I presented Dr. Gelfand with a difficult diagnostic problem --- prior to the visit he studied my MRI, and on arrival took new X-rays. After examining my injuries, he reviewed the X-rays and MRI with me, from several different angles. It was clear that he had analyzed the facts and reached a conclusion -- but he took the time to carefully walk me through it, by explaining the significance of the various markings on MRI and X-ray. He then recommend a logical action plan - starting with the most conservative approach, and including additional approaches depending on how the first steps go. When we finished, for the first time after four months of symptons, I finally felt that we had an understanding of the condition and an excellent treatment plan. My favorable impression of Dr. Gelfand was enhanced by his professional demeanor, appearance and confident and friendly manner. I unhesitatingly recommend that anyone experiencing difficult spine or back issues put Dr. Gelfand at the top of the medical provider list.