Spine Specialists in Plano, TX
Dr. Robert J. Nocerini, MD, is a board-certified pain specialist at Northstar Joint and Spine. He offers specialized care for a wide range of spine conditions. His approach emphasizes personalized treatment to improve mobility and reduce pain. The spine is vital for structural support and protects the spinal cord. Maintaining spine health is key to overall mobility and well-being. For more information, contact us today or schedule an appointment online. We are conveniently located at 7704 San Jacinto Pl Suite #200 Plano, TX 75024.


Table of Contents:
What are the common causes of spine pain?
How can I prevent spine pain?
When should I see a doctor for spine pain?
How is sciatica related to spine problems?
At Northstar Joint and Spine, we understand that spine pain is a common yet complex issue affecting individuals of all ages and lifestyles. Our specialized team is dedicated to diagnosing and treating the many underlying causes of spinal discomfort, providing personalized solutions designed specifically for each patient’s unique needs.
Commonly, spine pain arises from muscle strains or ligament sprains due to heavy lifting, poor posture, repetitive movements, or sudden awkward motions. Additionally, degenerative conditions such as osteoarthritis, where the cartilage protecting spinal joints gradually deteriorates, are frequent contributors to spinal discomfort seen at our clinic.
At Northstar Joint and Spine, we also frequently treat patients experiencing herniated or bulging discs. These conditions occur when the soft, gel-like center of a spinal disc protrudes through a tear in its tougher outer layer, potentially pressing on nerves and causing pain, numbness, or tingling sensations. Our experienced specialists utilize advanced diagnostic imaging and therapeutic interventions to accurately identify and treat disc-related conditions.
Conditions such as spinal stenosis—characterized by narrowing of the spinal canal spaces—can compress nerves and cause considerable pain, especially during standing or walking. Our medical professionals at Northstar Joint and Spine offer targeted treatments to relieve nerve pressure and improve quality of life.
Other notable causes we routinely address include osteoporosis, a condition that weakens bones and increases the risk of spinal fractures, commonly seen in older adults. Spondylolisthesis, where one vertebra slips forward over another, is also effectively managed through comprehensive care at our practice. Moreover, our team is experienced in managing inflammatory conditions such as ankylosing spondylitis, an autoimmune disorder causing chronic spinal inflammation.
At Northstar Joint and Spine, we provide thorough evaluations and prioritize early detection and appropriate intervention for these less common but serious conditions.
Given the variety of possible causes and complexities surrounding spine pain, accurate diagnosis and tailored treatment are essential. At Northstar Joint and Spine, we are committed to delivering comprehensive, patient-centered care that effectively manages and resolves spinal pain, helping you regain your quality of life.
At Northstar Joint and Spine, we understand that spine pain is a common issue that can significantly impact your daily activities and overall quality of life. Our specialized team is committed to helping you not only manage existing discomfort but also proactively prevent spinal issues, ensuring you maintain a healthy, active lifestyle.
One of the most important factors we emphasize at Northstar Joint and Spine is maintaining proper posture. Whether standing, sitting, or sleeping, aligning your spine correctly reduces stress and strain on your back. When seated, choose chairs with adequate lower back support, and avoid slouching or leaning forward excessively. When standing, try to evenly distribute your weight between both feet, keeping your head upright and shoulders back.
Our team strongly advocates for regular physical activity to enhance spinal health. At Northstar Joint and Spine, we often recommend exercises that strengthen your core muscles, such as yoga, Pilates, or targeted strength-training programs. Strong abdominal and back muscles provide greater stability and support to the spine, helping to improve posture, reduce strain, and minimize your risk of back pain.
Maintaining a healthy weight is another essential preventive measure our experts emphasize. Excess weight, particularly around the abdomen, places additional stress on your spine and its supporting structures, increasing the likelihood of experiencing spinal discomfort. Through tailored nutritional guidance and safe fitness recommendations, our specialists at Northstar Joint and Spine can help you achieve and sustain a healthy weight, thus reducing unnecessary pressure on your spine.
Proper lifting techniques are also a crucial part of maintaining spinal health. Always bend at your knees and hips, keeping the item close to your body, and avoid twisting your spine while lifting or carrying heavy objects. Instead, pivot your feet and turn your entire body for safer movement.
Footwear choice can also influence spinal comfort and alignment. Our specialists advise selecting shoes offering adequate arch support and cushioning, which help maintain proper spinal alignment and reduce stress on your lower back. Avoiding high heels and unsupportive shoes will further protect your spine from unnecessary strain.
Lastly, we recognize the significant impact that a supportive sleeping surface has on your spinal health. At Northstar Joint and Spine, we recommend choosing a mattress and pillow that properly support your spine’s natural curves, allowing for restful sleep without causing additional strain. Sleeping positions that maintain neutral spinal alignment, such as lying on your side with knees slightly bent or on your back with a pillow beneath your knees, can further alleviate spinal stress.
By adopting these proactive lifestyle choices and preventive measures, you can greatly reduce your risk of developing spine pain, enhance your overall spinal wellness, and continue enjoying an active, fulfilling life. At Northstar Joint and Spine, we’re here to guide and support you every step of the way toward optimal spinal health.
Spine pain is a common issue treated at Northstar Joint and Spine, and most people will experience it at some point in their lives. While many cases resolve naturally through rest, gentle exercise, or over-the-counter treatments, certain symptoms or situations require specialized medical care from spine experts.
You should consider scheduling an appointment with Northstar Joint and Spine if your spine pain persists beyond a few weeks without improvement or continues to worsen despite self-care efforts. Pain that is severe, constant, or accompanied by numbness, tingling, weakness, or loss of sensation in your arms or legs should be evaluated promptly by our spine specialists.
Unexplained weight loss, fever, chills, or significant fatigue along with spine pain may indicate an underlying infection or other serious medical conditions; promptly discussing these symptoms with a provider at Northstar Joint and Spine is crucial.
If you experience difficulty controlling bowel or bladder function or notice changes in your gait or coordination, seek emergency medical assistance immediately, as these symptoms can signal a serious condition requiring urgent intervention.
At Northstar Joint and Spine, we encourage you to trust your instincts. If your spine pain feels unusual, persistent, or significantly impacts your quality of life, daily activities, or mobility, scheduling a consultation with our specialists is an important step toward finding relief, restoring your function, and preventing potential complications.
At Northstar Joint and Spine, our experts understand that sciatica is closely tied to spinal health. Sciatica typically results from irritation or compression of the sciatic nerve, which originates in the lower spine. As one of the body’s largest nerves, the sciatic nerve is formed by nerve roots extending from the lumbar and sacral regions of the spine. Our specialized team routinely diagnoses and effectively treats various spinal conditions known to cause sciatica, such as herniated discs, spinal stenosis, degenerative disc disease, and spondylolisthesis.
A herniated disc occurs when the soft, gel-like center of a spinal disc pushes outward through a tear in its outer layer. This protrusion can directly press on nerve roots forming the sciatic nerve, causing inflammation, irritation, and pain that radiates along the nerve’s path. Similarly, spinal stenosis—a narrowing of the spinal canal—can place pressure on nerve roots, leading to sciatica symptoms.
Degenerative disc disease, involving gradual wear and tear of spinal discs, results in reduced disc height and flexibility. This deterioration increases the risk of nerve compression, potentially triggering sciatic pain. Additionally, spondylolisthesis, a condition in which one vertebra slips forward over another, can cause spinal misalignment and nerve impingement, creating characteristic sciatic discomfort.
Because the sciatic nerve extends from the lower back through the hips, buttocks, and legs, spinal issues impacting these nerve roots commonly produce symptoms such as sharp, burning, or radiating pain, tingling sensations, numbness, or muscle weakness. At Northstar Joint and Spine, we focus on accurately identifying the spinal cause behind your sciatica symptoms to provide personalized, effective treatment plans. Depending on your individual needs, our comprehensive approach may include physical therapy, minimally invasive procedures, and medication management. Trust Northstar Joint and Spine to help you regain mobility and achieve lasting relief from sciatica pain. For more information, contact us today or schedule an appointment online. We are conveniently located at 7704 San Jacinto Pl Suite #200 Plano, TX 75024. We serve patients from Plano TX, Willow Bend TX, Frisco TX, Allen TX, Addison TX, North Dallas TX, and surrounding areas.

Additional Services You May Need
▸ Back Pain
▸ Chronic Pain
▸ Epidural Steroid Injections
▸ Spinal Cord Stimulation
▸ Viscosupplementation
▸ Genicular Nerve Blocks
▸ Facet Injections
▸ Joint Injections
▸ Sacroiliac Joint Injections
▸ Lumbar and Cervical
▸ Facet Medial Branch Blocks
▸ Diagnostic Nerve Blocks
▸ Medication Management
▸ Neck Pain Doctor
▸ Diabetic Peripheral Neuropathy
▸ Headaches
▸ Suboxone
▸ Botox for Migraines
▸ Peripheral Nerve Stimulation
▸ Spine
▸ Joints
▸ Muscles
▸ Bones

Additional Services You May Need
▸ Back Pain
▸ Chronic Pain
▸ Epidural Steroid Injections
▸ Spinal Cord Stimulation
▸ Viscosupplementation
▸ Genicular Nerve Blocks
▸ Facet Injections
▸ Joint Injections
▸ Sacroiliac Joint Injections
▸ Lumbar and Cervical
▸ Facet Medial Branch Blocks
▸ Diagnostic Nerve Blocks
▸ Medication Management
▸ Neck Pain Doctor
▸ Diabetic Peripheral Neuropathy
▸ Headaches
▸ Suboxone
▸ Botox for Migraines
▸ Peripheral Nerve Stimulation
▸ Spine
▸ Joints
▸ Muscles
▸ Bones