can a thoracic herniated disc heal without surgery

information is beneficial, we may combine your email and website usage information with We may prescribe rest and observation to monitor the progression of the problem. Back Pain:(2. Oldfield EH, et al. How long such an injury can take to heal without surgery can be different from person to person. 2013 Feb;26(1):E35-40. Life may also significantly change along with the quality of life due to potentially permanent complications. Video: Can Herniated Discs Heal on Their Own? Talking to a doctor about the pain that you're experiencing is always a smart move. In rare cases, opioids may be prescribed for a short period of time when other treatments have not worked. Yang X, Liu X, Zheng Y. Surgical treatment of thoracic disc herniations using a modified transfacet approach. Risks associated with thoracic discectomy include dural tears, nerve injury, spinal cord injury, vascular complication, infection, escalation in pain, continued degeneration of the affected disc, intercostal neuralgia, and failure. Advertising revenue supports our not-for-profit mission. Your doctor thinks you have a thoracic disc herniation and wants to refer you to a surgeon. Microdiscectomy Surgery 5. Office hours: 7am 5pm, Participate in Regenexxs Lumbar Degenerative Disc Disease (DDD) Study with No Cost to You. 2018 Jul 15;43(14):E842-E848. Accessed July 30, 2021. Wu PH, et al. Age: As we age, the discs in our spine can become less flexible and more prone to injury.This can increase the risk of a herniated disc. Conservative treatment options are discussed below. Cutting essential muscles and ligaments can lead to thoracic instability and abnormal forward posture (kyphosis) (7). PMID: 15658124. Lets dig in. Thoracic herniated disc surgery because of its invasive nature and significant and potentially permanent complications should be reserved for cases of bowel and bladder dysfunction, progressive lower extremity weakness, and severe pain that does not get better after conservative care. If you have muscle spasms, taking a muscle relaxant also can be useful. is critical to complete health. Pain, muscle spasm, muscle weakness, and numbness can occur. Fortunately, most people with a herniated disk never get to the point that they need to see a specialist or have advanced testing. Lumbar radiculopathy (adult). American Association of Neurological Surgeons. (2021.) If you need surgery, we will develop a treatment plan based on your individual symptoms and condition. However, if your symptoms significantly limit your day-to-day activities, if you have nerve damage due to a herniated disk, or if your symptoms cannot be controlled with other treatment, then spine surgery may be necessary. Thoracic disc herniation: Surgical treatment. He founded MountainView Spine Center. This results in a herniated disk, also known as a slipped disk or ruptured disk. March 25, 2021. Disk herniation is most often the result of a gradual, aging-related wear and tear called disk degeneration. I could not get out. Comparison of laminotomy, discectomy, and posterolateral discectomy. A disc may herniate in a number of different directions including to the right or left, posteriorly into the spinal canal, or anteriorly. Epub 2009 Sep 30. In this example the file must be in public_html/example/Example/. WebThoracic disc herniation is rare and mainly occurs between T8 and L1. 10. A Mayo Clinic expert explains. Mayo Clinic Minute: Can aspirin make your breathing worse? Herniated Thoracic Disc Surgery:(1):Orthopaedics & Traumatology: Surgery & Research 104, no. For example, when a patient has progressive major weakness in the arms or legs due to nerve root pinching from a herniated disc, having surgery sooner can stop any neurological progression and create an optimal healing environment for the nerve to recover. 2020; doi:10.3390/ijms21062135. In fact, the hallmark of a herniated disc is radicular painpain that runs down into the arm or leg. WebMost people with a herniated disk don't need surgery. RewriteEngine On Mayo Clinic College of Medicine and Science, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Graduate Medical Education, Mayo Clinic School of Continuous Professional Development, Mayo Clinic on Incontinence - Mayo Clinic Press, NEW Mayo Clinic on High Blood Pressure - Mayo Clinic Press, Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Financial Assistance Documents Minnesota. You can have a herniated disk without symptoms. The disks have a soft center within a tougher exterior. What is a herniated disk? When you move your back, the disks absorb the pressure on your spine. Herniated disc disease can be very painful. If you develop significant bowel or bladder function changes, which are often associated with pain or numbness in the area around your rectum or genitals, have those symptoms evaluated as soon as possible. All rights reserved. Get the help you need with the Centeno-Schultz Clinic. Your symptoms dictate how we treat your herniated disc. For lumbar and cervical herniated discs, conservative (non-surgical) treatments can usually be applied for around four to six weeks to help reduce pain and discomfort. Thoracic disc herniation is a painful medical condition in which the central portion of the disc is pushed outside of the disc and into the spinal canal. A process of trial and error is often necessary to find the right combination of treatments. Clinical effect analysis of laminectomy alone and laminectomy with instrumentation in the treatment of TOLF. Thoracic myelopathy caused by ossification of the ligamentum flavum. Herniated disk in the lower back. This is referred to as the Regenexx Perc-FSU. Blood flow to the spine is like water to a garden. Avoid lifting, twisting, or straining the back. 1999-2023 Veritas Health, LLC. At what point should surgery be considered? You can even sign up for at-home care or virtual therapy sessions that allow you to treat your injury without leaving home. 2.Osman NS, Cheung ZB, Hussain AK, Phan K, Arvind V, Vig KS, Vargas L, Kim JS, Cho SK. Something to Think About ~ What is your only days job. Hsu PS, et al. See the stories of satisfied Mayo Clinic patients. Pain in your buttocks, thighs, calf, even your foot, numbness or tingling. A pinched nerve in the cervical (upper) spine can cause these symptoms in the head, neck, shoulders, arms or hands. When medical treatment is required, therapy that doesnt involve surgery often is all thats needed to effectively treat herniated disk symptoms. Repairing herniated discs is now possible; however, it requires extensive training in endoscopic spine surgery and skill using medical grade Holmium-YAG lasers. DDD can occur in the cervical, thoracic, or lumbar spine. You might not know you have it unless it shows up on a spinal image. They're composed of an outer layer of tough cartilage that surrounds softer cartilage in the center. Radiology of the spine. Exercise for Sciatica from a Herniated Disc. If you go to your temporary url (http://ip/~username/) and get this error, there maybe a problem with the rule set stored in an .htaccess file. Our PT's can help, Our staff at the McCombs Clinic are ready for the, Border Therapy would like to take this time to exp, Our John Hayes Clinic is celebrating their 2-Year, When it comes to relieving TMJ pain, there are two, 2021 Alliance Physical Therapy Partners, LLC. The tough outer layer (annulus fibrosus) loses elasticity with age, increasing the risk of tears that can result in herniation. Natalie Evenson, R.N., is a health content writer. He was increasingly worried about the future. If you have severe pain from nerve root irritation, we may prescribe an epidural steroid injection, which is effective in about half of all cases. In this example the image file must be in public_html/cgi-sys/images/. Given the significant and potentially permanent compilations associated with thoracic disc herniation surgery, it is important to consider conservative treatment options. Some people may be genetically predisposed to rupturing a disk. information is beneficial, we may combine your email and website usage information with To learn more about PRP at the Centeno-Schultz Clinc, please click here. To achieve this goal, each patients treatment plan should be individualized based on the source of the pain, the severity of pain and the specific symptoms that the patient exhibits. A specific one called VEGF can potentially increase blood flow to a given area. Surgical experience with symptomatic thoracic ossification of the ligamentum flavum. Review/update the A surgical procedure is indicated when the patient has severe back pain, stubborn intercostal neuralgia or neurological deficits. ):National Library of Medicine. This may be done in an open manner or in a minimally invasive manner. Going for a run this weekend? We may also use an imaging test, such asmagnetic resonance imaging (MRI)to provide additional information. The goal of thoracic herniated disc surgery is to remove that portion of the herniated disc that is responsible for the ongoing pain and compression of the nerves. The herniation is calcified in 40% of cases and is labeled as giant when it occupies more than 40% of the spinal canal. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.clinicalkey.com. Spinal Fusion Surgery / Spinal Arthrodesis 3. privacy practices. Herniated Thoracic Disc Surgery:(2. If an imaging test indicates that you have a herniated disk, that disk might not be the cause of your back pain. Suffering from Lumbar Spinal Stenosis? When symptoms lasts longer than eight weeks or if you have any of the red flags mentioned earlier see your doctor for an evaluation to investigate the underlying cause. WebJust because a disc has herniated does not necessarily mean that you will need to undergo surgery. If those do not work, or if you have severe pain or weakness, then surgery may be recommended. Orthop Traumatol Surg Res. Low Back Pain. https://www.aans.org/en/Patients/Neurosurgical-Conditions-and-Treatments/Low-Back-Pain. Your disks become less flexible and are more prone to tears and ruptures. The information is produced and reviewed by over 200 medical professionals with the goal of providing trusted, uniquely informative information for people with painful health conditions. The most common areas to have a herniated disc are the cervical and lumbar areas of the spine. According to Dr. Good, here are some healthy habits you can build that will help keep your discs healthy: Quit or never start smoking. PMID: 19844616; PMCID: PMC2764014. Once a disc is weak, it can rupture when you lift or bend, or do something that wouldnt have caused a problem five years earlier. Spine (Phila Pa 1976). Additionally, strengthening the core abdominal muscles will help stabilize the spine. It starts with a comprehensive evaluation where current and past medical history, medications, past surgeries, and traumas are reviewed. When conservative treatments fail, patients are often referred for thoracic herniated disc surgery. Is Minimally Invasive Spine Surgery Right for You? Mayo Clinic. Adults, 2019. https://www.cdc.gov/nchs/data/databriefs/db415-H.pdf. The time required to recover from laminotomy ( partial removal of lamina) is considerably shorter than the laminectomy (full removal of lamina)( 6). If youre between the ages of 30 and 50, youre more likely to be affected. Only the small area of the crack is affected. Herniated disk in the lower back. Toschedule please contact Jen at 720-287-7196 or [emailprotected] or Vanessa at [emailprotected] It is time to stop suffering and start living life to its fullest. WebSurgery can usually reverse gradual onset paralysis caused by a herniated thoracic disc, along with pain in the thoracic region and other symptoms. Herniated disc. This gel can pinch or compress parts of the nerve sac, causing pain. PMID: 1457375. Bulging disk vs. herniated disk: What's the difference? What are the non-surgical treatment options? 2009 Sep;46(3):189-94. doi: 10.3340/jkns.2009.46.3.189. https://www.uptodate.com/contents/search. A spinal disk has a soft, jellylike center (nucleus) encased in a tougher, rubbery exterior (annulus). If not, correct the error or revert back to the previous version until your site works again. She has 24 years of experience in various areas, including Trauma, Neuro, Orthopedics, Critical Care, Emergency and Perioperative nursing. A Mayo Clinic expert explains, Mayo Clinic on Incontinence - Mayo Clinic Press, NEW Mayo Clinic on High Blood Pressure - Mayo Clinic Press, Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Financial Assistance Documents Minnesota, What is a herniated disk? Aging can make discs more vulnerable to ruptures and is the most common cause of disc herniation in the thoracic spine. Despite receiving nerve blocks from his doctors, Edward says the pain from two herniated discs had become excruciating and unrelenting. et al. Spine (Phila Pa 1976). Thoracic Disc Herniation: Surgical Treatment. https://doi.org/10.1016/j.otsr.2017.04.022. WebA herniated cervical disk is one of the most common causes of neck pain. With age, the discs soft inner layer (nucleus pulposus) becomes less hydrated, making it less gelatinous and effective as a shock absorber. However, if youve been having intolerable pain that fails to respond to conservative treatments and or causes neurological deficits you might need to consider an operation. WebFor lumbar and cervical herniated discs, conservative (non-surgical) treatments can usually be applied for around four to six weeks to help reduce pain and discomfort. You might have pain in part of the foot as well. In general, though, when there is no nerve damage, the long-term outcome for surgical and non-surgical treatment is the same when measured two years after symptoms begin. Many people have MRI evidence of herniated disks and have no back pain at all. But they can happen. Recovery rates vary and can take months to recover. The thoracic spine refers to the section of the spinal column corresponding to the mid-back. Using the Regenexx SANS approach, The Spine Owners Manual provides a series of tests and clearly defined exercises that you can do on your own to measure and monitor your own spinal health. Sometimes called a slipped disk or a ruptured disk, a herniated disk occurs when some of the nucleus pushes out through a tear in the annulus. The working space around a thoracic herniated disc is much smaller and all the adjacent structures including the exiting nerves and lungs are susceptible to injury. PMID: 23168394. At the Centeno-Schultz Clinic we are committed to a thorough evaluation and proper diagnosis. The irritation can be from compression of the nerve or, much more commonly, the herniation causes a painful inflammation of the nerve root. Rest, medications, and physical therapy have failed to provide significant or sustained benefits. For example, cauda equina syndrome, which is usually marked by progressive weakness in the legs and/or sudden bowel or bladder dysfunction, requires prompt medical care and surgery. Recovery Time After a Thoracic Discectomy. It can be performed at all levels of the spine; cervical, thoracic, and lumbar. How to find the correct spelling and folder, 404 Errors After Clicking WordPress Links, From the left-hand navigation menu in WordPress, click. doi: 10.1097/BRS.0000000000002563. Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. Acute lumbosacral radiculopathy: Pathophysiology, clinical features and diagnosis. https://www.aans.org/en/Patients/Neurosurgical-Conditions-and-Treatments/Herniated-Disc. This disk injury can irritate nearby nerves causing pain, numbness, or weakness in an arm or a leg. Most people dont need s urgery for a thoracic herniated disc. To keep your spine neutral and avoid putting pressure on any herniated discs, place a small pillow under your head and knees. More often than not, watching your movement, and taking pain medication relieves symptoms for most people. the unsubscribe link in the e-mail. Is Sacroiliitis the Same Thing as Sciatica? Mayo Clinic does not endorse companies or products. Examples include: Disc degeneration is a common cause of thoracic disc herniations. Edit the file on your computer and upload it to the server via FTP. What's a Herniated Disc, Pinched Nerve, Bulging Disc? In most cases, a slipped disk happens because of wear and tear, something known as disk degeneration as you age. A smaller amount of force can also rupture a disc, especially if the tough outer ring (annulus) has been weakened by repeated injuries that have added up over time. Medications, spinal traction, dry needling, and epidural spinal injections can be used with physical therapy to help manage pain and allow the body to heal on its own, says Dr. Good. Disks are your spines shock absorbers; they help your spine stay flexible. "I couldn't move. This allows the inner material of the disc to poke out American Academy of Orthopaedic Surgeons. Discectomy Surgery 4. Herniated disks are also called ruptured disks or slipped disks, although the whole disk does not rupture or slip. Discs herniate either by rupturing the outer layer of the disc called the annulus, or breaking the endplate off the vertebral body (Rajasekaran, Spine 2013), allowing the soft gel-like center (the nucleus pulposus) to ooze out. Huddleston PM (expert opinion). Review/update the This displacement can cause inflammation and compression to the spinal nerves or spinal cord, resulting in pain and possible neurological deficits like tingling, numbness, or weakness somewhere down the nerve. Web5 Best Treatment Options for a Herniated Disc 1. If your blog is showing the wrong domain name in links, redirecting to another site, or is missing images and style, these are all usually related to the same problem: you have the wrong domain name configured in your WordPress blog. Fri: 7:00am 12:00pm. 6th ed. Your symptoms, however, may subside due to an absence or reduction of inflammation and/or pressure near the nerve root. If your symptoms improve, you may need no other treatment. Is Minimally Invasive Spine Surgery Right for You? Seek emergency medical attention if you have: To help prevent a herniated disk, do the following: Our patients tell us that the quality of their interactions, our attention to detail and the efficiency of their visits mean health care like they've never experienced. Nerve Damage Oftentimes, bulging or herniated discs manifest as sciatica or pain or numbness in the legs, referred to as peripheral neuropathy. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. WebCauses. The good news is that the chances of your dog making a full recovery can be as high as 95%. (2018.) It is true that herniated disc symptoms can subside over time even without medical intervention. Physical therapists can provide you with information about your herniated disc and how long it may take to heal, and they can also help you treat your herniated disc in ways that help you go without surgery. The answer to this question is that while it is true that the symptoms of a disc herniation can go away on its own without any intervention but that does not in any way mean that the disc herniation has healed or resolved. #elbow #ten, Congratulations to Arlenee Gonzalez, PT Tech at ou, A simple exercise to help with lower back pain tha, Are you considering PT for an injury or chronic pa. We got you covered for you ankle sprain recovery! A herniated disk occurs when a portion of the nucleus pushes through a crack in the annulus. Surgical treatment of thoracic disc herniations using a modified transfacet approach. In the same study at 3-6 months, only 60% reported improved motor function. If we combine this information with your protected An accurate diagnosis is paramount. To diagnose a herniated disc, your Mount Sinai doctor will begin with a medical history and physical exam. All rights reserved. include protected health information. Insights and Advice About Herniated Discs, Signs of a Herniated Disc in the Lumbar and Cervical Spine, Everyday Activities to Avoid with Herniated Disc, Rehabilitation and Exercise for a Healthy Back, One-Minute Stretch for SI Joint Pain Relief Video, Radiographic Tests for SI Joint Dysfunction. American Academy of Orthopaedic Surgeons. If the lower thoracic region is involved, a person may encounter pain radiating to one or both lower extremities. Due to the location of the thoracic spine, a herniated disc can cause pain to the mid-back, unilateral or bilateral chest wall, or abdominal areas around the affected This content does not have an English version. (January 18, 2022.) Rest and other treatments should start to improve your symptoms within 4 to 6 weeks. A thoracic herniated disc can heal without surgery. 1995 Mar 1;20(5):599-607. doi: 10.1097/00007632-199503010-00018. Back injuries are incredibly common. Success Rate & Research Relating to a Thoracic Discectomy. There is a problem with For those patients who experience severe pain and a high loss of function and dont find relief from conservative treatments, surgery may be considered as an option. For addon domains, the file must be in public_html/addondomain.com/example/Example/ and the names are case-sensitive. While early surgical intervention may be recommended for severe pain and disability, non-surgical treatment is usually the first prescribed course of action. Pain is often described as sharp or burning. RewriteRule ^index.php$ - [L] Your mid back pain has been unrelenting since the accident. ):Barrow Neurological Institute. Accessed July 31, 2021. Why? A thoracic laminectomy is a major surgery in which a part of the spinal bone is removed so as to reduce the pressure on the spinal cord and nerve roots (1). The herniated nucleus pulposus contains inflammatory proteins that can cause enough inflammation to affect the nearby nerve and cause what is commonly known as sciatica, or a radiculopathy. It will put less pressure on the discs and minimizes wear and tear to the spine. Thoracic discectomy is a major surgery. Accessed July 31, 2021. As with so many things, the answer is incomplete. Intervertebral disc diseases part 2: A review of the current diagnostic and treatment strategies for intervertebral disc disease. J Neurosurg Spine. These musculoskeletal tests will allow you to monitor where your own body might be struggling to maintain proper stability, articulation, symmetry, and neuromuscular function. Recovery for both surgeries is extensive and takes months of dedicated, often painful therapy. The bottom line is to not worry too much about whether or not your herniated disc is healed. Imaging is reviewed which may include x-rays, MRI, and CT scans. In theory, removing the damaged disc will improve pain and relieve pressure on the neural elements such as the spinal cord. American Association of Neurological Surgeons. This will reset the permalinks and fix the issue in many cases. If your doctor thinks another condition is causing the pain or needs to see which nerves are being affected by the slipped disk, they may order one or more of the following; an X-ray, a CT scan, an MRI, rarely a myelogram. Many respond to conservative care. Most herniated disks occur in the lower back, but they can also occur in the neck. Thoracic discectomy is a surgery that removes the damaged, painful part of the disc. It is located on the backside of the thoracic spine. Its not easy figuring out how to sleep with a herniated disc. 1992;18(3):153-6. doi: 10.1159/000120656. If you have a herniated disc, the key question is not whether it will technically heal. It has many important functions which are discussed below. Along with computerized disc rehydration, we offer a variety of noninvasive pain-free treatments including High Power Laser Therapy which has shown to promote healing for those who Surgery does not guarantee a reduction in pain and may in fact aggravate the pain. A spine specialist determines if surgery is the best option. 404 means the file is not found. He could not sit or walk without pain. RewriteCond %{REQUEST_FILENAME} !-f Symptoms may occur if the herniation compresses a nerve. See Treatment Options for a Herniated Disc. When you get a 404 error be sure to check the URL that you are attempting to use in your browser.This tells the server what resource it should attempt to request. 1. Your doctor will usually be able to tell if you have a herniated disk by conducting a physical exam, asking about your medical history. A herniated disc is a troubling issue. ANSWER: In many cases, pain and other symptoms caused by a herniated disk resolve with time and self-care measures. It may help to think of them as miniature jelly doughnuts, exactly the right size to fit between your vertebrae. To avoid puncture and collapse of a lung. The most common symptom of a thoracic herniated disc is pain. Look for the .htaccess file in the list of files. This content does not have an Arabic version. Sometimes in cases of spinal instability, a bone graft is needed where the vertebrae are fused together with metal hardware. However, its common for herniated discs to heal in four to six weeks on average, and most of them heal without surgery. Most people can't pinpoint the cause of their herniated disk. Indian J Orthop. Click here for an email preview. Post-traumatic upper back pain, which decompensates and reveals a TDH, can be relieved by discectomy [6]. Both are associated with significant and potentially permanent complications. You can try renaming that file to .htaccess-backup and refreshing the site to see if that resolves the issue. Herniated discs affect five to 20 out of every 1,000 adults annually. In severe cases, the pressure of a herniated disc on the thoracic spinal cord can lead to paralysis below the waist. Disc herniation is a painful medical condition in which the central portion of the disc is pushed outside of the disc and into the spinal canal. For most people who develop back pain whether it is because of a herniated disk or due to another problem symptoms often go away within six to eight weeks. They may also check your reflexes, muscle strength, walking ability, see if you can feel light touch, pinprick vibration. The treatment of a herniated disc depends on the symptoms. In one study at 37 months, post-surgery only 40% of patients reported excellent results (10). Physical therapy can also help manage pain with positions, stretches, and exercises designed to minimize the discomfort caused by a herniated disk. And what can you do? Who gets it? Herniated Discs: When Is Surgery Necessary? https://doi.org/10.1302/2058-5241.6.210020. For those folks, the disc herniation is not a source of pain (Boden et al, 1990). A discectomy is a surgery that involves the removal of the damaged part of the disc. Extensive physical therapy is required. Seek medical attention if your neck or back pain travels down your arm or leg, or if you also have numbness, tingling or weakness. Accessed July 31, 2021. Being overweight increases the strain on the disks in your lower back. Learn what you need to know about this exam. Accessed Aug. 4, 2016. Insights and Advice About Herniated Discs, Understanding the Clinical Diagnosis of a Herniated Disc, One-Minute Stretch for SI Joint Pain Relief Video, Radiographic Tests for SI Joint Dysfunction. This happens to a lot of people. Such a plan can include therapy techniques like: Want to reduce how long your herniated disc takes to heal and do it without surgery? It also depends You may also feel numbness or weakness in these areas. Surgery Options for a Herniated Disc. Post-surgery patients may have new symptoms due to irritation or injury of the adjacent structures which include the ribs, exiting nerves, and the spinal cord covering (dura). Neurosurgery Quarterly 14(1):p 5-16, March 2004. Arm or leg pain. In such cases, without surgical intervention, nerve loss can occur and the damage may be permanent. I'm Dr. Mohamad Bydon, a neurosurgeon at Mayo Clinic. The rib cage adds extra protection, support, and stabilization to the spine, making it less susceptible to damage in general and disc trouble in particular. In-office ultrasounds are invaluable as they provide a life snapshot of the muscles, tendons, ligaments, nerves, and bones in the thoracic cavity. A process of trial and error is often necessary to find the right combination of treatments. Sometimes the exterior of these rubbery disks can tear, and the soft inside slips out. 13371 Eastlake Blvd Building 40Suite 503Horizon City, TX 79928, 1387 George Dieter, Bldg A, Suite 107 El Paso, TX 79936, 2720 John Hayes StreetBuilding C, Suite 101-103El Paso, TX, 79938, 11380 McCombs StreetSuite 505El Paso, TX 79934, 12311 Montana AveBuilding A, Suite 101-102El Paso, TX 79938, 12801 Edgemere BlvdSuite 102El Paso, TX 79938, 4242 Hondo Pass DrSuite 110El Paso, TX 79904, 3215 Gateway Blvd WestSuite 201El Paso, TX 79903, 13650 Eastlake BlvdSuite 503Horizon City, TX 79928, 1300 Murchison DrSuite 314El Paso, TX 79902, 3330 Rinconada BlvdSuite 5Las Cruces, NM 88011, 880 S Telshor BlvdSuite 202Las Cruces, NM 88011, Mon Thurs: 7:00am 6:00pm
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