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About Spinal Diagnostics

Spinal Diagnostics and Treatment Center is a freestanding ambulatory surgery center. Our facility is technologically state of the art, designed to provide the most modern and up to date diagnoses and treatment for patients with spine disorders.

Our Medical Director, Dr. Richard Derby, is an anesthesiologist with over thirty years of experience in the field of spinal diagnostic injection procedures and related treatments.

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Contact Us


Spinal Diagnostics and Treatment Center
901 Campus Drive, Suite 310
Daly City, CA 94015
Main Number: (650)755-0733

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We have available staff that speaks Tagalog, Korean,
Vietnamese, Cantonese, and Spanish
at our facility.

The Spinal Diagnostics Research Department was established in 1998 for the purpose of furthering current knowledge on interventional spine medicine, exploring diagnostic and treatment procedures, improving the quality of treatment for patients who suffer from acute and chronic disabling pain, and developing new technologies for the diagnosis and treatment of spine disorders. Having an in-house research department allows us to conduct quantitative and qualitative analyses on-site. We diligently monitor patients' progress and improvement with regard to specific procedures. Read More

Diagnosis of spinal pain

The key tools that doctors use to diagnose the cause of spinal pain are patient history, physical examination, and x-ray studies, including MRI scans. Often the source of pain can be diagnosed using these tools, particularly in patients who have primarily nerve root pain (pain or weakness along the course of a nerve). However, in many patients, particularly those with primarily back or neck pain, it is difficult to localize the exact source of pain. MRI scans are frequently not helpful in these patients. They may show only the normal age-related changes that occur in most people, whether they have pain or not. The nerve supply to the spine is diffuse and overlapping, so a particular pain could have one of several possible causes. Diagnosing the exact source of pain may be difficult, but if your doctor knows the source of your pain, he or she may be able to treat you more effectively. This is particularly true if surgery is being considered. Read More

Treatment of spinal pain

In general, there are four treatment options for patients with chronic spinal pain. Physical therapy can be effective for many people, particularly physical therapy that emphasizes activity and return to function. For patients who have pain in spite of physical therapy, surgery can sometimes be effective. The success of surgery is highly dependent on an accurate diagnosis as to the source of pain. Another option for patients is to simply live with their pain as best as they can, sometimes with the assistance of pain medications or other methods such as acupuncture. Read More

Risks and side effects

When done properly, spinal injection procedures are very safe. All of our procedures are done under x-ray guidance, both for safety reasons and to provide the greatest likelihood of success. However, with any medical procedure or treatment come possible risks. Any time a needle is placed into the body, there is a risk of bleeding. Usually, any bleeding that occurs after an injection is very minor. However, in rare circumstances bleeding can lead to serious complications. To minimize this risk, we have instructed you to stop taking anti-inflammatories for 3 days prior to your procedure, aspirin for seven days prior, and to notify us if you take blood-thinning medications. Another complication that can occur with needle procedures is infection. The chance of getting a significant infection after any needle procedure is very low. However, with certain procedures involving disc injections, including discograms and intradiscal electrothermoplasty, a minor infection could lead to a serious complication. For that reason, if you are having a disc injection, antibiotics will be administered to you both intravenously and directly into the disc at the time of the procedure. Read More

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