Manzanares, James B MD
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Manzanares, James B MD
Fat grafts taken from the wound, gelatin sponges, silicon-based sheets (Silastic) and other techniques have been used in an effort to block the mobilization of cells into the region of the nerve root, thereby inhibiting development of epidural fibrosis.

About the Sacroiliac (S) Joint The sacroiliac joints are strong joints (or articulations) between the bottom-most triangular bone of your spine, called the sacrum, and the ilium sections of the pelvis (the sections of the pelvis you put your hands on when you put.Traditional, open surgery required a 6-inch incision into soft tissue to access the spine during surgery.
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Brittany Alce is a Board-Certified Physician Assistant from Orlando, FL. Brittany completed her undergraduate degree in both Biology and Piano Performance at the University of Central Florida while pursuing a certification as a personal trainer. She then went on to receive her Masters of Science degree in Physician Assistant Studies from South University in Tampa, Florida.
Our practice is one that specializes in complex adult and pediatric spine pathology, both traumatic and nontraumatic. We utilize conventional as well as minimally invasive techniques to address correction of the issue causing pain. Our practice was founded on the belief that the patient comes first.
Minimally invasive surgery is safer than open surgery and allows you to recover faster and heal with less pain and scarring. Traditional, open surgery required a 6-inch incision into soft tissue to access the spine during surgery. Because of the large incision, this surgery took many months for a full recovery.
Exercising is good for you, but sometimes you can injure yourself when you play sports or exercise. Accidents, poor training practices, or improper gear can cause them. Some people get hurt because they are not in shape. Not warming up or stretching enough can also lead to injuries. Though it is a common cause of back pain in the adult population, disc injury is relatively uncommon in the young athletic population.
The function of the sacroiliac joint is both shock absorption (depending on the joint's possible amount of movement) and torque conversion, to transfer movement in your lower body up to your spine. Your sacroiliac joints act a lot like the suspension system in a car - they absorb your body's daily dose of steps, jolts and bumps, and provide you with stability.
Reviews (9)
B. LlaVista
B. LlaVista
Nov 26, 2021
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Horrible experience… patients are to be taken care of in a timely manner. Please if you will ever do anything right for your health do not schedule here. Your injury matters and so does where you go to treat that injury. Be mindful of how you are treated and how unprofessional the staff are. It is not ok to not be treated for your injury just because they want to reschedule many times and never treat the problem correctly. Please be mindful that your insurance may pay the bill but it’s not right when you have had everything scheduled and completed and yet they want you to keep coming back and
Rukayat Ayoola Aliy
Rukayat Ayoola Aliy
Oct 19, 2021
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David Merrill
David Merrill
Feb 19, 2021
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My wife had severe leg pain radiating from her back. We went to see Dr. Manzanares and Vlad, his PA ordered MRI's of the neck and lower back because she had surgery on her neck 15 years prior. She wasn't experiencing any pain from the neck, but when the MRI came back - she needed her neck attended to at the adjacent level. That surgery went fantastic and the issues she had been experiencing from her first surgery were resolved right away and now we don't have to be worried about any complications from her neck.
Then her back also needed attention and Dr. Manzanares recommend an IOFlex procedure
Laura Botelho
Laura Botelho
May 19, 2020
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Dr. Manzanares is the ONLY doctor we recommend for all your Orthopedic needs! We met him when I was in a bad car accident, in 2018. Then he took the challenge of helping my husband, starting Nov 201. He did another surgery July 2019. Recently took care of my husband a needs again. This past week has been the happiest we’ve been in over two years.… Husband still healing but so far he’s doing great. And, my surgery in Sept2019 gave me some relief so I can walk with minimal pain and not 24/7 as before. Thank you Doc, you’re the best. God guides Docs hands and we are forever
Leslie Adams
Leslie Adams
Dec 05, 2019
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Had our first consult with Dr. Manzanares, I was extremely impressed with his wisdom & expertise. He explained everything with such compassion. I look forward to the upcoming surgery to get my lumbardecompression & fusion
Laura Botelho
Laura Botelho
Aug 25, 2019
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Has done two surgeries on my husband. He prays with us. Such a wonderful human being. He loves to help people, doesn't see $ signs, only compassion. So glad God sent me to him, cause he helped my husband to be able to walk after not doing so, for over a year.
Vanessa Triplett
Vanessa Triplett
Jun 26, 2019
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I have now had two cervical spine surgeries with Dr Manzaneres. The first one was a fusion in May 2016 and the second one was a disc fusion just a month and a half ago, May 2019. He is super knowledgeable, very patient, and has the best bedside manners. He genuinely cares about his patients and I cannot recommend him enough.
Irma Barajas
Irma Barajas
Jan 23, 2019
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I was in a car accident and I was hurt from my neck I’m in Michigan and Dr Manzanares travels to Michigan I feel very fortunate to have had Dr Manzanares do my surgery he really cared about my well being...
Patty Winstead
Patty Winstead
Nov 17, 2017
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A great man and Dr. Had rotater surgery in Aug. 2017 couldn't ask for it to have been any better if you need a Orthopedic Dr you wont find a better one,i visit his office in Bonita Springs