Rheumatoid arthritis —A systemic disease that affects the entire body. It is characterized by the inflammation of membrane lining the joints, which causes pain, warmth, redness, and swelling. The chronic inflammation causes deterioration of the joint, pain, and limited movement.
Stroke Rehabilitation
Dr. Kozak served 3 years as the Medical Director of the Rhodes Rehabilitation Institute Unit at Mesa Lutheran Hospital. Prior to that he was the Medical Director of the RehabCare Unit at Mesa General Hospital and for multiple skilled nursing facilities including Mi Casa, Mesa Christian Care and Desert Cove Care Centers. He has an interest in spasticity management and stroke rehabilitation. He was previously the Chairman of the Rehabilitation Committee for the American Stroke Association. He also has an interest in sports medicine and has previously been the Team Physician for the Dobson Mustangs and the event physician for other sporting events. He is also currently the Team Physician for the Wheelchair Suns.
Primary Care
Please call 480-763-5808 for an evaluation; we try to see all new patients as quickly as possible, and we emphasize communication with your primary care physician as part of your healthcare team.
Utilizing injections in conjunction with high resolution dynamic ultrasound, the providers at Ahwatukee Sports & Spine treat a variety of common musculoskeletal conditions including tendonitis, bursitis, neuritis, and carpal tunnel syndrome. In these procedures, a combination of medication and anesthetic is administered directly and precisely to the site of the pain.
This Notice of Privacy Practices is being provided to you as a requirement of the Health Insurance Portability and Accountability Act (HIPAA). This Notice describes how we may use and disclose your protected health information to carry out treatment, payment or health care operations and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information in some cases. Your "protected health information" means any of your written and oral health information, including demographic data that can be used to identify you. This is health information that is created or received by your health care provider, and that relates to your past, present or future physical or mental health or condition.
Ultrasound is a safe and effective way to examine the muscles, tendons, ligaments, joints and other soft tissues. Further, this imaging technique allows for examination of these structures both statically and dynamically (when moving) without the risks associated with ionizing radiation.
MRI
As technology advances we are able to see more and more detailed anatomy with imaging studies such as MRI scans. As we age however, our discs exhibit normal "wear and tear" which can make MRI scans abnormal even in patients without pain. Studies show that by the time we reach the age of 50, about half of us have abnormalities on MRI scans, even if we don't have pain.
X-Rays
Computed Tomography
In addition, many physicians will order a CT scan after the discogram to better see the anatomy of the disc and the exact location of any tears in the annulus which might be present.
Nerves from the upper and lower limbs (including the nerves that make up the sciatic nerve) enter the vertebral column and pierce the dural sac to reach the spinal cord. For various reasons these nerves can become irritated as they enter the vertebral column and cause pain in the lower limbs. This pain is felt as shooting down the lower limb and is referred to as nerve root pain or, technically, radicular pain (from the Latin radix, a root). The common name for this sort of pain in the low back and leg is sciatica
Whiplash
For convenience purposes, the spine can be divided into an anterior (front) section and a posterior (back) section, that work together to maintain proper function. The anterior section contains the vertebral bodies and the intervertebral discs and is the primary load-bearing part of the spine. The posterior portion, which contains the zygapophysial (Z or facet) joints, lamina, and the transverse and spinous processes, controls the motions of the spine and provides for all musculotendonous insertions on the spine. In the low back, the usual location of injury is the intervertebral disc which is usually injured by bending forward while twisting to pick something up, often with an outstretched arm. The posterior section of the spine accounts for about 20-25% of low back pain and 54% of chronic neck pain and can be injured through repeated bending, a hyper-extension (bending back to far) injury such as "whiplash", or through "wear and tear" of the facet joints, a problem which can happen with age.
Pinched Nerve
Spinal Stenosis - A narrowing of the nerve openings either around the spinal cord or nerve roots that can cause symptoms similar to a pinched nerve. It can cause leg pain in anyone, but most often does so in older people. Patients with spinal stenosis can have trouble walking, and the difficulty is usually relieved by sitting down or bending forward. It can cause aching or heaviness in the back and legs.
Joint Replacement
Mary Strike has worked at Ahwatukee Sports and Spine for 8 years specializing in the treatment of all musculoskeletal conditions. Skilled in all areas of spinal, orthopedic and sport related injuries, Mary has many tools in her physical therapy tool box: mobilization techniques of the spine and peripheral joints, myofascial release, a wide variety of exercise methods including the Institute of Physical Arts, Athletes Performance, Pilates, Muscle Imbalance and Functional Re-education. She is skilled in the treatment of post- operative spinal surgery, post- surgical joint replacement, and orthopedic surgery. One of her key strength’s is pain management.
Dr. Kozak is trained in physiatric skills. He specializes in non-surgical management of cumulative trauma disorders, arthritis, and has an interest in stroke and spinal cord injury rehabilitation. He also enjoys treating sports injuries and any other type of injury to the (neuro)musculoskeletal system. Diagnostically, he is residency-trained in nerve conduction studies and electromyography. He also interprets CT scans, x-rays, and MRIs of the musculoskeletal system. His treatment arena includes management of therapy, medications, trigger point injections, other peripheral joint and soft tissue injections, fluoroscopically-guided interventional spine procedures, Viscosupplementation (supplemental hyaluronate for knee OA) injections and spasticity management (Botox, etc).
Dr. Timothy Sanford is a board certified Physical Medicine and Rehabilitation physician and is fellowship trained in Interventional Spine and Sports Medicine. He specializes in the non-surgical management of spine injuries (back and neck pain), sports injuries, arthritis, and any other type of injury to the (neuro)musculoskeletal system. Dr. Sanford recognizes that pain can significantly affect a patient’s life and his goals are to treat the patient’s injury or disorder to restore the patient’s function and quality of life, whether that be working without discomfort, getting back on the golf course, exercising again, or enjoying playing with the kids or grandkids. He uses cutting-edge technology and evidence based practices to achieve optimal results.
Physical Therapy
Mollie received her Physical Therapy degree from Daemen College in Buffalo, New York 1996. She has spent the majority of her time in outpatient/sport medicine settings, specializing in post surgical, spine rehabilitation, and manual therapies. Her Continuing Education Courses have emphasis on manual techniques, core stability utilizing body building, yoga and pilates experience. Her hobbies include hiking, skiing, traveling and exercising.
Occupational Therapy
PM&R is a medical specialty dedicated to maximizing the quality of life. PM&R physicians have advanced training and skill in the diagnosis, treatment, and prevention of functional disabilities of all types. The treatment options used by PM&R physicians may include physical therapy, occupational therapy, therapeutic exercise, orthotics, and braces. PM&R physicians may also recommend electrotherapies, injection techniques (i.e. epidural cortisone injections), non-operative spine medicine or other manual medicine, pain management, and injury prevention and wellness techniques.
Neck Pain
Back Pain
Manual Therapy
Mike was born and raised in Mesa, Arizona. He received his Bachelor of Science in Biology at Arizona State University in 1998 and his Master of Physical Therapy degree at the University of Delaware in 2003. Mike is a certified strength and conditioning specialist (CSCS) and has worked primarily in outpatient/orthopedic settings specializing in spine, sports, and post-surgical rehab. His professional interests include manual therapy, exercise and sports medicine. In his spare time, Mike enjoys working on his house, exercising, and spending time with his family.