Cascade Orthopaedics Spine Center

Cascade Orthopaedics prides itself in providing patients one of the most comprehensive, and technologically advanced spine centers in the country. Evidence-based medicine has shown that a multi-disciplinary team approach is the most effective in treating neck and back pain. At Cascade Orthopaedics, we believe in a step-wise approach to spine care, beginning from the most conservative treatments first, before considering more invasive, and often unnecessary surgical options. With our team approach to care, patients do not have to deal with what is called “fragmented care.” This is an unfortunate phenomenon in the U.S. medical system where patients are left with the confusing challenge of directing their own care, while shuffling from one provider to the next, with no one seemingly capable or interested in providing the more comprehensive, inter-disciplinary care they need. Our comprehensive spine center combines state-of-the art MRI imaging with an unparalleled team of surgical and non-surgical spine physicians, nurses, technicians, physician assistants, and physical therapists all under one roof.

Dr. Alan Chen is a non-surgical spine specialist and is double Board Certified in Pain Management and Physical Medicine & Rehabilitation. He also is accredited in Medical Acupuncture.

View the Interventional Spine Presentation

Primary Diagnostic & Therapeutic Procedures:

  • Electrodiagnostic Studies
  • Fluoroscopically guided epidural steroid injections
  • Fluoroscopically guided facet joint injections
  • Fluoroscopically guided Sacroiliac or hip joint injections
  • Radiofrequency ablation
  • Sympathetic nerve blocks
  • Selective Nerve Root Injections
  • Intercostal Nerve Blocks
  • Discography
  • Spinal Cord Stimulation
  • Spinal Cord Stimulator Implant
  • Trigger point injections
  • Botox injections
  • Acupuncture

Dr. Terry Smith is a board certified orthopaedic spine surgeon who has been in private practice in Hawaii for the past 10 years specializing in complex surgery of the spine. This has included teaching as well as pioneering minimally invasive techniques in spine surgery involving anterior and posterior cervical, thoracic, and lumbar surgery including endoscopic and thoracoscopic approaches. He has also taught non surgical evaluation and injection techniques of the spine.

Dr Smith believes that successful treatment of spinal injury requires active involvement and rapport between the patient, the primary care giver and the subspecialist. Complete and through evaluation is needed prior to intervention.

Dr Smith is board certified in orthopedics, a member of the North American Spine Society and the Association of American Orthopedic Surgeons.

He is currently in full time practice with cascade orthopedics and seeing patients at our Auburn and Bonny lake offices. He is privileged at Auburn Regional Medical Center and able to see in-patient consults as well.