Main Tiny Incision. Big Results
Minimally Invasive, Endoscopic & Laser Spine Surgery
Free MRI Review to see if you are a candidate for our minimally invasive surgery
Our Mission
Each patient is an individual. Here at Heartland Spine, we will spend valuable time with you, discussing the best course of treatment. With this approach, we explore every avenue before offering informed choices to our patients.
It is our vision to provide the greatest possible opportunity for each of our patients to return to a more normal life.
"Overall, I treat my patients the way I want to be treated.
That way I ensure they get the BEST care possible."
~ Dr. Hayward
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Dr. Franklin Hayward II D.O. -
Judith Pais PA-C -
John Davidson PA-C
Meet Our Providers
Franklin Hayward II D.O.
John Davidson PA-C
Judith Pais PA-C
Benefits of Minimally Invasive Spine Surgery
Less post-operative pain Quicker recovery Reduced blood loss Less soft tissue damage Smaller surgical incisions Less scarring Improved function Conditions Treated
Free MRI or CT Review
Spinal Stenosis Cervical Radiculopathy Find out if you are a candidate Complimentary review of your MRI
Click Here Now Sciatica Spondylolisthesis Disc Herniation Degenerative Disc Disease Case Studies Case Studies
- Laser Spine Case Study
- Minimally Invasive Sinal Fusion Case
- Article 3
Laser Spine Case Study Laser Endoscopic Discectomy Case Study
The patient is a 33-year-old male with a chief complaint of severe posterior right leg pain, starting from the low back and radiates into the right buttock and posterior thigh and across the shin and into the right foot. He has paresthesias along the lateral aspect of the right foot. He also has complaints of dragging his foot and tripping over objects. The patient’s symptoms began in October 14, 2011.
Patient 6’1 height , 275 lb weight
Work Injury which began when he was pulling a cable and the cable broke loose, jerking his body.
Radiographs: MRI demonstrates a very large central/rightward disc herniation causing compression, effacement and impingement of the exiting nerve root as well as the traversing S1 nerve root.
Physical Exam: Positive straight leg raise to 10 degrees on the right.
Assessment: Lumbar Radiculopathy and Lumbar Disc Hernation
Surgical Intervention:
L5-S1 Laser Endoscopic Discectomy.
Outcome:
Patient went home same day with a band-aid. Patient denies any radiculopathy/pain in the leg. He is very pleased with his surgery. Find Relief Today
Free MRI or CT
Scan REview
Find out if your a candidate for our minimally invasive spine surgery
Click Here to Get Started Today Minimally Invasive Sinal Fusion Case AxiaLIF
47 Year old female with low back pain and right leg pain for the last several years. She has failed conservative care including physical therapy, chiropractic, and pain management. She has pain, numbness, and tingling in the L5 dermatomal distribution. On exam she has a positive straight leg raise test on the right
Assessment: Lumbar Spondylosis/Degenerative Disc Disease, Foraminal Stenosis, Facet Hypertrophy and Lumbar Radiculopathy
Surgical Intervention:
L5-S1 AxiaLIF with posterior spinous process fixation device
Current Condition:
Three months post op she was walking 5+ miles per day and stated walking 0.5 miles was difficult. Pain level 2/10 and states it was a 25/10 before surgery.
3 months prior to surgery
3 months after surgery
Article 3 Article 3
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FAQ Specializes in
Minimally Invasive & Laser Spine Surgery
Incision so small it fits beneath a band-aid
Short FAQ.
What are common causes of back pain?
There are numerous causes for back pain ranging from muscle strain, trauma, arthritis, disc herniation, muscle spasm, facet joint pain, and cumulative effect of poor body mechanics.
How do disc injuries cause back pain?
When the disc bulges or herniates into the spinal canal, the nerves in that area can become inflamed or agitated, creating both back pain and pain in the area where that nerve carries impulses. The muscles surrounding the injured disc can become fatigued and spasm.
What is the difference between a herniated disc and a bulging disc?
A bulging disc is a slight protrusion of the center of the disc (nucleus pulposus) into the spinal canal. In a bulging disc, the annulus fibrosus (outer ring) has not been ruptured. A disc herniation is a large protrusion of the nucleus pulposus (center of the disc), which has burst through the annulus fiborsus (outer ring of the disc) into the spinal canal, invading the surrounding nerves and causing pain in the back, buttocks, hips, or legs.
Is it true that a bulging disc can be normal?
Bulging discs are very common, and may not produce any symptoms.
How did I herniate my disc?
As we age, the disc may lose hydration and develop small tears and bulges. The herniation can occur due to a lifetime of poor body mechanics, a trauma, or by lifting, bending or twisting the wrong way at the wrong time.
What are the symptoms of a herniated disc?
The classic symptoms of a herniated disc include back pain, hip pain, and any combination of burning, numbness, tingling, or pins and needles in the legs.
What is the treatment for herniated discs?
A herniated disc is treated with conservative therapy unless there is a spinal deformity or neurologic deficit. Conservative therapy can include physical therapy, chiropractic care, acupuncture, Pilate's, ultrasound, pain medication, muscle relaxants, and a short course of steroids. If these do not work, the next steps include a steroid epidural or facet joint block. Surgical intervention is the last resort. If surgical intervention becomes necessary, a microdiscectomy is the most common procedure.
Does non-surgical spinal decompression work?
There are many services advertised that offer "non-surgical" spinal decompression. These treatments may not be covered by insurance companies. And there is no published information to suggest that a disk can be unherniated. In my opinion, the results are equal to inversion therapy.
What is degenerative disc disease (DDD)?
Degenerative Disc Disease refers to the loss of loss of hydration in the disc and weakening of the annulus (outer lining of the disc). Trauma can cause the annulus to tear and disc material leaks out and presses on a nerve. Degenerative disc disease is very common in the human population but is not always symptomatic.
What is lumbar instability?
Lumbar instability occurs when there is unnatural movement of the vertebras. This can be a result of degeneration of the discs, a spinal deformity such as spondylolisthesis, or occur after a decompression procedure.
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Contact Specializes in
Minimally Invasive & Laser Spine Surgery
Incision so small it fits beneath a band-aid
Feel free to contact me:
Working hours.
Mon 8.00am-5:00pm
Tue 8:00am-5:00pm
Wed 8:00am-5:00pm
Thu 8:00am-5:00pm
Fri 8:00am-4:00pm
Office Locations
3250 Gordonville Rd, Suite 450
Cape Girardeau, MO 63703
3905 West Ernestine Dr.
Marion, IL 62959
Poplar Bluff, MO (Kneibert Clinic and Poplar Bluff Medical Partners)
207 W. Jackson St.
Carbondale, IL 62901
For your driving convenience.
Work Comp Corner Specializes in
Minimally Invasive Spine Surgery
Services Offered:
Evaluate & Treat Independent Medical Exams comprehensive Neurosurgical Consultation Spine Surgery Carpal Tunnel Surgery Trauma Surgery Orthotics & Braces (DME) How To Obtain Workers' Compensation Authorization for an Evaluation
Step 1. Contact us using our online form.
Contact Form
Step 2. Obtain authorization from your worker's compensation insurance company or employer for an evaluation at Heartland Spine by downloading the following Authorization Letter.
Authorization Letter
Step 3. Your insurance company will need to authorize, in writing, Heartland Spine to perform a complete evaluation.
Step 4. Completed/Approved Authorization Letters can be faxed back to Heartland Spine at 573-331-5762
Step 5. Our surgical team will evaluate your injury by reviewing recent MRI films, along with recent medical records, at one of our new facilities.
Patient Stories Specializes in
Minimally Invasive & Laser Spine Surgery
Incision so small it fits beneath a band-aid
- Heartland Spine "It's About" Commercial
- Heartland Spine Commercial HD
- Heartland Spine Interview with Norma
- Heartland Spine Sandy Interview Part 1
- Heartland Spine Sandy Interview Part 2
- Heartland Spine John Patient Interview
- Heartland Spine Patient Interview
- Heartland Spine Interview with Mark
- Heartland Spine Interview Hazel Part 1
- Heartland Spine Hazel Part 2
- Heartland Spine Terry Interview
Success Story
By the time Jim Shields met Franklin Hayward II, DO, neurosurgeon at Heartland Spine, he could barely remember a time when his back was not in excruciating
pain.
Ever since the 44-year-old Poplar Bluff man stumbled into a hole in field three years ago, he has had back problems. Then, after a fall on ice in early 2008, the pain became so bad he could barely sleep. “I was in so much pain that I had to stop working,” he says. “If I got two hours of sleep in a night I would be fortunate.”
Shields tried taking pain pills and seeing a chiropratic physician to relieve some of the pressure in his back, but he could not find a longterm solution –until he saw Hayward in March 2010. Hayward found Shields had a bulging disc that was pinching a nerve. Hayward told Shields that he could fix the problem through a procedure called a percutaneous discectomy.
In a percutaneous discectomy, a surgeon inserts a needle in the patient’s back into the bulging disc. The surgeon uses X-rays for guidance as he or she uses a special device in the needle to remove the disc. “A percutaneous discectomy is a minimally invasive alternative to open spine surgery, in which we have to open the back and remove bone in order to remove the disc,” says Hayward. “It is also a very
good alternative to laser surgery. My patients experience little to no pain and are able to go home a few hours after the procedure. They can return to their normal activities very soon after surgery.”
Shields was thrilled with how good he felt after his procedure. “Almost every bit of the pain was gone,” he says. “I am still undergoing physical therapy to regain strength in my back, but my quality of life is so much better now than it was before. I am able to play with my children again and have recently started working with my wife in her network marketing business. I am so grateful to Dr. Hayward for his help.”
Not all patients are candidates for this surgery.
Hear our patient stories
Please take a few moments and listen to the patient stories about how Dr. Hayward has changed/saved their lives. After listening to a few stories, you will find out how Dr. Frank Hayward treats his patients. To listen to the next interview click the arrows in the video screen.
FAQ2 Dr.Hayward's
Spinal Clinic
Provides specialist assessment and treatment for the full range of spinal problems.
Short FAQ.
What is spinal stenosis?
Spinal Stenosis is an abnormal narrowing of the spinal canal which holds the spinal cord or the nerves. The narrowing may be caused by age related changes of the spine such as disc degeneration and arthritis causing a bone buildup in and around the canal and nerve holes producing nerve compression. The compression of the nerves causes arm or leg symptoms such as numbness, weakness, or pain.
What is the treatment for spinal stenosis?
Conservative therapy may relieve the symptoms of spinal stenosis. If not, a spinal decompression is necessary. This is the removal of the bony narrowing around nerves. The operative strategy will depend not only on the location of the spinal narrowing, and the relative stability and condition of the spine as a whole.
My doctor told me that I have arthritis of my spine and that I should learn to live with the pain. Is this true?
Generally, the pain associated with arthritis can be managed with conservative therapies, exercise, and medication. Read more about conservative therapies for back pain.
When is surgery necessary for patients with spine problems?
Surgery is only indicated if conservative therapy fails, the patient becomes dysfunctional, or the patient should experience progressive neurological problems.
What is a laminectomy?
A laminectomy is the removal of a small portion of the vertebra, (lamina) around the affected area. This is done to relieve pressure on the nerve roots.
My spinal specialist said I need a fusion. Is that true?
A fusion is recommended if there is spinal deformity or instability, or if the spine will become unstable due to the removal of the disc or bone.
If I have a fusion does that mean I will never be able to bend?
No. Very little bending capacity comes from the spine. It is from the hips.
My spinal specialist said he would be using implants in my spine. Is this really necessary?
The spinal instrumentation serves two purposes. First, it allows the surgeon to restore the alignment and balance of your spine. Secondly, the instrumentation acts as an internal brace, stabilizing the spine while the bone fusion grows.
Does it matter what screws and rods my surgeon uses?
There are differences in the instrumentation on the market. Your surgeon will select the instrumentation based on the procedure.
Will fusing my spine cause damage to adjacent areas?
That is an excellent question. In a one level fusion, there is little impact on the spine. In a multi-level fusion, the major concern about a fusion is adjacent segment degeneration. The discs act as shock absorbers between the vertebras. When the spine is fused, the discs above or below the fusion may absorb the sheer force from every day motion, and thus wear out. When the fusion is performed it is essential that the balance of the spine is maintained. If this is done, the adjacent segments are at less risk of degeneration.
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FAQ3 Dr.Hayward's
Spinal Clinic
Provides specialist assessment and treatment for the full range of spinal problems.
Short FAQ.
What are the risks associated with spinal surgery?
There are risks associated with any surgical procedure. The risks for spine surgery include but are not limited to: inter operative complications, infection, bleeding, and hardware failure.
Do I need to wear a brace after surgery?
I always prescribe a brace if a patient is at a high risk for not fusing.
Does my insurance cover low back surgery?
In most cases insurance will cover spine surgery. Your insurance benefits will be verified and explained prior to surgery.
How quickly can I expect to recover from surgery?
Recovery from surgery is individualized, and depends on the surgical procedure. Regardless of the procedure, patients are walking within 24 hours of surgery.
I have heard people talk about less invasive back surgeries. What are these? How do I know if I am a candidate?
Minimally invasive surgery is an option for certain conditions, when performed by a spine specialist. It is not an option for Idiopathic Scoliosis. Your physician will explain the treatment options and the pros and cons of each.
Will I have to have physical therapy? If so, for how long?
Your physician will determine if you need physical therapy. In general, I prescribe physical therapy for my patients between 4 and 12 weeks post-surgery. Core stabilization, stretching, and muscle conditioning are very important to a patient's long term health.
Will I have to take medication for pain? Are there any medications I should be concerned about?
Pain medication is administered in the hospital following surgery. Patients typically require oral medication for a period ranging from 1-4 weeks, depending on the individual and the procedure performed. If a fusion has been performed, it is important to avoid anti-inflammatory medications, including aspirin products, until cleared by the physician. These medications will inhibit the growth of the bony fusion.
I hear that men should not have fusion surgery. Is this true?
No. There is an additional risk for men during any surgery involving the abdomen. When an anterior fusion is performed on male, there is a small chance that the nerve that controls ejaculation can be damaged, resulting in retrograde ejaculation. If this occurs, the patient will still be able to become erect, and orgasm, but will not produce semen.
What are some of the complications associated with fusion surgery?
There are potential risks with any surgical procedure. The complications specific to a fusion surgery, while rare, include failure to fuse, hardware failure, infection, excessive bleeding, and adjacent segment degeneration.
How many times will I need to see my surgeon after surgery?
Post-operative visits will depend on the procedure and your surgeon. In my clinic, I see patients that have had a fusion one week post-operatively, and then at intervals of one month, three months, six months, 9 months, and 12 months post-op.
About Dr. Hayward ABOUT FRANKLIN HAYWARD II D.O.
Dr. Franklin Hayward II, D.O.
EDUCATION
University of Medicine and Dentistry of New Jersey School of Osteopathic Medicine, Stratford, NJ 1999 Doctor of Osteopathic Medicine
Hahnemann University, Philadelphia, PA 1995 Bachelors of Science
POST GRADUATE TRAINING
Orthopedic Spine Fellowship, Harvard/ Beth Israel Deaconess Medical Center
Boston, MA July 2005 – February 2006
Neurosurgical Resident, Ohio University College of Osteopathic Medicine Grandview /Southview Hospital, Dayton, OH, 2000 –Present (completion July 2005)
Neurosurgical Rotation (With Emphasis on Spine), U.C Davis Medical Center, Sacramento CA, July 2003- July 2004
Rotating Internship, UMDNJ-SOM, Kennedy Memorial Hospitals and Our Lady of Lourdes NJ, 1999 – 2000
