Institute of Orthopedics, Spine, & Sports

Institute of Orthopedics, Spine, & Sports The Institute of Orthopedics, Spine, & Sports is here to help patients reclaim their lives from pain.

The Institute of Orthopedics, Spine, & Sports was founded by Dr. Calvert to focus on the non-surgical care of spine, orthopedics, and all other causes of pain. Our foundation is patient-centric care where patients are fully informed and active participants in their care.

09/10/2026

Tennis elbow still hurting after months of PT, braces, rest, or medication? Your elbow pain may be related to a chronic tendon issue.

Three signs that may point toward a chronic tennis elbow problem include:

1️⃣ Pain that has lasted for months or even years
2️⃣ Elbow pain that gets worse with gripping, holding, or pulling
3️⃣ Little long-term relief from physical therapy, medication, rest, or braces

When these patterns keep showing up, it may be time to look more closely at what is actually causing the pain instead of continuing to treat the same symptoms.

That doesn’t mean every case of persistent elbow pain is caused by a chronic tendon problem, but if conservative treatment hasn’t helped, a targeted evaluation may help determine what has been missed and what options are available next.

At IOS&S Medical | Institute of Orthopedic Spine & Sports, we evaluate persistent elbow and tendon pain and offer non-surgical treatment options when appropriate.

👉 Learn more or request a non-surgical evaluation: https://youmaynotneedspinesurgery.com/

📍 NJ Locations: Lyndhurst, Paramus, Millburn, Edison, Flemington, Little Silver, Dover
📞 (908) 897-0655

09/05/2026

Sharp, burning rib pain that wraps from your back toward your chest? Your pain may be nerve-related.

Three signs that may point toward an intercostal nerve issue include:

1️⃣ A sharp or burning sensation instead of a dull ache
2️⃣ Pain that follows the rib from the back toward the chest
3️⃣ Numbness, tingling, or unusual sensitivity to clothing, bedsheets, or light touch

These symptoms may be associated with intercostal neuralgia, which involves irritation of the nerves that run underneath the ribs.

That doesn’t mean every case of rib pain is caused by a nerve, but if your pain is burning, wrapping, tingling, or unusually sensitive, a targeted intercostal nerve evaluation may help determine what is actually causing it.

If persistent rib pain has been interfering with sleep, movement, exercise, or everyday life, you may have non-surgical treatment options.

👉 Learn more or request a non-surgical evaluation:
https://youmaynotneedspinesurgery.com/

📍 NJ Locations: Lyndhurst, Paramus, Millburn, Edison, Flemington, Little Silver, Dover
📞 (908) 897-0655

09/03/2026

Burning rib pain that won’t go away, even though your MRI looks normal?

This patient was dealing with persistent burning pain along his ribs and into his stomach.

He had already tried nerve blocks, physical therapy, medications, and multiple evaluations. His MRIs were read as normal, but the pain was still affecting his everyday life.

After a targeted evaluation, we discussed an intercostal nerve block.

Two weeks later, he reported his pain was 80% better. His stomach pain had improved, and he was able to get back to exercise, strenuous activity, and more of his normal life.

Persistent rib pain with normal imaging does not always mean there is nothing left to evaluate.

If you have sharp or burning pain that wraps around your ribs, chest, or upper abdomen, an intercostal nerve may be contributing to your symptoms.

👉 Learn more or request a non-surgical evaluation:
https://youmaynotneedspinesurgery.com/

📍 NJ Locations: Lyndhurst, Paramus, Millburn, Edison, Flemington, Little Silver, Dover
📞 (908) 897-0655

09/01/2026

Sharp, burning pain that wraps around your ribs? It may not be the rib itself.

If your rib pain feels burning, shooting, or wraps around your chest and is accompanied by numbness or tingling, an intercostal nerve may be contributing to the problem.

The intercostal nerves run underneath and around each rib toward the front of the chest. When one becomes irritated or inflamed, it can cause symptoms such as:

🔥 Burning rib pain
⚡ Sharp or shooting pain
🌀 Pain that wraps around the ribs or chest
✋ Numbness or tingling in the same area

If your symptoms and exam point toward intercostal nerve pain or intercostal neuralgia, a targeted ultrasound-guided intercostal nerve injection may be one minimally invasive treatment option.

If you’ve been dealing with persistent sharp or burning pain around your ribs, the next step may be determining whether a nerve is actually causing the symptoms.

👉 Learn more or request a non-surgical evaluation:
https://youmaynotneedspinesurgery.com/

📍 NJ Locations: Lyndhurst, Paramus, Millburn, Edison, Flemington, Little Silver, Dover
📞 (908) 897-0655

08/30/2026

Burning pain, electric shocks, numbness, tingling, or extreme skin sensitivity? Your symptoms may be nerve-related.

Peripheral nerve pain doesn’t always feel like ordinary muscle or joint pain.

Three symptoms that may point toward a peripheral nerve issue include:

1️⃣ Burning, shooting, or electric-shock-like pain
2️⃣ Numbness or tingling in the same painful area
3️⃣ Extreme sensitivity where something as light as clothing or a bedsheet feels uncomfortable or painful

These nerve pain symptoms can occur in many areas of the body, including the hands, ribs, legs, feet, and other regions supplied by peripheral nerves.

Having these symptoms doesn’t automatically tell us which nerve is involved or what is causing the problem. That’s why a targeted peripheral nerve evaluation matters.

If you’re experiencing persistent burning pain, numbness, tingling, electric pain, or unusual sensitivity, it may be time to look at whether a peripheral nerve is contributing.

👉 Learn more or request a non-surgical evaluation:
https://youmaynotneedspinesurgery.com/

📍 NJ Locations: Lyndhurst, Paramus, Millburn, Edison, Flemington, Little Silver, Dover
📞 (908) 897-0655

08/28/2026

Still having pain, numbness, or tingling after carpal tunnel surgery?

This patient’s carpal tunnel surgery went well, but the symptoms they had before surgery never fully went away.

They were still dealing with pain, numbness, and tingling in the hand, especially at night, and it was continuing to interfere with everyday life.

After evaluating the persistent nerve symptoms, we discussed their options and recommended peripheral nerve stimulation (PNS).

PNS uses a very thin lead positioned near a targeted peripheral nerve to help change the pain signals traveling through that nerve.

Within weeks, this patient reported improvement in their pain and tingling and was able to get back to doing more of the things they enjoy.

If you’re still having pain or tingling after carpal tunnel surgery, persistent symptoms do not automatically mean another surgery is your only option.

👉 Learn more or request a non-surgical evaluation:
https://youmaynotneedspinesurgery.com/

📍 NJ Locations: Lyndhurst, Paramus, Millburn, Edison, Flemington, Little Silver, Dover
📞 (908) 897-0655

08/26/2026

Still having pain, numbness, or tingling after carpal tunnel surgery?

A carpal tunnel release can go exactly as planned and some patients may still be left with persistent nerve symptoms afterward.

If the burning, numbness, tingling, or pain never fully went away, that does not automatically mean you need another surgery.

The next step is figuring out why those symptoms are still there and whether the nerve itself may still be contributing.

For the right patient, peripheral nerve stimulation (PNS) may be a non-surgical treatment option.

PNS uses a very thin lead positioned near the affected peripheral nerve to deliver gentle electrical stimulation and change the pain signals traveling through that nerve.

If you’re still dealing with pain, numbness, or tingling after carpal tunnel surgery, you may have treatment options beyond another operation.

👉 Learn more or request a non-surgical evaluation:
https://youmaynotneedspinesurgery.com/

📍 NJ Locations: Lyndhurst, Paramus, Millburn, Edison, Flemington, Little Silver, Dover
📞 (908) 897-0655

08/24/2026

Could your low back pain actually be coming from your tailbone?

If your pain gets worse when you sit on a hard chair or bench, feels very low near the top of your buttocks, and hasn’t improved with physical therapy, injections, or medication, the coccyx may be worth evaluating.

Tailbone pain, also called coccyx pain or coccydynia, does not always feel like one tiny painful spot directly over the tailbone. For some patients, it can feel like very low back pain or pain around the upper buttock area.

That is why persistent low back pain that hasn’t responded to treatment deserves a closer look at the actual source.

If you’ve treated your lower back but the pain stays the same, a targeted non-surgical coccyx evaluation may help determine whether your tailbone is contributing.

👉 Learn more or request an evaluation:
https://youmaynotneedspinesurgery.com/

📍 NJ Locations: Lyndhurst, Paramus, Millburn, Edison, Flemington, Little Silver, Dover
📞 (908) 897-0655

08/22/2026

Chronic tailbone pain even though your MRI looks normal? You may still have treatment options.

This patient had lived with severe tailbone pain for years.

She had gone through multiple spine surgeries, physical therapy, medications, and evaluations with several doctors. She was eventually told her imaging looked fine and there was nothing else to do.

But she still couldn’t sit for more than about 2 minutes without burning, stabbing pain.

After a targeted ultrasound-guided ligament injection above the tailbone, she returned two weeks later reporting her pain was 80% better and she could sit for more than 20 minutes at a time.

Normal imaging does not always explain every source of chronic coccyx or tailbone pain.

If you have persistent tailbone pain, pain when sitting, or coccydynia that hasn’t improved with physical therapy or other treatment, a targeted non-surgical evaluation may uncover options you haven’t tried yet.

👉 Learn more or request an evaluation:
https://youmaynotneedspinesurgery.com/

📍 NJ Locations: Lyndhurst, Paramus, Millburn, Edison, Flemington, Little Silver, Dover
📞 (908) 897-0655

08/20/2026

Tailbone pain making it hard to sit for more than a few minutes?

If you’re constantly shifting in your chair, sitting on a cushion, or feeling a sharp or burning pain around your tailbone, you may be dealing with coccyx pain, also called coccydynia.

Chronic tailbone pain can come from the coccyx itself, the surrounding ligaments and soft tissues, or nearby nerves. And for some patients, X-rays and MRIs can look normal even though sitting is still extremely painful.

If physical therapy and other conservative treatments haven’t helped, there may be additional non-surgical tailbone pain treatments to consider.

One option we may start with is a targeted ultrasound-guided injection around the ligament over the tailbone. It’s a minimally invasive procedure performed in the office and designed to target a potential source of persistent coccyx pain.

If your tailbone hurts when sitting and the pain just isn’t going away, you may have more options than you’ve been told.

👉 Learn more or request a non-surgical evaluation:
https://youmaynotneedspinesurgery.com/

📍 NJ Locations: Lyndhurst, Paramus, Millburn, Edison, Flemington, Little Silver, Dover
📞 (908) 897-0655

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1050 Wall Street West, Suite 315
Lyndhurst, NJ
07071

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Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm

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