessments to identify the root cause. - [Vestibular Disorders](https://www.spinemd.com/conditions/vestibular/): Dizziness, vertigo, and balance disorders treated with personalized rehabilitation programs targeting the underlying vestibular dysfunction. - [Annular Disc Tear](https://www.spinemd.com/conditions/annular-disc-tear/): A tear in the outer fibrous ring of a spinal disc (annulus fibrosus), also called a posterior annular fissure, causing localized or radiating pain; treated with targeted non-surgical and surgical options. - [Bone Spurs](https://www.spinemd.com/conditions/bone-spurs/): Bony overgrowths along the spine that can compress nerves and cause pain; managed with conservative care or surgical decompression when compression is significant. - [Bursitis](https://www.spinemd.com/conditions/bursitis/): Inflammation of the fluid-filled sacs cushioning joints, commonly affecting the hip; treated with physical therapy, injections, and personalized care. - [Degenerative Disc Disease](https://www.spinemd.com/conditions/degenerative-disc-disease/): Age-related breakdown of spinal discs causing neck or back pain; treated across the full spectrum from regenerative medicine and physical therapy to disc replacement surgery preserving motion. - [Disc Herniations](https://www.spinemd.com/conditions/disc-herniations/): Rupture of disc material into the spinal canal causing nerve compression and radiating pain; treated with non-surgical therapies, regenerative injections, or surgical options including microdiscectomy and disc replacement. - [Facet Syndrome](https://www.spinemd.com/conditions/facet-syndrome/): Inflammation of the spinal facet joints causing localized back pain, stiffness, and soreness; treated with injections, RFA, and physical therapy. - [Flatback Syndrome](https://www.spinemd.com/conditions/flatback-syndrome/): Loss of the normal lumbar lordosis causing forward-leaning posture, pain, and fatigue; treated with spinal deformity correction surgery to restore alignment. - [Kyphosis](https://www.spinemd.com/conditions/kyphosis/): Excessive forward curvature of the thoracic spine causing a rounded upper back, pain, and balance problems; treated with non-surgical therapies or corrective surgery to restore posture and alignment. --- ## Patient Resources - [Patient Forms](https://www.spinemd.com/my-vsi/patient-forms/): Prepare for your visit. - [Financial Services](https://www.spinemd.com/my-vsi/financial-services/): Insurance, billing, and payment options. - [Medical Records Request](https://www.spinemd.com/my-vsi/medical-records-request/): Access your records. - [Telehealth](https://www.spinemd.com/my-vsi/telehealth/): Virtual visit information. - [Recovery](https://www.spinemd.com/recovery): Comprehensive recovery programs supporting post-treatment healing and long-term outcomes. - [Patient Resources](https://www.spinemd.com/patient-resources/): Information for patients including forms, guides, and expectations. - [Testimonials](https://www.spinemd.com/testimonials/): Real patient experiences and outcomes from VSI care. --- ## Research & Recognition - [Research & Outcomes](https://www.spinemd.com/about/research-outcomes/): Clinical research and treatment results. - [Patient Victories](https://www.spinemd.com/resources/?_sft_category=patient-victories#resource): Stories and resources from successful recoveries. --- ## Locations ### Reston - [Reston Location](https://www.spinemd.com/locations/reston/): Primary VSI location offering comprehensive spine care services. - [Reston Physical Therapy](https://www.spinemd.com/locations/reston/physical-therapy/): Physical therapy services focused on recovery and rehabilitation. - [Reston Spine Care](https://www.spinemd.com/locations/reston/spine-care/): Comprehensive spine care services including diagnosis and treatment. - [Reston Regenerative Medicine](https://www.spinemd.com/locations/reston/regenerative-medicine/): Non-surgical regenerative treatments to support healing. - [Reston Disc Replacement Surgery](https://www.spinemd.com/locations/reston/disc-replacement-surgery/): Motion-preserving surgical solutions for spine conditions. - [Reston Neurology Services](https://www.spinemd.com/locations/reston/neurology-services/): Neurological evaluation and treatment for spine-related conditions. - [Reston Spinal Fusion Surgery](https://www.spinemd.com/locations/reston/spinal-fusion-surgery/): Surgical stabilization procedures for spine conditions. - [Reston Hybrid Spine Surgery](https://www.spinemd.com/locations/reston/hybrid-spine-surgery/): Combination of fusion and disc replacement techniques. ### Ashburn - [Ashburn Location](https://www.spinemd.com/locations/ashburn/): VSI location providing specialized spine care services. - [Ashburn Physical Therapy](https://www.spinemd.com/locations/ashburn/physical-therapy/): Rehabilitation services to restore mobility and strength. - [Ashburn Spinal Fusion Surgery](https://www.spinemd.com/locations/ashburn/spinal-fusion-surgery/): Spine stabilization procedures for chronic conditions. - [Ashburn Hybrid Spine Surgery](https://www.spinemd.com/locations/ashburn/hybrid-spine-surgery/): Advanced surgical techniques combining multiple approaches. - [Ashburn Disc Replacement Surgery](https://www.spinemd.com/locations/ashburn/disc-replacement-surgery/): Motion-preserving surgical treatment options. - [Ashburn Regenerative Medicine](https://www.spinemd.com/locations/ashburn/regenerative-medicine/): Non-surgical regenerative therapies for spine conditions. ### Chantilly - [Chantilly Location](https://www.spinemd.com/locations/chantilly/): VSI location serving the Chantilly area. - [Chantilly Physical Therapy](https://www.spinemd.com/locations/chantilly/physical-therapy/): Physical therapy services for recovery and pain management. ### Herndon - [Herndon Location](https://www.spinemd.com/locations/herndon/): VSI location serving the Herndon area. - [Herndon Physical Therapy](https://www.spinemd.com/locations/herndon/physical-therapy/): Rehabilitation and therapy services for spine patients. ### Sterling - [Sterling Location](https://www.spinemd.com/locations/sterling/): VSI location serving the Sterling area. - [Sterling Physical Therapy](https://www.spinemd.com/locations/sterling/physical-therapy/): Therapy services focused on recovery and mobility improvement. --- ## Optional - [Careers](https://www.spinemd.com/about/careers/): Work at VSI. - [Videos](https://www.spinemd.com/resources/?_sft_category=videos#resource): Educational and patient videos. - [Podcasts](https://www.spinemd.com/resources/?_sft_category=podcasts): Audio discussions on spine health. - [Blog](https://www.spinemd.com/resources/?_sft_category=blog): Expert articles and news. - [News](https://www.spinemd.com/resources/?_sft_category=news): VSI announcements and updates. - [In the Media](https://www.spinemd.com/about/in-the-media/): VSI featured in national outlets.