Medical Services related to Paul Edward Hilliard MD

Back Pain

Back pain is one of the most common reasons for primary care visits. Most people at some point in their lives will experience some form of back pain. Back pain can be mild or severe, pass quickly or last long enough to significantly impact your quality of life. 

Herniated Disc

A herniated disc occurs when the soft inner nucleus of the vertebral disc in the spine pushes through the outer wall. The condition usually occurs in the lower back but it can also occur in the neck. The herniation can result in a large bulge that can press against nearby nerve roots causing pain.

Lumbar Degenerative Disease

Lumbar degenerative disc disease is a chronic (ongoing) degenerative condition of the lumbar spine that affects the vertebral bodies and intervertebral discs of the low back. The discs lose water content and shrink, and spurs often form as osteoarthritis develops. 

Lumbar Spinal Stenosis

Lumbar spinal stenosis is a chronic degenerative condition of the lumbar spine that affects the vertebral bodies and intervertebral discs of the lower back. As the discs lose water content and shrink, spurs often form as osteoarthritis develops. The ligaments can also thicken. This results in narrowing of the spinal canal where the nerves travel. 

Medical Treatment Options

Patients seeking medical options or injection procedures come to the University of Michigan Back and Pain Center staffed by anesthesiologists specializing in pain management or The Spine Program made up of physiatrists. Although both areas treat many of the same conditions there are some different treatment options in each - your physician will refer you to the program that best fits your needs. 

Orthopaedic Surgery (Bones and Joints)

We provide outstanding, state-of-the-art, care for musculoskeletal injuries and conditions. From a simple foot condition to the most complex spinal issue, our focus is you. We dedicate ourselves to patient care, education, and research, and provide the best and most appropriate care to each of our patients.

Pain Management

The University of Michigan's divisions of Pain Management find the source of pain and treat it, from chronic and acute pain to headaches and back pain.

Sacroiliac Joint Pain

The sacroiliac joint (SI joint) is the joint that connects the spine to the pelvis and serves primarily for weight bearing.  When the SI joint is painful, activities such as walking, sitting and standing can stress it, causing worsening pain.  

Scarred Nerves

After a trauma, a large cut or surgery around the nerves, scar tissue forms. Scar tissue is both good and bad. It helps the nerve attach to nearby structures, but when the patient moves, pressure is placed on the nerve because the scar tissue can pull on the nerve. Even without movement, the scar tissue can reduce the nerve's blood supply. All of this can cause significant nerve pain.

Vertebral Body Compression Fracture

The vertebral body is the weight-supporting, solid central part of a vertebra (any of 33 bones of the spinal column). A vertebral body compression fracture is when a break collapses one or more vertebrae of the spine. Vertebral compression fractures are often linked to osteoporosis or thinning of the bone tissue over time. Such fractures may also be caused by trauma.