Dr. Carl Spivak

Orthopedic Spine Surgery
Hackettstown, NJ
30 years experience male

Locations

Office

Hackettstown, NJ

Address

657 Willow Grove St, Suite 402, Hackettstown, NJ
Directions

Insurances accepted

Medicare

Executive Spine Surgery

Hackettstown, NJ

About

Bio

Carl Spivak, MD, has joined Hackettstown Regional Medical Center. He is a neurosurgeon who specializes in the treatment of degenerative diseases of the spine. He is one of the few neurosurgeons in New Jersey with dual expertise in both minimally invasive spine surgery and interventional pain management. This affords him a unique perspective in determining the optimal treatment for each individual patient’s needs, while using the most cutting-edge technologies. Dr. Spivak did specialized fellowship training in complex spine and peripheral nerve surgery at Stanford University and minimally invasive spine surgery and interventional pain management at Semmes-Murphey Spine and Neurological Institute. Dr. Spivak has surgical and interventional expertise in treating a diverse array of diseases of the spine and nerves, including congenital, traumatic and degenerative spine disease, peripheral nerve disease and pain syndromes, using the most innovative, least invasive approac

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Orthopedic Spine Surgery

Neurosurgery

Doctor Q&A

196 Answers
3 Agrees
The number of answers this doctor has agreed with.
A 24-year-old member asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
Depends: Minimally invasive surgery of the spine has less skin, muscle and bone damage and blood loss, quicker recovery and less need for pain medicine, but th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
Yes: Bulging disk should be confirmed with imaging. Mri is usually the best test to diagnose disk disease.
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
LAST RESORT: If you fail conservative treatments rest, nsaids, physical therapy and steroid injections i would recommend seeing a spine surgeon who specializes in ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
Sciatica: You may have ruptured disk or stenosis pinching the leg nerves in the back causing sciatica. I would discuss this with your doctor. You may benefit ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
Does not spread!: Degenerative disk disease is wear and tear breakdown of the disks in the spine from aging, lifestyle, sports, work and genetics. As people age the di... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
Core strengthening: The treatment depends upon the cause. A common cause of back pain is obesity and weak back muscles. Weak back muscles have to work extra hard to sup... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old male asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
It : It is unusual for the screws to break or pop out 6 years after surgery, but that said your symptoms are very concerning. I would recommend immediatel... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
Investigations : Investigations and pain do not always correlate. Mri and x-rays can be "normal" and the patient can have severe pain. Other times the investigations... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
Yes: Transmissible spongiform encephalopathy is caused by an infectious protein called prion. It can be transmitted through blood products or eating contam... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
Buttock : Buttock pain is often caused by sacroiliitis. This is common after lumbar fusion. Sacroilitis can be treated by steroid joint injections, burning th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
Scoliosis : Scoliosis is the abnormal curvature or twisting of the spine. Scoliosis may cause hunch back (kyphosis), lung and heart problems from compression, pa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
Yes : Yes shingles can recur. I recommend seeing your doctor. Sometimes medication can be started to prevent chronic pain. Good luck.
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
Sometimes : Sometimes back pain is so severe that breathing is painful, but this is unusual. The presence of pain with breathing is concerning for lung pain and ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old female asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
Abnormal EEG.: The eeg records electrical activity in the brain. The right hemispheric lesion could be congenital problem, tumor, abnormal blood vessels, infection,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
Sacroiliitis : Sacroiliitis is commonly confused with back problems. The pain is located in butt in the pocket area of pants. Patients tend to not want to sit on t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
There : There are many treatment for vertebral body fractures and the specific treatment depends on the amount of compression of the vertebral body, if the bo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
The : The cervical spine is made up of spinal vertebrae, disks, joints, muscles and ligaments. Spinal injury may damage these structures and cause swelling... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
In : In general it is better not to shave your surgical area prior to surgery. Shaving the day or so before surgery may increase bacterial contamination. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
Vertebroplasty : Vertebroplasty and kyphoplasty are usually safe and helpful procedures but there are many risks related to the procedure, anesthesia and your general ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
Rehab: Rehab may optimize recovery form spine injury. Treatment depends on the type of injury, if surgery was required and the presence or absence of weakne... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old female asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
Repeat MRI 1 year.: Most small, stable (not growing bigger), and asymptomatic (not causing any pain or neurological dysfunction like weakness, seizures, etc) meningiomas ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
Back : Back pain is very common. It can be brought on by position or activity. The pain may be related to bones, disks, joints, ligaments, muscles, nerves ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
Most : Most likely you have strained your back from being sick, but rarely infections may spread through your blood to your back and cause an infection in yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
Neurontin (gabapentin) or steroid: The next options would be nerve stabilizer like neurontin, (gabapentin) epidural steroid injections or surgery. I would recommend seeing an intervent... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
? Sacroiliitis: You may have si joint dysfunction or sacroiiitis. People often develop pain over there jean pocket, try to sit with that butt cheek off the chair and ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
Unfortunately : Unfortunately back pain is common during pregnancy, but rarely kidney infections or other organ systems can cause back pain. I would recommend discus... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
You : You may have a nerves pinched in your neck. I would recommend seeing and workup by primary care doctor. Treatment may include rest, physical therapy... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old female asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
It : It is very rare to see pain 7 to 8 years after an epidural. Epidurals are done in the same area common for back problems like degenerated disk diseas... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old female asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
Back : Back pain maybe caused by the disks, facet joints, muscles, nerves, spinal cord not to mention other organ systems. Facet joint arthritis is a common... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
I : I would recommend seeing your doctor. You may have small compression fracture in your spine. This may have begun to heal up and then you aggrevated i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 59-year-old female asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
As : As the spine wears out, the disk, joints, ligaments and capsules weaken and develop increased movement called instability. As a response to instabili... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old female asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
No.: Numbness of your perineum (buttock and groin), urinary urgency (have to go to the wash room immediately), incontinence that is mild and comes and goes... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old male asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
I : I am sorry for your inconvenience. My experience is that family doctors are less comfortable prescribing narcotic medications then in the past. This... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
I : I would look for a pain doctor to optimize your pain medications which may include narcotic medications. Steroid injections and spine surgery may be ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
Scoliosis : Scoliosis of thoracic spine does not usually cause neck pain. Breathing pain is not usually caused by neck pain. Fever can be related to infection w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
Back : Back pain may be come from the disks, joints, muscles, ligaments, bones, etc. I often find people with severe back pain and degenerative disk disease... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
The : The spine is made up of bony vertebrae and disks. The disks act as shock absorbers between the vertebrae. When the disks dry out and wear out this i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
You : You may have injured your head and neck when you hit the top of your head. Sometimes this can cause bleeding in the skull or broken vertebrae in the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 59-year-old male asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
The : The "cold" virus may have caused irritation to the muscle (myalgia) or you may have strained the back muscle coughing. This will most likely go away a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
Breathing : Breathing pain is less typical for back problems. I recommend seeing your primary care doctor. Depending on the findings you may need to see a speci... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old male asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
Yes: Inversion table, lumbar stretch machines and yoga may relieve pain and inflammation "healing" the problem. The actual disk herniation does not usuall... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
The : The shoulder blade pain and hand numbness may not be related. The hand numbness may be from carpal tunnel syndrome or cubital tunnel syndrome. Good ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old female asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
Yes: Sciatica is pain radiating down the back of the leg caused by pinching of the sciatic nerve by a ruptured disk in the back. It may happen without bac... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
I : I would recommend seeing a massage or physical therapist to help your muscle tension. You may benefit from a firm mattress. I would recommend tryin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old female asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
Your : Your back pain and left leg pain may be from ruptured disk in your back. I would recommend seeing your primary care doctor for assessment and treatme... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old female asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
There : There are many treatments for l5-s1 disk disease including physical therapy, medications, steroid injections and surgery. You should see a spine pain... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 59-year-old female asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
Not : Not all disk herniations cause pain. Emg is helpful to determine which disks and nerves are symptomatic. This information may help determine the di... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old female asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
Your : Your neck, shoulder and left arm pain may be from a cervical disk herniation or stenosis. I would recommend seeing your primary care doctor. You wil... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
Sciatica : Sciatica is back and leg pain resulting from compression of the sciatic nerve as it leaves the spine. You should see a spine specialist or spine surg... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Carl Spivak
Orthopedic Spine Surgery 30 years experience
Right : Right l4-5 disk herniation can be treated with rest, physical therapy, medications, steroid injections and surgery. Surgery is a good treatment if th... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

4
Recommendations
282
Thank you notes
Nov 27, 2012
I endorse this doctor. Dr. Spivak practices a patient centered style of spine care. He is thoughtful and detail oriented. It has been a pleasure working with him.
Nov 27, 2012
I endorse this doctor. His contributions on Avvo are very thoughtful.
HealthTap member
Mar 30, 2015
Dr. Spivak is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
I have the same problem. Diagnosed about 2 months ago. How long before I can get normal again? What extra care is to be taken to avoid furth
HealthTap member
Thanks for your quick reply! I'll take your advice ,I wish there was something that could help the pain until able to see a dr,
HealthTap member
This was very helpful. Thanks! This is a good answer. I am a similar person with the degenerate disease at a younger age.

Education & Training

Medical/Graduate school

University of Manitoba Faculty of Medicine
Graduated 1998MD

Medical/Graduate school

University of Winnipeg
Graduated 1993MD

Residency

Royal University Hospital

Awards

Academic Excellence, HP Award
Top Doctor, First Place, Morristown, NJ - Winter
2013
Most Influential, First Place, Morristown, NJ - Winter
2013

Affiliations

American Association of Neurological Surgeons
North American Spine Society
American Medical Association

Publications

Comparision of the reliability of brain lesion localization when using traditional and stereotactic image-guided techniques: a prospective study.
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