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Core Alliance Explore Non-Surgical Spine Treatments

Not every spine or nerve-related condition requires surgery—and at Core Alliance, we’re committed to helping you find the most effective and least invasive treatment possible. Our team, led by board-certified and fellowship-trained spine surgeon Dr. Aron Rovner, takes a conservative approach focused on relieving pain, improving mobility, and enhancing your quality of life.

Whether you’re managing chronic discomfort or recovering from injury, our non-surgical options are designed with your needs in mind. Take the first step toward relief by scheduling a consultation with Core Alliance today.

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“This doctor has the hands of an angel.”

Welcome to Core Alliance, led by Dr. Aron Rovner, a board-certified orthopedic spine surgeon with over 20 years of experience. Recognized by the American Academy of Orthopedic Surgery, Dr. Rovner specializes in minimally invasive spine surgery and personalized orthopedic care to relieve pain, restore mobility, and help patients return to active living.

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Pain Management Treatments Minimally Invasive Options for Lasting Relief

We offer a range of non-surgical treatments designed to address spine pain and inflammation at the source—without the downtime and risks associated with surgery.

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Cervical Epidural Steroid Injection

A cervical epidural steroid injection (CESI) is a minimally invasive treatment that delivers anti-inflammatory medication directly into the epidural space surrounding your cervical spine. This space is located around the spinal cord and nerve roots in your neck. The goal of this injection is to reduce inflammation and swelling, thereby relieving pain caused by conditions such as herniated discs, spinal stenosis, or degenerative disc disease. The procedure is typically performed using fluoroscopic (X-ray) guidance to ensure precision and safety. Many patients experience significant relief after just one injection, though a series of injections may be recommended depending on the severity and persistence of symptoms.

This procedure is often recommended for individuals experiencing persistent neck pain, tingling, or numbness that radiates into the shoulders and arms. Candidates may have spinal conditions like herniated cervical discs, foraminal stenosis, or other degenerative changes in the spine that cause nerve inflammation or compression. CESI is typically considered after conservative treatments like physical therapy or oral medications have failed to provide sufficient relief. It may also be used diagnostically to help identify the source of nerve-related pain.

Lumbar Epidural Steroid Injection

A lumbar epidural steroid injection is a minimally invasive procedure used to relieve inflammation and pain in the lower back.

It involves injecting a corticosteroid medication and a local anesthetic directly into the epidural space, which surrounds the spinal cord and nerve roots in the lumbar spine.

This treatment is often recommended for patients with conditions such as herniated discs, spinal stenosis, or degenerative disc disease. The goal is to reduce nerve inflammation, alleviate pain, and improve mobility without the need for surgery. The procedure is typically performed under fluoroscopic (X-ray) guidance to ensure precision and safety.

Cervical Radiofrequency Ablation/Rhizotomy

Cervical radiofrequency ablation (RFA), also known as rhizotomy, is a minimally invasive procedure designed to treat chronic neck pain caused by inflammation or degeneration of the facet joints in the cervical spine. These small joints can become irritated over time due to arthritis, injury, or wear and tear, leading to persistent discomfort. The procedure works by using radiofrequency energy to heat and disable the sensory nerves that transmit pain signals from the facet joints to the brain. By selectively targeting these nerves, cervical RFA offers meaningful relief—often lasting six months to a year or more. RFA is typically recommended after a successful diagnostic nerve block confirms that the facet joints are the primary source of pain.

Lumbar Radiofrequency Ablation/Rhizotomy

Radiofrequency ablation, also known as rhizotomy, is a minimally invasive procedure used to reduce chronic lower back pain caused by conditions like facet joint arthritis or degenerative disc disease. This technique targets the medial branch nerves, which transmit pain signals from the affected joints to the brain.

Using advanced imaging for guidance, Dr. Rovner inserts a small probe into the targeted area and uses heat generated by radio waves to disrupt the nerve's ability to send pain signals. By selectively disabling these pain-conducting nerves, RFA provides long-term relief without the need for incisions or general anesthesia.

Alternative Treatments

If radiofrequency ablation or epidural steroid injections are not appropriate for your condition, other non-surgical alternatives may include physical therapy, facet joint injections or medial branch nerve blocks.

In more severe or persistent cases, surgical options may be explored. We will help you understand all possible approaches to ensure the best treatment for your needs.

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Dr. Aron D. Rovner High-skill care with low-trauma recovery

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Board Certified and Highly Credentialed

Dr. Rovner is a board-certified orthopedic surgeon with decades of advanced training in both spine and joint care. He is recognized by the American Academy of Orthopedic Surgery and has completed extensive fellowship training in spinal surgery, reflecting a long-standing commitment to clinical excellence and professional leadership.

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Over Two Decades of Surgical Experience

With more than 20 years of surgical experience, Dr. Rovner has treated thousands of patients with complex spine and orthopedic conditions. His background includes a wide range of cases, from routine joint procedures to highly technical spinal surgeries, making him a trusted choice for patients seeking lasting, high-quality outcomes.

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Licensed Across NY, NJ, and FL

Dr. Rovner maintains full licensure in New York, New Jersey, and Florida, giving patients convenient access to his expertise across state lines. His multi-state practice enables him to treat a diverse patient population while maintaining consistent, high-touch care in each region.

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Minimally Invasive by Design

Dr. Rovner specializes in the most current minimally invasive surgical techniques, designed to reduce incision size, blood loss, and trauma to surrounding tissue. These methods often lead to faster recoveries, less postoperative pain, and better cosmetic and functional outcomes for patients.

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Surgery Only When Necessary

His treatment philosophy emphasizes conservative, non-surgical options as the first line of care. From targeted physical therapy to anti-inflammatory injections, Dr. Rovner only recommends surgical intervention when all other approaches have been exhausted and the benefits clearly outweigh the risks.

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Advanced Spine Expertise

Dr. Rovner performs a range of advanced spine surgeries including endoscopic discectomy, cervical disc replacement, and minimally invasive lumbar fusion. These procedures are carefully selected based on each patient’s unique condition, and reflect his specialization in preserving spinal function while minimizing downtime.

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Client Testimonials

Real stories. Real results. Discover how other patients found relief and a return to active living through our expert spine care.

Dr Rovner is not only incredibly knowledgeable and thorough, but also a compassionate and caring doctor. He explained everything and made me feel comfortable and at ease. I woul...

Dr Rovner is not only incredibly knowledgeable and thorough, but also a compassionate and caring doctor. He explained everything and made me feel comfortable and at ease. I would highly recommend him to anyone seeking a great doctor.

–Ina Pllumbi

Had a great experience! No wait time for my virtual appointment. Dr. Rovner listened to my issues and came up with an appropriate treatment plan. Receiving my medication and PT ...

Had a great experience! No wait time for my virtual appointment. Dr. Rovner listened to my issues and came up with an appropriate treatment plan. Receiving my medication and PT prescription was fast and efficient. Communication was excellent.

–Gina Forlani

Dr. Rovner has excellent bedside manners, he is knowledgeable and caring, and provided thorough and accurate care. I always felt comfortable asking questions and discussing my c...

Dr. Rovner has excellent bedside manners, he is knowledgeable and caring, and provided thorough and accurate care. I always felt comfortable asking questions and discussing my concerns. I was unable to walk and had a televisit on a Saturday! Ive had multiple injections and two surgeries and I am able to walk and have returned to work. Erica is also amazing and very helpful. She contributions to patient care, she is efficient , attentiveness, and professional. I am so happy I got my care at  Tristate spine and surgery, with Dr. Rovner and team.

–Tiffany Carrasquillo

Dr. Rovner was a pleasure to talk to regarding my various injuries. He outlined all the options I have and was patient with my questions. Highly recommended if you’re look...

Dr. Rovner was a pleasure to talk to regarding my various injuries. He outlined all the options I have and was patient with my questions. Highly recommended if you’re looking for a thorough orthopedist!

–Jitin Dodd

My husband has had a great experience with the doctor and his prompt attention to questions and jumping on a call. Probably the most responsive doctor we’ve ever dealt wit...

My husband has had a great experience with the doctor and his prompt attention to questions and jumping on a call. Probably the most responsive doctor we’ve ever dealt with.

–Alexa Turck

Dr Rovner was very kind and knowledgeable! I would totally recommend him! He had Immediate next steps and was extremely communicative.

–Joyce PorrasTapia

Loved consulting with Dr Ronver for my shoulder pain . Easy appointments and quick diagnosis. Loved the fact that he’s easily reachable and his deep Explanations in every ...

Loved consulting with Dr Ronver for my shoulder pain . Easy appointments and quick diagnosis. Loved the fact that he’s easily reachable and his deep Explanations in every step

–Jairesh Mohan

Convenient scheduling and communication from a competent and caring team. Dr. Rovner and Erica were very helpful and assisted me through my treatment options and coordination of...

Convenient scheduling and communication from a competent and caring team. Dr. Rovner and Erica were very helpful and assisted me through my treatment options and coordination of my care

–Dana Manza

They were amazing just a week after my surgery and I'm feeling better than before it. They have been very clear on every step of the way and answered all my questions.

–Gery Evans

Love Dr.Rovner and his staff!! Always there to help with anything needed. Dr. Rovner is an incredibly skilled surgeon, he’s kind and passionate about his work and helping ...

Love Dr.Rovner and his staff!! Always there to help with anything needed. Dr. Rovner is an incredibly skilled surgeon, he’s kind and passionate about his work and helping people. I was a nervous wreck but he took the time to review everything he would do and how it would help. Had my surgery in May and never thought I would feel as good as I do after a month!  He’s a blessing!

–Valeria Gervasi

Dr. Rovner was very helpful with my issue and is very nice and welcoming

–Brayden Seaman

I've been going to NY Spine and Sports Surgery for over 10 years. I've always had a great experience with Dr. Rovner and his staff. Everyone is very helpful and caring. I would ...

I've been going to NY Spine and Sports Surgery for over 10 years. I've always had a great experience with Dr. Rovner and his staff. Everyone is very helpful and caring. I would highly recommend NY Spine and Sports Surgery to anyone.

–Bhagmattie Ram

Excellent bedside manner and speedy treatment options!

–B.K.

The staff is very nice and courteous Dr. Rovner is the BEST !

–Leticia Mitchell

The place is very good, I recommend it.

–Jose Orellana

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PPO Insurance Plans Accepted

Core Alliance accepts most major PPO insurance plans, including the following:

  • United Healthcare
  • Cigna Healthcare
  • Anthem
  • Oxford Life Insurance Company
  • BlueCross BlueShield

Patients must have a PPO medical plan with out of network benefits. If you’re unsure whether your plan is accepted, our team can quickly verify your coverage and explain your options before your visit.

Flexible Options for Patients Without Full Coverage

If you are uninsured or have limited benefits, Core Alliance offers flexible payment options to ensure financial barriers don’t prevent you from receiving the care you need. We’ll work with you to create a plan that fits your individual situation.

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Why Choose Core Alliance?

At Core Alliance, we combine advanced diagnostic tools with a patient-first approach to deliver comprehensive, non-surgical care. Dr. Rovner’s expertise in both surgical and non-surgical spine treatment allows us to offer balanced guidance tailored to your condition, goals, and comfort. Schedule your consultation today and discover a non-surgical solution that’s right for you.

Your Consultation

During your consultation at Core Alliance, Dr. Aron Rovner will review your medical history, discuss your symptoms, and perform a physical exam. Imaging studies or prior diagnostic injections may also be reviewed to determine which treatment is appropriate for your condition. We’ll ensure you feel informed and supported before moving forward with any treatment. And for added convenience, we offer the option of an in-person or virtual consultation. We do not provide work notes or administrative evaluations—we focus strictly on medical treatment and procedures.

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