Accessibility Tools


How do I make an appointment?

To make an appointment with Dr. David Robson or Jayne Aschen, PA-C, please call or to make an appointment with Dr. Todd Stewart, Dr. Michael Reiter or Sejal Patel, NP, please call during business hours.

Do I need a referral to make an appointment?

You do not need a referral in order to make an appointment. However, if your insurance plan requires a referral authorization from your primary care physician in order to see a specialist; it is the patient’s responsibility to obtain the referral for your appointment.

What to bring for your initial consultation?

Please make sure to bring your new patient paperwork, all filled out prior to your appointment.

Here is check list for your initial consultation:

  • Driver’s License or a photo ID
  • Insurance card and insurance referral (if referral is required by your insurance plan)
  • Any previous x-rays, MRIs, CT scans, myelograms and post-myelograms CT scans, or other diagnostic images and reports.

We encourage you to come to your initial consultation with a written list of questions to ensure you don’t forget to ask them when you visit the doctor.

How long do I need time off work after the surgery?

The post-operative recovery period varies based on the surgery and each individual.

How long before I can resume driving?

You should not drive a vehicle until you are taking little to no pain medication and are able to move freely. Your surgeon will provide more specifics after evaluating your condition.

When can I resume exercise?

Get moving and walk! This is exercise walking, not just walking around your house. Begin your walking program the day after you have been discharged from the hospital.

In regards to exercising other than walking, it varies on a case by case basis. Speak with your surgeon at your first post-op appointment to discuss when you can resume exercising.

How do I contact after hours?

If you have an urgent matter that needs to be addressed and need to reach your surgeon during non-business hours, please call our exchange, . However, if you need a prescription refill, do not contact our exchange, you will need to call the office during normal business hours.

If this is a medical emergency, please call 911


What are the non-surgical treatment options?

Conservative treatment is an approach to treating back pain, neck pain and related spinal conditions utilizing non-surgical treatment options, such as injections, medication and physical therapy.

Will physical therapy be required after surgery?

While in the hospital your surgeon may have a physical therapist work with you. Their purpose is to assist you in getting around well enough to go home. They will give you exercises to do in the hospital and also at home. These exercises are to recondition your arms and legs to be able to get around better.

In regards to attending physical therapy, it may not be necessary after surgery but if the surgeon decides you do need some, it will begin about 8 to 12 weeks after surgery.

What are the risks associated with surgery?

Any surgery, no matter how small or large is not without risk. The following risks may include but are not limited to: bleeding, blood clots, constipation, continued pain, numbness/tingling, dura leak, infection, and/or nerve injury.

If you have any questions or concerns, please discuss them with your surgeon.

When can I return to daily activities?

This varies depending on the type of procedure undergone, and can range from a few days to a few months. Return to all activities, sports and exercise can take up to four to six months. Your doctor will advise you depending on your health condition.

Advanced Spine Institute

for Neck and Back Surgery

3009 North Ballas Road
Suite 320A & Suite 269C
St. Louis, MO 63131

Practice Hours

Dr. Michael Reiter

Suite 320A

Monday to Thursday - 8 : 00 AM - 4 : 30 PM
Friday - 8 : 00 AM - 12 : 00 PM

Dr. Todd Stewart

Suite 269C

Monday to Thursday - 8 : 00 AM - 4 : 30 PM
Friday - 8 : 00 AM - 12 : 00 PM