Spine

Expert care for neck, back, and spine conditions — right here in the Catskills and Hudson Valley

Overview

Back and neck pain can affect every aspect of your life — from walking and driving to sleeping and working. At Catskill Orthopedics, Dr. Charles W. Episalla offers comprehensive, compassionate care for a wide range of spinal conditions and injuries.

With over 30 years of orthopedic experience, including treatment of cervical, thoracic, lumbar, and sacral spine issues, Dr. Episalla provides both surgical and non-surgical options for patients suffering from herniated discs, pinched nerves, spine arthritis, or spinal trauma. Whether you’re managing chronic pain or recovering from a sudden injury, we’re here to help restore function and quality of life.

Why Choose Catskill Orthopedics for Spine Care?

Experienced leadership and surgical expertise
Dr. Episalla is a board-certified orthopedic surgeon and former Director of Orthopedic Surgery at Bon Secours Community Hospital and Garnet Health–Catskill. He has treated thousands of patients with spine conditions across Sullivan, Orange, Ulster, Dutchess, and surrounding counties.

Advanced care, close to home
We provide non-surgical treatment options, as well as minimally invasive spine surgery when needed — without requiring travel to a distant hospital or urban center.

Personalized approach for every patient
We work with each patient to develop a care plan that aligns with their symptoms, lifestyle, and goals. Most patients improve significantly with conservative treatments such as therapy, medications, and targeted injections.

Continuity of care from diagnosis through recovery
Dr. Episalla personally oversees each step of your care, including diagnostics, pre-surgical evaluations, surgical intervention (when needed), and post-operative rehabilitation referrals.

Common Spine Conditions We Treat

  • Herniated or bulging discs

  • Degenerative disc disease

  • Cervical or lumbar radiculopathy (pinched nerves)

  • Spinal stenosis

  • Sciatica

  • Compression fractures

  • Scoliosis and kyphosis

  • Spondylolisthesis and spondylolysis

  • Post-traumatic spinal instability

  • Sacroiliac (SI) joint dysfunction

  • Osteoarthritis of the spine

  • Failed prior spine surgeries

Treatment Options

  • Anti-inflammatory medications

  • Epidural steroid, facet joint, or SI joint injections

  • Physical therapy

  • Bracing for support and mobility

  • Activity modification and posture training

  • Alternative therapies such as chiropractic care or acupuncture (as appropriate)

  • Evaluation for surgical intervention when necessary