Here at the NYSI, our certified spine specialists and back doctors deliver comprehensive care and treatment to all of our patients throughout the greater New York area including those in Smithtown. Our doctors have decades of knowledge and experience treating individuals of all ages who experience constant back and neck pain disorders. Our highly educated spine doctors and neck specialists strive to help with the overall improvement and recovery of all our patients’ health.
SPINE SURGERY & CARE SERVING SMITHTOWN, NY
There are a number of various conditions that can cause both back pain and neck pain disorders including fractures, herniated discs, and diseased discs, to infections of all types. Our spine doctors take pride in administering customized back pain treatment plans to our Smithtown clients and strive to identify problems and get to the root of your back or neck pain. They offer patients comprehensive treatment plans that help to get them back on their feet again.*
Dedicated back doctors, neck specialists and neck surgeons are focused on delivering pain treatment methods to patients that are least invasive. Our doctors reserve any type of spine surgery for patients who, after undergoing previous treatment options, are still experiencing severe pain as a result of pinched nerves, spinal cord compression, or mechanical instability of the spinal cord.
Types of Spinal Surgeries we offer our Smithtown patients:
With their years of experience and advanced training in bone and neurological spinal disorders, our spine doctors and back specialists have served thousands of neck pain and back pain patients in the greater New York City area who are in need of surgical intervention. They strive to identify the ultimate source of patients’ ongoing pain.*
The Founder of NYSI Alexandre B. de Moura, MD, FAAOS
Patients know him for his empathy and confidence. Physicians refer to him for his judgment and results. Dr. de Moura has built his reputation on trust, precision, and outcomes that truly change lives.
Early Inspiration
Dr. de Moura's path began with his father—a pioneering orthopedic surgeon whose legacy deeply shaped his passion for spinal care. From a young age, he witnessed how expert hands and compassionate care could transform lives, setting the foundation for a lifelong mission.
World-Class Training
Dr. de Moura received elite surgical training at some of the nation's top institutions, gaining the technical skill and clinical insight needed to treat the most complex spinal conditions. His background combines academic excellence with hands-on expertise.
Founding NYSI
In 2000, Dr. de Moura founded New York Spine Institute to bring comprehensive, multi-specialty care under one roof. His vision was clear: make world-class spine care accessible, coordinated, and deeply patient-focused.
20+ Years of Experience
With over two decades of specialized practice, Dr. de Moura has performed thousands of procedures and guided countless patients through recovery. His deep experience allows him to deliver not just treatment—but true transformation.
Specialist in Complex Spine Conditions
From scoliosis to spinal deformities and degenerative disorders, Dr. de Moura is known for handling the cases others refer out. He's not just a surgeon—he's a problem solver, often sought out when options feel limited.
PREMIER SCOLIOSIS TREATMENT CENTER OF SMITHTOWN
Here at the NYSI we are aware that scoliosis affects millions of people in the United States. Scoliosis which is a side to side curvature of the spine, unlike the natural front to back curves of the spine, affects individuals of all ages. When small insignificant curves are present they typically do not cause any serious issues. However, when larger curves in the spine are present they will typically contribute to a wide range of health issues, which may include but are not limited to, fatigue, muscle pain, back pain, spinal arthritis, or even breathing issues.
At the NYSI, our spine and back specialists treat many types of scoliosis, including both degenerative and common idiopathic scoliosis. As a result of our specialized comprehensive approach to treating this debilitating disease, our team of doctors has been recognized as one of the best all round treatment centers for scoliosis in the U.S. We understand that scoliosis affects patients of all ages and that our personalized treatment plans can benefit our many patients. *
Treatment for scoliosis is dependent upon the severity of your spine’s curvature. Advanced scoliosis cases may require back surgeons located at our nationally ranked NYU Hospital for Joint Diseases,* to render surgical procedures for some patients. Educated lectures on scoliosis are delivered worldwide by our back surgeons who have also authored many scoliosis treatment publications as well. For more details, refer to our Spine 101 section.
The back doctors here at New York Spine Institute and our certified spine specialists understand the overall complexities of the spine and are committed to providing personalized back pain or neck pain treatments for patients of all ages. Patients must first undergo an initial thorough exam to help doctors identify the source of their pain. Doctors will follow up by determining the extent of your pain and gathering all the pertinent info they need to present a full diagnosis in advance of prescribing treatment options.
Physicians will focus on your described symptoms and test results gathered when making their diagnosis. There are a number of factors that play a significant role in prescribing appropriate treatment options that can vary from bracing to surgical intervention for all our Smithtown patients, but our spine doctors prefer non-surgical back pain treatment methods.
PAIN MANAGEMENT
All of the neck and back specialists here at the NYSI are highly trained in the newest technologies, medical diagnostics and a variety of medical treatment methods that are affiliated with back and neck pain related issues.
We offer our Smithtown patients treatment options, which include:• Injection therapies• Radiofrequency procedures• Spinal cord stimulation• Intrathecal device implementation• State-of-the-art fluoroscopy and endoscopy for great accuracy and precision• Ketamine infusion therapy for treatment of neuropathic pain syndromes such as CRPS.
What Our Patients Have To Say Real Patient Testimonials
Dr. Roberts is the BEST and that’s my personal opinion. He is very hands on, compassion and understanding. I highly recommend his services.
—Anna Thomas
I worked with Dr. Macagnau and he was amazing! Extremely friendly and funny to match his knowledge and guidance with my injury. The rest of the staff was no different, I would high...
I worked with Dr. Macagnau and he was amazing! Extremely friendly and funny to match his knowledge and guidance with my injury. The rest of the staff was no different, I would highly recommend them to anyone with back issues.
—Juan Rolon
Dr. Passias is a very knowledgeable modern spine surgeon. not only is he the brightest in his field, he’s the future for this kind of surgery Made me feel comfortable that I ch...
Dr. Passias is a very knowledgeable modern spine surgeon. not only is he the brightest in his field, he’s the future for this kind of surgery Made me feel comfortable that I choose the right doctor. I Went to see Dr. Passias with 5 herniated discs, pain in neck, shoulder, arm and tangles fingers. Dr. Passias gave me the time to explain and tell him all what I feel about my pain and he was lesson to all off it he makes me feel friendly He is the doctor I can trust He take the pain away from me GOD BLESS Him
—Mohamed Haridy
“If I can help one person and say you’ll make it through this, go to them, they will help you. I would help you to let you see what it is like on the other side of the fence when s...
“If I can help one person and say you’ll make it through this, go to them, they will help you. I would help you to let you see what it is like on the other side of the fence when someone goes through so much injury and trauma and then in turn, feels like I do. If you can just meet one doctor, please meet Dr. de Moura.”
—Annette
“I was having severe chronic back pain daily. This went on for almost fifteen years. As soon as I met Dr. Macagno I said, “that’s the guy.” I eventually had a spinal fusion L4/5 an...
“I was having severe chronic back pain daily. This went on for almost fifteen years. As soon as I met Dr. Macagno I said, “that’s the guy.” I eventually had a spinal fusion L4/5 and S1. This was a ten-hour procedure. I exceeded both Dr. Macagno and the hospital staff expectations. Instead of walking a few steps, I easily walked the full length of the hospital halls and climbed stairs almost immediately after surgery. I am so happy to have met Dr. Macagno. I sing his praises every day and I always post on social media about how amazing I am doing every year on the anniversary of my surgery.”
—Gregg
“My reason for writing to you is to express my appreciation for the concern and encouragement you gave me following my surgery. Your visits to me early in the morning and your care...
“My reason for writing to you is to express my appreciation for the concern and encouragement you gave me following my surgery. Your visits to me early in the morning and your careful supervision of my recovery were a strong indication of the genuine concern you have for me. During my later years, I’ve had numerous associations with doctors and a variety of experiences. I can honestly say that I could not have received better treatment than I received from you.”
—L.B.
“Please accept my sincere gratitude for helping me overcome a very serious back problem that I’d had for many years. You were highly recommended to me, and you certainly lived up t...
“Please accept my sincere gratitude for helping me overcome a very serious back problem that I’d had for many years. You were highly recommended to me, and you certainly lived up to your reputation. My friend was right: You’re very good at what you do. Thanks again, and although you’re a very nice man, I hope never to have to see you again.”
—J.B.
“I want to thank you from my heart for all you’ve done for me at such a difficult time in my life. You gave me your time and your confident recommendation, and you even offered to ...
“I want to thank you from my heart for all you’ve done for me at such a difficult time in my life. You gave me your time and your confident recommendation, and you even offered to be at my side if and when surgery becomes necessary. You are a fine physician giving to those in need.”
—K.F.
“Dr. Macagno is the Best doctor! Professional and compassionate. Honest and knowledgeable. Worth every star and about 10 more!!!”
—M.C.
“Dr. Alexandre de Moura and New York Spine Institute are absolutely wonderful! I have personally seen the level of personal care and dedication when one of my seriously injured cli...
“Dr. Alexandre de Moura and New York Spine Institute are absolutely wonderful! I have personally seen the level of personal care and dedication when one of my seriously injured clients was treated there (I am a personal injury attorney). He had a terrific recovery and I credit Dr. de Moura and his staff with that.”
—A.Z.
Dr.v is a great doctor !!! From day one he has accessed and managed my pain while acknowledging me not only as his patient but as a person as well. Every Dr office should have a...
Dr.v is a great doctor !!! From day one he has accessed and managed my pain while acknowledging me not only as his patient but as a person as well. Every Dr office should have a Dr. V and the world for patients with pain would be a much better place. I haven’t had a Dr this great since Dr de Mourra who did my surgery In 2013. Thank you Dr de Mourra for referring me to a pain management dr who really cares for my needs as his patient. It has been a tough road . I can now honestly say the road I travel now as a pain patient is much smoother and manageable. Thank you Dr v and NYU.
Surgeries of all types, whether mildly invasive or advanced surgery, require physical therapy as part of a patient’s rehabilitation process. Back or neck surgery patients who follow a physical therapy regimen can experience increased movement and mobility, decreased pain and restored function, and for those patients with injuries and impairments, their disability levels may very well be limited * when they add physical therapy to their personalized treatment plan. Patients benefit from physical therapy, especially those who have daily lifestyles that tend to put additional strain on their necks or backs.
Here at the NYSI Michael Friar, D.P.T., who is our licensed physical therapist, is dedicated to working one on one with patients and to providing personalized physical therapy treatments to all our Smithtown patients. His team of physical therapy specialists provide instruction on proper stretching, exercise, and manual therapy and educate all our Smithtown patients on the importance of body mechanics, postural awareness, and exercises that they should perform at home in their efforts to avoid further injury.
The PT team when prescribing personalized physical therapy regimens, combines both cardio and weight machines to target strength and endurance training for all our Smithtown patients. Before beginning a PT regimen, however, patients must be evaluated by one of our licensed physical therapists who will determine pain thresholds, existing functioning levels, and physical restrictions. Michael Friar, D.P.T. along with our certified team of PT specialists, work together in creating and prescribing a customized treatment plan for you and will set practical goals for you to achieve.
IMAGING SERVICES FOR SMITHTOWN PATIENTS
A fully equipped radiology department here at the NYSI, that includes Magnetic Resonance Imaging (MRI) which is safe and noninvasive and is used for diagnosing a wide range of conditions provides doctors with the resources and tools they need to perform accurate diagnoses. Diagnostics allow radiologists to analyze bone and soft tissue anatomy images when creating a personalized care and treatment plan.
The innovative diagnostic imaging equipment includes: Digital Radiography (DX) x-rays and a high field short bore 1.5T MRI system that supports a wide range of clinical applications including but not limited to MRI’s of the Spine, Brain, Abdomen, Pelvis, Shoulder, Knee, Hip, Elbow, Wrist, Hand, Ankle and Foot.*
The innovative 1.5T MRI system provides our physicians with high quality, detailed pictures they use when evaluating many different musculoskeletal disorders. The MRI system produces detailed images by using magnetism and radio waves. The images produced are then used by our spine doctors and other physicians to evaluate various parts of the body and determine the presence of diseases or disorders. The MRI system is far more effective than typical x-rays, ultrasounds or CT (Computed Tomography).*
Our spine surgeons and dedicated neck doctors want all our Smithtown patients to feel comfortable at our facility. We provide a truly relaxing and calming environment and offer patients a choice of music, earplugs and even a comfortable sleeping mask that helps them to feel completely at home. We are also equipped with state of the art Long Length Imaging (LLI) for proper scoliosis assessments.
*The effectiveness of diagnosis and treatment will vary by patient and condition. New York Spine Institute does not guarantee certain results.
PROVIDING OUR SMITHTOWN PATIENTS THE CARE THEY NEED
The dedicated team of professionals here at the NYSI are steadfast in delivering personalized back pain and neck pain treatment plans for all our Smithtown patients. Our clinic is recognized in New York City as one of the most trusted and respected spine surgery practices with a team that strives to prescribe comprehensive care and treatment plans for all our patients. To learn more about the NYSI or for more information on our team of certified physicians, contact one of our spine specialists today. If you are in need of back pain treatment or neck pain treatment, then surely you have come to the right place. The team here at the NYSI is sure to help get you back onto the road to recovery and get your life back on track again.
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