Meet The BalancedBack Total Joint Replacement Team

Meet The BalancedBack Total Joint Replacement Team

The best health care is the result of teamwork. Designing a plan of care, delivering on it, communicating about it, and supporting patients throughout the process—every aspect of patient care is enhanced and improved when a highly qualified team works together.

Our team of spine specialists deliver quality care to BalancedBack Total Joint Replacement patients due to three key factors: (1) most of us have worked together for over 15 years, (2) everyone has world-class skills and (3) we share an important vision that the key to a healthy spine is motion preservation, and that fusion should be a last resort. We’re passionate about our mission, and we’re excited to share our story.

All BalancedBack medical practitioners were trained in the United States and currently practice in the US, with separate licensure and clinical practices in the Cayman Islands. Our team includes our spine surgeons, a fellowship-trained cardiac anesthesiologist, two nurse practitioners, a registered nurse, our clinical administrator, and our patient logistics coordinator. Together, we make safety our top priority, and are committed to providing the best possible clinical outcome and experience every step of the way.

You are also an integral part of our team. As a patient, you are the best proponent for your own health care. We encourage you to ask questions throughout the process, to follow post-surgical instructions as closely as possible, to leverage your support network, and to work hard to achieve your full post-surgical potential. We also encourage all of our patients to involve family and friends at every stage of the process, and we enjoy getting to know all of you! This is a team effort.

Our vision: The key to a healthy spine is motion preservation, and that fusion should be a last resort.

Our team members, many of whom you’ll meet or talk to as you get to know us, include:

Scott Hodges, D.O.

Dr. Scott Hodges - BalancedBackDr. Hodges is a board-certified, fellowship-trained orthopaedic spine surgeon with more than 25 years of clinical experience. He currently practices at the Center for Sports Medicine and Orthopaedics in Chattanooga, TN, and at NovoClinic and CTMH Doctors Hospital in the Cayman Islands, where he works alongside a team of medical professionals specializing in orthopedic surgery and sports medicine.

Top articles by Dr. Hodges:

What Is A Total (Or Artificial) Disc Replacement? (15,700 views)
Herniated Disc Treatment Options (15,000 views)
Spinal Fusion Recovery Time: An Analysis (9,000 views)

Craig Humphreys, M.D.

Dr. Steven Craig Humphreys, M.D. - BalancedBackDr. Humphreys is a board-certified, fellowship-trained orthopaedic spine surgeon with over 20 years of clinical experience. He is the founder of Kenai Spine, a regional spine center of excellence for the treatment of back and neck problems with offices located in Soldotna and Anchorage, AK. Dr. Humphreys also practices at NovoClinic and CTMH Doctors Hospital in the Cayman Islands.

Top articles by Dr. Humphreys:

Types Of Back Surgery: The Complete List Of Options (19,800 views)
Disc Replacement Vs. Spinal Fusion: 4 Things To Consider (11,900 views)
Spinal Fusion Alternatives You Need To Consider (11,000 views)

Marcella Madera, M.D.

Marcella Madera, M.D. - BalancedBackDr. Madera is a board-certified, fellowship-trained neurosurgeon with broad expertise in all aspects of spinal care, including endoscopic spine surgery and disc/joint replacement. She currently practices at Austin Integrative Spine in Lakeway, TX and at NovoClinic and CTMH Doctors Hospital in the Cayman Islands. Dr. Madera has a special research focus on regenerative medicine (stem cells) for the treatment of neurological and musculo-skeletal conditions.

Nathan Schatzman, M.D.

Dr. Nathan Schatzman - BalancedBackDr. Schatzman is a board-certified, fellowship-trained cardiac anesthesiologist practicing in Chattanooga, TN, and in the Cayman Island at NovoClinic and CTMH Doctors Hospital. Dr. Schatzman has 28 years of diverse experience across the field of anesthesiology, supporting advanced surgical procedures of many kinds. Dr. Schatzman has developed specialized techniques to lessen the effects of anesthesia, while minimizing post-operative pain/discomfort and enhancing return to function.

“The quality of care here is anything beyond any other surgery I’ve had. There’s been nothing like this team and what they do, and how focused they are to make sure everything’s perfect. It’s the way medical care should be done everywhere. They’re about patients here.”

—Michael Bradey

Don Duff, FNP, DC

Dr. Don Duff - BalancedBackDr. Duff has over 28 years of experience in spine restorative therapy and rehabilitation. He is currently affiliated with Spine Surgery Associates in Chattanooga, TN in addition to his work at NovoClinic and CTMH Doctors Hospital in the Cayman Islands. Dr. Duff serves as the postoperative care coordinator for BalancedBack program, helping patients maximize their recovery and achieve their full potential.

Top articles by Dr. Duff:

Safe Exercises For A Bulging Disc (100,200 views)
Spinal Stenosis: Exercises To Avoid (59,800 views)
Exercises To Avoid For A Herniated, Bulging, Or Slipped Disc (58,500 views)


Do you want to know more about back and leg pain relief without fusion surgery? Have your case evaluated by our team.

Donna Duff, FNP-C

Donna Duff - BalancedBackDonna has practiced nursing in a variety of intensive care settings for over 30 years, as a nurse and certified family nurse practitioner. She has experience in internal medicine, intensive and emergency care, rehabilitation, and acute post-op pain management for orthopaedic patients. Donna also serves as a postoperative care coordinator for BalancedBack program.

Marcus James, RNFA, SA, CNOR

Marcus James - BalancedBackMarcus is First Assist to the operative team, with over 20 years of surgical experience in spine. He currently works at Memorial Hospital in Chattanooga, TN and at NovoClinic and CTMH Doctors Hospital in the Cayman Islands. Marcus manages surgical scheduling and logistics for BalancedBack Total Joint Replacement patients traveling from the US and Canada. He also coordinates care in Cayman, in addition to his work in the operative setting.

Marissa Koscielski

Marissa Koscielski - BalancedBackMarissa is the clinical coordinator for the BalancedBack program. Her role is to help patients through the screening process. Marissa is passionate about clinical research, and has participated in a variety of programs.

Miguel Monteiro

Miguel Monteiro - BalancedBackA Cayman Islands local, Miguel handles patient logistics, providing personalized, concierge support to BalancedBack patients during their stay in the Cayman Islands.


Your Journey To Health

Whether your road to health includes the BalancedBack Total Joint Replacement or another treatment, it’s our hope that the path you choose is a success. We encourage you to use our website to continue learning about your condition and treatment options, and if we can answer any questions about the BalancedBack Total Joint Replacement or our team, please don’t hesitate to reach out and ask.

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