Spine and Orthopedic Surgeons in St. James, NY

Comprehensive care for spine surgery, scoliosis treatment, back pain treatment & physical therapy.

OUR OFFICE SERVING ST. JAMES, NEW YORK

The highly skilled and trained back and neck doctors here at New York Spine Institute are committed to providing high-quality comprehensive care to all of our St. James, NY patients and those in the surrounding areas. Our patients receive expert care from all of our certified spine doctors, neck surgeons, and back specialists. Possessing decades of experience and know-how, our team is committed to the improvement and recovery of our patients’ health and well-being.

SPINE SURGERY & CARE SERVING ST. JAMES, NY

There are a number of spine disorders that can contribute to back pain or neck pain, including fractures, herniated discs, diseased discs, and infection. With that said, the specialized spine doctors here at the NYSI strive to provide effective back pain treatment options to all our patients in St. James and the adjacent towns. Our team will get to the root of your neck or back pain problems, and once armed with information needed, our neck specialists can provide you with the correct line of treatment to help you get back on your feet.*

Our dedicated back doctors prefer to avoid surgery and rather are steadfast in providing the least invasive back pain treatment options for all our patients. They will typically reserve spine surgery for those patients who still experience pain after having received previous back pain treatment or neck pain treatment without effective results, but if they find it necessary, our spine surgeons will conduct appropriate surgeries to help provide relief from pain generated by pinched nerves, spinal cord compression, or mechanical instability of the spinal cord.

Types of Spinal Surgeries we offer our St. James patients:

The back doctors here at the NYSI specialize in a wide range of spine surgeries and possess years of advanced training in bone and neurological spinal disorders. We have rendered treatments to thousands of patients in the greater New York City area including St. James who have suffered from back pain and neck pain. Our neck and back specialists are diligent in their efforts to pinpoint the source of your pain and provide proper treatment for your condition.*

The Founder of NYSI Alexandre B. de Moura, MD, FAAOS

Dr. Alexandre de Moura

Trusted by Patients and Peers

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 SERVING ST. JAMES

Here in the United States there are millions of people who are affected by scoliosis, which is a side to side curvature of the spine, unlike the natural front to back curves. Those patients who have insignificant curves of the spine typically require no treatments, however, those with large curves can ultimately suffer from a myriad of health issues caused by the scoliosis which can include fatigue, muscle pain, back pain, spinal arthritis, or even breathing issues.

For top-rated scoliosis treatment, be sure to visit the NYSI. Our spine and back specialists skillfully treat the varying degrees and types of scoliosis, like the degenerative or common idiopathic types. Because we take a comprehensive approach to treating scoliosis we are recognized as a world class scoliosis center. We offer extensive care for both children and adults, as we understand it impacts individuals of all ages.* The treatment spine doctors render to our St. James patients suffering with scoliosis depends upon the severity of your spine’s curvature.

In some cases, back surgeons may find it necessary to rely upon surgery. Our highly qualified neck surgeons at our nationally ranked center, NYU Hospital for Joint Diseases, possess years of knowledge and overall experience.* The back surgeons here at the NYSI have offered lectures around the world on the topic of scoliosis and have authored a variety of scoliosis treatment publications. For more details, refer to our Spine 101 section.

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DIAGNOSIS OF YOUR BACK PAIN

If you suffer day to day with consistent back pain or neck pain that causes interruptions to your daily routine, then be sure to reach out to the professional team of back doctors and back surgeons here at the NYSI. We have a variety of patients from the St. James area and its surrounding towns that treat with our specialized back doctors who prescribe required back pain treatment and neck pain treatment options as needed. Our doctors begin by performing a thorough exam before prescribing any recommended course of treatment and will take time to discuss all your available treatment options with you.

We take specific note of your described symptoms and will even perform various tests that will assist in our overall diagnosis and analysis. Depending on our analysis and assessment, treatment options may range from bracing to surgical intervention. We provide customized treatment plans according to your individual needs and take pride in prescribing non-surgical back pain treatment methods as our first priority.

PAIN MANAGEMENT

We also specialize in various types of pain management options as well. Our back and neck specialists have undergone specialized training in all the newest technologies, medical treatment methods, and medical diagnostics for both back and neck pain-related issues.

We offer a variety of treatment options to all our St. James patients, 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.

Spinal Conditions we can help treat include:

Low back pain
Neck pain
Herniated disks
Shoulder and arm pain
Hip and leg pain
Radiculopathies
Arthritis and joint pain
Sports injuries
Osteoporosis
Headaches
Reflex sympathetic dystrophy
Post-herpetic neuralgia (shingles)
Diabetic neuropathy

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...

—Juan Rolon

“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...

—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...

—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...

—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...

—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 ...

—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...

—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...

—Chrissy

—Eleanor Morgan

PHYSICAL THERAPY

It is important for patients to understand the significance that physical therapy plays in their overall rehabilitation. Even our St. James patients who have undergone the most minimally invasive surgeries require effective physical therapy to aid in their movement and mobility, decrease pain, restore function, and limit disability for those patients with injuries or impairments.* Physical therapy is a critical component of rehabilitation especially for patients that have lifestyles that add additional strain to their neck and back.

If you’ve experienced a neck or back injury, then the renowned back specialists here at the NYSI are the ideal team of doctors for you. Our licensed physical therapist, Michael Friar, D.P.T., along with our team of dedicated physical therapists are committed to providing patients the highest quality physical therapy treatments. Patients are provided with specific instructions on proper stretching, exercise, and manual therapy.

In order to improve our patients’ conditions, we work alongside of them to help them understand the importance of body mechanics, postural awareness, and exercises that can be done at home that not only help with their healing process but assist in preventing reinjury. Our team utilizes cardio and weight machines to target strength and endurance training for all our St. James patients who are undergoing physical therapy. We are steadfast in providing the best treatment options to all our patients along with setting practical goals for patients to achieve.

IMAGING SERVICES FOR ST. JAMES PATIENTS

Here at the NYSI our state of the art radiology department includes a high field short bore 1.5T Magnetic Resonance Imaging (MRI) system. This system is effective in diagnosing many conditions and supports a wide range of clinical applications including, but not limited to, MRIs of the spine, brain, abdomen, pelvis, shoulder, hip, knee, elbow, wrist, hand, ankle and foot*. The MRI system is every bit safe as it is noninvasive, and is an innovative tool used by our doctors for providing comfortable treatment for our patients. This new GE 1.5T MRI system provides our physicians with high quality, detailed pictures of anatomy and pathology they require in their efforts to help evaluate a wide range of musculoskeletal disorders.

The MRI system utilizes magnetism and radio waves to produce detailed images used to evaluate various parts of the body and determine the presence of certain diseases which may not be visible with other imaging methods such as x-ray, ultrasound or CT (Computed Tomography).*

We are also equipped with a digital radiography department that is used to capture digital images that allow the radiologist to analyze bone and soft tissue anatomy for diagnosis. Further to our equipment, we also have Long Length Imaging (LLI) for proper scoliosis assessment as well.

*The effectiveness of diagnosis and treatment will vary by patient and condition. New York Spine Institute does not guarantee certain results.

PROVIDING OUR ST. JAMES PATIENTS THE CARE THEY NEED

Here at the NYSI our team of certified, highly skilled and experienced doctors take tremendous pride in providing treatments to all our St. James patients and those in the adjacent towns. Our back specialists offer highly personalized and comprehensive care for patients suffering with back pain and neck pain symptoms. Recognized as one of the most trusted and respected spine surgery practices in greater New York City, the team here at NYSI remains committed and dedicated to helping all our patients get their lives back on track again. For more information about our facility, our team and our treatment options, contact one of our back doctors, neck doctors or spine doctors today and let us get you started on your road to recovery.

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