Our board-certified, fellowship-trained spine surgeons personally provide all aspects of patient care to relieve your pain and restore your quality of life.

Spinal Conditions

Where is your pain


Select any area of pain, numbness or tingling and learn about possible conditions.


The cervical spine is made up of the upper first seven vertebrae that shield the spinal cord. One of the most common symptoms of an issue in this area is a painful, stiff neck and neck pain.


What is often thought of as a person’s upper/middle “back” is medically referred to as the thoracic spine. It consists of twelve vertebrae and is located between the cervical and lumbar sections of the spine. These vertebrae work with the ribs to stabilize the back and protect vital organs. Pain in this area can be muscular, but it can also be the result of damage to discs. It is not as common as lower back (lumbar) and neck (cervical) pain.


In many cases, arm pain originates from a problem in your neck or cervical spine.


In many cases, arm pain originates from a problem in your neck or cervical spine.


The lumbar spine is composed of the last five vertebrae in the spine and leads to the sacrum. This part of your back supports the majority of your body’s weight. Because of this, it isn’t surprising that the lumbar spine is a focal point for a lot of the problems and resulting pain people have with their back.


Sharp or radiating pain running from the lower back, into the buttocks and down one or both legs can be the result of issues related to the sciatic nerve.


When a nerve in the neck is compressed or irritated it can result in pain that radiates into the shoulder and then down the arm to the hand. You may also experience muscle weakness and numbness.


Symptoms such as pain, radiating pain, tingling and weakness or numbness in the legs can indicate a variety of potential spine-related issues.


Symptoms such as pain, radiating pain, tingling and weakness or numbness in the legs can indicate a variety of potential spine-related issues.

Neck or Cervical Spine Back Arms Lower Back or Lumbar Spine Buttock Hands Legs Legs 2 Arms

Our Practice


Our doctors have privileges at Morristown Medical Center and RWJBarnabas Health, where all Atlantic Spine Specialists’ procedures are performed. Dr. Giordano and Dr. Nachwalter helped create the Spine Center of Excellence at Morristown Medical Center making it one of the few facilities in the United States to earn this distinction.

Contact Us

Dr. Carl P. Giordano & Dr. Richard S. Nachwalter


Back to their Lives


“Great Doctor. I was Dr. Giordano’s patient many years ago, and he helped me tremendously.”


“Dr. Nachwalter takes his time to thoroughly explain all information about diagnosis, treatment and procedures, and answers all questions for both patients and family members.”

Kim T.

“I highly recommend Dr. Nachwalter, in fact I already have to a friend who has had issues with her back for years. He answered all my questions, did a tremendous job and understood my goals.”

Mark D.

“Great team. Dr. Giordano was the original doctor that preform surgery to my husband 17 years ago. Very happy.”

Lucia D.

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General Questions

Spinal FAQS

Dr. Carl P. Giordano & Dr. Richard S. Nachwalter

What is a spinal surgeon?

A spinal surgeon is a physician who after finishing required training is selected for additional fellowship training in spine surgery and devotes their entire future practice to spine surgery. Fellowships are prestigious positions that young physicians apply for; there are only a few spots for each specialty in the country. To be selected for a fellowship is an honor; enabling the physician to spend an extra one to three years training and work under leading physicians in their chosen specialties.

At Atlantic Spine Specialists, we are happy to assist you in all aspects of spinal care. We see patients as the first doctor to treat them, as well as patients who have already been treated non-operatively by other doctors through medication, therapy or injections. We manage all aspects of non-operative care of the spine, as surgery is often the last option. It is always a good idea to see a spine surgeon early on to help coordinate your conservative plan.

To be a Spine Center of Excellence, a facility must encompass:

  • Excellent equipment. The equipment must be state-of-the-art operating instruments including microscopes and the latest technologies available, include instrumentation used for spine surgery. The facility also needs to include proper recovery rooms and patient rooms to allow postoperative care to be of the highest level.
  • Excellent personnel. The personnel required at a Spine Center of Excellence must include anesthesiologists, nursing staff and surgeons of the highest caliber. The facility’s operation must anticipate that surgery is being performed with a great enough frequency, allowing anesthesiologists, nursing staff and surgeons to all work in a coordinated fashion providing the highest level of care.

You should expect significant improvement in your preoperative condition after spinal surgery. Spinal surgery is typically not performed without some historical documentation to support surgery. Spinal surgery is usually performed when alternative approaches have been exhausted. Doctors Giordano and Nachwalter always discuss and try non-surgical options prior to resorting to surgery.

Although the amount of work is typically not considered a measure of the quality of work, spine surgery is a specialty that requires a lot of experience and dexterity, both of which improve with frequency of work. On average, a board-certified spine surgeon will do at least four operations a week. At Atlantic Spine Specialists, Dr. Carl P. Giordano and Dr. Richard S. Nachwalter perform an average of 15 spine operations a week. That volume increases their surgical ability to provide the highest level of care, minimizing surgical complications, blood loss and time required by surgery. The level of expertise and experience does translate into better outcomes for the patient.