Dr. Fried specializes in minimally invasive techniques designed to treat spinal problems with the least tissue disruption possible.
These procedures often use tiny incisions, tubular retractors, and endoscopic cameras, allowing precise surgery with minimal impact on surrounding muscles and structures.

Removes a damaged disc in the neck and fuses the spine to relieve pressure on nerves and the spinal cord.
Replaces a worn or herniated cervical disc with an artificial one to maintain motion and reduce pain.
Minimally invasive procedure using a tiny camera to relieve nerve compression in the neck through a small incision.
Ultra-minimally invasive approach using a small camera and instruments to treat herniated discs or nerve compression.
Stabilizes and relieves pain from spinal compression fractures by injecting bone cement into the affected vertebra.
Uses a small camera to remove bone or disc material in the lower back to relieve nerve pressure.
Reshapes and expands the spinal canal in the neck to decompress nerves while preserving motion.
Fuses unstable vertebrae in the lower back through small incisions to reduce pain and improve stability.
Traditional surgery to relieve nerve pressure and stabilize the spine when minimally invasive techniques aren’t appropriate.
Fuses vertebrae in the back of the neck to treat instability, deformity, or severe degeneration.
Uses robotic guidance to precisely place implants and fuse vertebrae with improved accuracy and safety.

Strengthens supporting muscles, improves posture, reduces pain. Often first-line for many spine conditions.

A specialized, exercise-based program that teaches patients how to relieve symptoms and prevent flare-ups through targeted movements and posture correction — especially effective for herniated discs, sciatica, and mechanical back pain.

Targeted pain relief and diagnostic value to confirm the source of symptoms.

Short-term anti-inflammatory or nerve pain medications to help manage symptoms while the body heals.

Non-invasive approaches to complement medical care: chiropractic for alignment, acupuncture for natural pain relief, and mindfulness practices to reduce tension and stress that can worsen pain.

Weight management, ergonomics, and activity modifications to protect spine health long-term.

Allows for assisted implant placement, with the goal of improving outcomes and minimizing risk.

Real-time 3D visualization of anatomy for accuracy in complex procedures.

Provides crystal-clear magnified views inside the spine through the smallest incisions.
500 Ala Moana Blvd tower 4 470, Honolulu, Hawaii 96813, USA
160 Paia Pohaku Pl, Unit B Lahaina, Maui, Hawaii, 96761 64-5188 Kinohou Street, Waimea, HI 96743 Scheduling: 808-909-9115 Clinical Questions for Dr. Fried : tristan.fried@excelhealth.co <<https://excelhealth.co/team/tristan-fried-md/<<