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Fax: 201-560-0712

Franklin Lakes

784 Franklin Avenue, Suite 250

Glen Rock

266 Harristown Road, Suite 107


260 Old Hook Road, Suite 401


185 Route 17 South, Suite 101

North Bergen

9226 John F. Kennedy Blvd.


529 Goffle Road

Midland Park

12 Goffle Road


96 Manner Ave.

Union City

543 45th St.


194 Union Blvd.

Stony Point NY

11 Holt Drive

Home » Therapies

interventional pain management westwood

Hip Preservation

Our innovative hip preservation techniques can help prevent the progression of arthritis and are aimed at delaying or eliminating the need for hip replacement surgery.

Robotic Surgery

Using the Mako robotic arm results in greater precision and control during surgical procedures. Combined with the surgeon’s skill and judgment, robotic-assisted surgery can speed up recovery times and improve outcomes.

Spinal Decompression Therapy

Spinal decompression therapy can heal herniated discs, bulging discs, pinched nerves, sciatica, spinal stenosis and other conditions.

Cervical Motion Sparing Technology

Our state-of-the-art cervical motion sparing technology procedures, including cervical artificial disc replacement and laminoplasty, are the pain management care you deserve. They allow you to reclaim your neck strength without compromising your mobility.

Vertebral Augmentation

When more conservative strategies have failed and surgery is not an option, vertebral augmentation is a minimally invasive technique that can treat instability and compression fractures. It’s often used to treat bone problems caused by cancer, osteoporosis and other bone-weakening conditions.

Selective Nerve Blocks

Selective nerve root blocks (SNRB) are injections that deliver numbing and steroid medications directly to the nerves. They can be used to treat pain from several conditions in which nerves become pinched.

Medial Branch Block

A medial branch block is an injection delivered to the nerves of facet joints in the lower spine and is used as a diagnostic tool. Medial branch blocks test the likely outcome of using a more permanent nerve block, such as radiofrequency ablation.

Electromyography (EMG) & Nerve Conduction Studies (NCS)

EMG and NCS are diagnostic tests used to evaluate the electrical signals sent from muscles and nerves to other parts of the body. They can be used to diagnose many common conditions, including carpal tunnel, motor neuron disease, radiculopathy and myopathies.


A discogram (discography) is a diagnostic procedure used to determine whether spinal discs are the cause of back pain or to identify which specific discs are the source of the pain.

Tenex Procedure

When you suffer from tendonitis in your shoulders, elbows, knees or ankles, this nonsurgical procedure can eliminate the pain caused by damaged tissue on your tendons.

Spinal Fusion Technologies

When you suffer from stenosis, degenerative disc disease and other conditions caused by damaged discs in the spine, our state-of-the-art spinal fusion technologies could be your answer. They include titanium implants, expandable cage technology, 3D printed cage technology and orthobiologics.

Radiofrequency Ablation

This minimally invasive procedure taps into the restorative properties of radiofrequency waves that can prevent your nerves from sending pain signals to your brain. The result: relief from lower back pain caused by conditions of the facet and sacroiliac joints and, in some cases, from axial lower back pain.

Platelet Rich Plasma/Bone Marrow Aspirate Concentrate

At Kayal Pain & Spine Center, we value the healing powers of your own body. We embrace platelet-rich plasma and bone marrow aspirate concentrate therapies and other innovative pain management services that use your own body’s blood or stem cells to help you heal faster.

Nerve Blocks

Kayal Pain & Spine Center has the skills and experience to employ the latest nerve block technology to intercept pain signals from your brain and eliminate your pain. Our team will use every pain management care tool available to pinpoint and treat your pain, including diagnostic, prognostic, therapeutic and preventive nerve blocks.

Minimally Invasive Lumbar Fusion Surgery

When you suffer from stenosis, degenerative disc disease and other conditions caused by damaged discs in the spine, our state-of-the-art spinal fusion technologies could be your answer. They include titanium implants, expandable cage technology, 3D printed cage technology and orthobiologics.

Minimally Invasive Lumbar Decompression

We use state-of-the-art techniques, specialized treatments and small incisions for minimally invasive spine surgeries, including minimally invasive cervical decompression, minimally invasive lumbar decompression and minimally invasive lumbar fusion surgery.

Minimally Invasive Cervical Decompression

Decompression surgeries include posterior cervical foraminotomy, cervical laminotomy or laminectomy, and discectomy.

Facet Joint Injections

Whenever possible, the elite team at Kayal Pain & Spine will explore nonsurgical pain management services to ease your pain. Facet joint injections help manage numerous conditions, including osteoarthritis, degenerative disc disease, spinal stenosis, back injuries and mechanical stress in your back.

Epidural Steroid Injections

This versatile, minimally invasive interventional pain management therapy reduces spinal nerve inflammation and brings relief from neck, lower back and arm pain.

Epidural Lysis of Adhesions

Using epidural lysis of adhesions, the experts at Kayal Pain & Spine Center can rid your spine of the scar tissue that builds up in the epidural space of your spine and causes inflammation and back pain.

Cervical Fusion

Our skilled team can stabilize your neck, protect your spinal cord, help your body heal faster and significantly reduce your pain with cervical fusion.

Hand, Wrist, Elbow and Shoulder Surgery

Our board-certified specialists are experts in surgery and conservative treatments for upper extremities including your hand, fingers, wrist, elbow and shoulders. They will be with you every step of the way, through your recovery.

Ankle Fusion

Ankle fusion, or ankle arthrodesis, is a surgical technique that alleviates severe ankle pain due to worn out or arthritic joints—a condition that’s called degenerative arthritis.

Ankle-Foot Orthosis

An AFO is a custom-fit external device, or brace, that protects and realigns the ankle and foot.

Custom-Molded Foot Orthotics

Our podiatric surgeons use the TOM-CAT™ Computerized Foot Scanning System to achieve a perfect orthotic fit, each and every time.


Committed to decreasing patients’ pain, the doctors at Kayal Orthopaedic Center have been uniquely trained to treat a wide variety of foot and ankle problems.


BioCartilage may be helpful for restoring cartilage damage at the knee, ankle or shoulder. It acts as a scaffold, providing a matrix upon which new cartilage tissue can attach itself.


QuickSet is injectable bone cement that supports new bone formation. During healing, QuickSet is resorbed by the body and replaced with natural bone, which strengthens and restores the area.


This organic collagen matrix speeds the healing process by encouraging new bone growth, and is a natural alternative to synthetic bone implants.


This organic material helps to maintain the body’s natural bone architecture while speeding the healing process.


Kayal Orthopaedic Center treats chronic skin wounds and ulcerations with acellular dermal matrix (ADM) grafts, like DermACELL®.

Bone Marrow & Stem Cell Consultation

When your own harvested stem cells are injected into the damaged area that requires treatment, the process is essentially mimicking the body’s natural healing process and can even attract other stem cells to the injured area or transform into new tissue.

Viscoelastic and Steroid Supplementation

Viscoelastic supplementation and steroid injections deliver localized relief for patients who have not responded to physical therapy.

Corticosteroid Injections

Corticosteroid injection therapy minimizes inflammation, reduces pain and restores function.

Orthobiologics and Injections

At Kayal Orthopaedic Center, our team uses advanced biomaterials to relieve pain, reduce inflammation and restore mobility in a variety of orthopaedic conditions.

Laser Therapy

Providing relief for a range of musculoskeletal disorders and orthopaedic conditions, our experts offer state-of-the-art laser therapy.

Total Hip Replacement Surgery

When physical therapy and anti-inflammatory medications aren’t the answer to crippling joint pain and severe osteoarthritis, total or partial hip replacement can restore your full and active lifestyle.

Total Ankle Replacement

This surgery removes damaged portions of the arthritic ankle joint and replaces them with prostheses. Over time, the surrounding bone tissues grow around the implant to keep it from shifting.

Total Shoulder and Reverse Total Shoulder Replacement

For shoulder pain and instability that takes a toll on work and leisure activities, our expert joint replacement can offer relief and restore function.

Custom Total Knee Replacement

Kayal Orthopaedic Center is proud to offer various types of knee replacements, which allows our patients and their surgeon to choose the best approach based on their individual needs and characteristics.

Partial and Patellofemoral Knee Replacement

Kayal Orthopaedic Center is proud to offer various types of knee replacements, which allows our patients and their surgeon to choose the best approach based on their individual needs and characteristics.

Partial & Total Joint Replacement

Aiming to reduce joint pain and restore function, the skilled doctors at Kayal Orthopaedic Center routinely perform partial and total joint replacement.

Achilles Tendon Repair

The Achilles tendon connects the muscles in the back of your lower leg to your heel bone, and it must withstand large forces during sporting exercises and pivoting.

Ganglion Cyst Removal

If a ganglion cyst presses on a nerve, it may be painful. Depending on its location, a ganglion cyst may restrict movement. Some cysts do not require any treatment, but others require surgical removal.

Carpal Tunnel Release

This procedure provides more room for the median nerve and the tendons in the narrow passageway in your wrist, usually improving pain and function.

Ulnar Collateral Ligament Reconstruction

Also known as Tommy John surgery, this is designed to restore medial stability of the elbow, enabling athletes to make a full return to their previous activities.

Rotator Cuff Surgery

Offering arthroscopic rotator cuff repair, the Kayal Orthopaedic Center team is committed to eliminating shoulder pain and returning athletes to action quickly and safely.

Dance Medicine

Kayal Orthopaedic Center develops individualized patient care plans based upon a dancer’s age, goals and performance requirements.

Services for Skiers

Knee injuries account for 30 to 40 percent of ski injuries, but skiers are also at risk for a variety of other joint injuries and repetitive motion disorders.

Sports Medicine & Arthroscopy

Kayal Orthopaedic Center’s team provides athletes and non-athletes alike with comprehensive services in order to minimize downtime and get them back their active lifestyle as quickly as possible.

Meniscus Tear Surgery

Our experts will use an arthroscopic surgery approach to repair torn menisci, which involves inserting a camera and tiny surgical instruments into the knee joint.

MCL Replacement

When a patient exhibits a Grade 3 tear, the surgeons at Kayal Orthopaedic Center can replace a torn MCL using minimally invasive arthroscopic surgery.

LCL Replacement

Our surgeons perform arthroscopic medial lateral ligament replacement (also referred to as lateral collateral ligament or LCL) without cutting through any tendons or muscle.

ACL Reconstruction

ACL surgery replaces the ligament with a substitute tendon graft to stabilize the knee and reduce or eliminate pain.


Arthroscopic surgery is a minimally invasive surgical method that uses a camera and specialized instruments to carry out any necessary joint surgery.

Osteoporosis & Bone Density Testing

Osteoporosis is sometimes called a “silent disease” because patients rarely notice symptoms until they suffer a “fragility fracture.” Our team performs procedures to identify the problem and control it before it controls you.

Treatment of Spinal Disorders

Limited or altered activity, anti-inflammatory medications, physical therapy and exercise, bracing or neck supports, and steroidal injections are among the options for treating neck and back pain. For more serious disorders, surgical intervention may be necessary.

Pain Management and Relief

Whether you suffer from chronic or acute pain due to an injury or surgical procedure, Kayal Orthopaedic Center delivers pain relief through industry-leading techniques.

Orthopaedic Trauma & Fracture Care

The Kayal Orthopaedic staff is trained and has experience in managing both common and complex fractures.

Minimally Invasive Orthopaedic Surgery

A minimally invasive orthopaedic surgical procedure uses special techniques, small incisions and specialized instruments.

Orthopaedic Services & Surgery

Dr. Kayal and his board-certified team offer expert diagnosis and state-of-the-art treatment for any injury or disease of the bones and joints—from simple fractures to complex tears.

Interventional Pain Management That Brings Relief

Our Award-Winning Team Can Achieve Lasting Results

Whether you live in Franklin Lakes, Westwood, Glen Rock, Paramus or elsewhere in Bergen County, Kayal Pain & Spine Center is the expert team you want on your side when you are dealing with chronic pain. We are your one-stop shop for pain and spinal issues. We are based in Bergen County with convenient offices in Franklin Lakes, Glen Rock, Westwood and Paramus.