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Neurosurgery Services

The neurosurgery team at FirstHealth Neurosurgery & Spine in Pinehurst, NC, specializes in the neurological treatment of diseases and disorders of the brain, spine, and peripheral nerves including carpal tunnel and cubital tunnel syndromes.


The neurosurgeons at FirstHealth Neurosurgery & Spine with physician services under contract with UNC Health treat a variety of diagnoses involving the brain, spine and peripheral nerves, including Cervical and Lumbar Disc Disease, Spinal Stenosis, Brain Tumors, Carpal Tunnel Syndrome, Ulnar Neuropathy & Spinal Fractures.




Conditions We Treat

FirstHealth Neurosurgery & Spine provides the latest advancements in treatment for the following conditions:


Cervical and Lumbar Disc Disease / Degenerative Disc Disease

Degeneration of the discs particularly in the moving sections of the spine (cervical and lumbar levels) is a natural process of aging. Spinal discs are soft, compressible discs that separate the interlocking bones (vertebrae) that make up the spine. The discs act as shock absorbers for the spine, allowing it to flex, bend, and twist. Degenerative disc disease can take place throughout the spine, but it most often occurs in the discs in the lower back (lumbar region) and the neck (cervical region). FirstHealth neurosurgeons offer Mobi-C Cervical Disc artificial disc replacement (ADR) product as an alternative to traditional spinal fusion surgery in patients suffering from degenerative disc disease.


Neck Pain, Back Pain, Spinal Arthritis, Herniated Spinal Discs, Spinal Stenosis

Spinal stenosis is a narrowing of one or more areas in the spine — most often in the upper or lower back. This narrowing can put pressure on the spinal cord or on the nerves that branch out from the compressed areas. It is most commonly caused by osteoarthritis-related bone damage.


Spinal Fractures

Spinal fractures can happen from something as dramatic as a fall, or from a simple movement like coughing or sneezing or reaching for something in a cupboard. Unlike the pain from a broken arm or hip, the pain from a spinal fracture is not always severe; in fact sometimes it is quite mild.


Head injuries, Nerve injuries and Carpal Tunnel Syndrome

Carpal tunnel syndrome is pressure on the median nerve, which is the nerve in the wrist that supplies feeling and movement to parts of the hand. It can lead to numbness, tingling, weakness or muscle damage in the hand and fingers.


Brain Tumors

Brain tumor is an abnormal growth of cells within the brain, which can be cancerous or non-cancerous (benign).


Brain Hemorrhages, Hydrocephalus (water on the brain), Ulnar Neuropathy

Ulnar neuropathy is an inflammation of the ulnar nerve, a major nerve that runs down into your hand. It supplies movement and sensation to your arm and hand. Ulnar neuropathy causes numbness, tingling, or pain into the arm and hand on the side of the little finger.


Treatment Options

Neurosurgeons provide the operative care and non-operative management of neurological disorders.  While surgical procedures are required in some cases, more conservative options (such as medication or physical therapy) are often all that is needed. Many treatment options are now available through minimally invasive surgical techniques.  


Neurosurgeons provide the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care and rehabilitation) of neurological disorders.  Our neurosurgeons offer the treatment you need - no more, no less. Thanks to advances in technology and techniques, treatment of neurological disease has become more successful and safe.


Our neurosurgeons perform surgeries of the spine and brain with state-of-the-art, cutting edge tools housed in impressive operating theaters containing powerful microscopes, computer systems for navigating the intricacies of the spine and brain, and hundreds of thousands of dollars worth of surgical tools and implantable devices.


Meet Our Team

Cynthia Africk, M.D., Neurosurgeon

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James Walker, M.D., Neurosurgeon

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To learn more or request an appointment, please call (855) 535-8700.


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