Multiple sclerosis means multiple concerns. We’re here to answer every question and share every victory.

Multiple sclerosis (MS) is an immune disease of the brain and spinal cord that affects how our neurons communicate with each other. 10-30 percent of multiple sclerosis cases are misdiagnosed. How can you avoid being among those statistics? Trust Cleveland Clinic Nevada for your MS care.

When and why is minimally invasive and robotic spine surgery used?

Minimally invasive spine surgery refers to a surgical procedure that involves accessing the spine in a minimally disruptive manner. These techniques allow surgeons to approach the spine with an endoscope through a very small incision.

In robotic spine surgery, a robot is used to guide and assist the surgeon while using minimally invasive techniques, allowing for greater accuracy and precision. These techniques may reduce incision size, speed recovery, minimize post-operative pain and improve outcomes.

Our team evaluates each patient and their condition to determine the best form of treatment, whether it be minimally invasive surgery and/or robotic spine surgery.

At Cleveland Clinic Akron General, minimally invasive and robotic spine surgery approaches are used for:

  • Spinal fusion, which is often performed on degenerative disks.
  • Deformity corrections, such for conditions like scoliosis.
  • Repair of herniated disks.
  • Repair and stabilization of vertebral compression fractures.
Advantages of minimally invasive and robotic surgery over open surgery include:
  • Minimally disrupting the normal tissue (muscles, ligaments, etc.)
  • A few tiny scars instead of one large scar.
  • Shorter hospital stay.
  • Reduced postoperative pain.
  • Shorter recovery time.
  • Less blood loss during surgery.

Meet Our Robotic Spine Surgery Team

Our specialists are recognized in neurosurgery and orthopaedic surgery, and provide patients with the latest, most innovative, most effective surgical treatments available for back and neck problems.

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For Raul, a second opinion meant a second diagnosis, but also a second chance to get his immune system in check and return to hiking.

Read Raul's Story.


For managing every visible (and invisible) symptom.

You know you better than anyone else does. If you notice changes, take action immediately to learn more about your own health. At Cleveland Clinic Nevada, we understand recognizing the different symptoms of MS can be challenging, particularly when many are invisible. Our fellowship-trained MS neurologists say the most important step is ruling out other causes, and we’re here to help you do just that.

As the only National Multiple Sclerosis Society-designated Partner in Care in Southern Nevada, and Nevada’s only member of The Consortium of MS Centers (CMSC), our subspecialty-trained MS neurologists use the latest testing technology, including a tablet-based Multiple Sclerosis Performance Test for early and expert diagnosis, which research has shown leads to better health outcomes. Our comprehensive treatments include drug therapies and physical, occupational, speech and music therapy, which are all conveniently available on our Las Vegas campus.

Disease-modifying therapies, or DMTs, reduce the frequency and severity of MS attacks. All current research indicates that individuals will have less disability if on a treatment. Even a five-year delay from diagnosis to treatment has a significant negative impact on wellbeing. Taking action today can improve your tomorrow, and our outpatient, specialized neurology clinic is here to help you manage every visible and invisible symptom of MS, conveniently and close to home.

Margo was among the first to try a disease-modifying therapy when the concept was introduced in the 1990s. That decision to actively manage her MS continues to pay dividends today, and physical therapy has become her preferred prescription for maintaining an active lifestyle.

Read Margo's Story.

For every groundbreaking trial.

Just over 30 years ago, a diagnosis of MS offered little hope. But in 1993, the approval of the first disease-modifying therapy (DMT) for MS finally gave people with MS a treatment option. Today, you can choose from among 20 DMTs, and the MS team at Cleveland Clinic Nevada can expertly guide you through your treatment options, because Cleveland Clinic has been involved in developing each of these innovative therapies.

At Cleveland Clinic Nevada, our work in MS doesn’t stop with new drug approvals. We continue to study the effectiveness of those treatments in a real-world setting to better understand how they work for people like you — and how long you’ll need to continue using them.

We are also focused on the whole person. Beyond MS treatments, our clinical researchers consider co-existing conditions, such as anxiety and depression, and study their role in MS diagnosis.

By choosing Cleveland Clinic Nevada, you too, can take part in moving the field of MS therapies forward.

“We have a good balance. I don't just take care of her, she takes care of me, too. I want to help give her the amazing life she's given me."

Read Alison & Tylor's Story.

For every care(giver).

For every person with MS, caregiver, care partner, care pair, team “We’ve got this.” At Cleveland Clinic Nevada, we’re here not only for you as a person with MS, but also for your entire network of friends and family who support you along your journey.

We’re more than a “doctor’s office.” We offer free educational, therapeutic and support programs online daily, and in-person options, too. Why? Because knowledge is power, and education makes for better outcomes.

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Roy Miller, MD

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Roy Miller, MD

Additional Resources:

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Roy Miler, MD

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Dolore magna aliqua. Quis ipsum suspendisse ultrices gravida. Risus commodo viverra maecenas accumsan lacus vel facilisis. Lorem ipsum dolor sit amet, consectetur. Tityre, tu patulae recubans sub tegmine fagi dolor. Quae vero auctorem tractata ab fiducia dicuntur. Salutantibus vitae elit libero, a pharetra augue. Quam diu etiam furor iste tuus nos eludet? Quisque placerat facilisis egestas cillum dolore. Contra legem facit qui id facit quod lex prohibet. Praeterea iter est quasdam res quas ex communi. Fabio vel iudice vincam, sunt in culpa qui officia. Ambitioni dedisse scripsisse iudicaretur.

Inmensae subtilitatis, obscuris et malesuada fames. Paullum deliquit, ponderibus modulisque suis ratio utitur. Nihil hic munitissimus habendi senatus locus, nihil horum? Qui ipsorum lingua Celtae, nostra Galli appellantur. Pellentesque habitant morbi tristique senectus et netus. Etiam habebis sem dicantur magna mollis euismod.

Cum ceteris in veneratione tui montes, nascetur mus. Morbi fringilla convallis sapien, id pulvinar odio volutpat. Lorem ipsum dolor sit amet, consectetur adipisici elit, sed eiusmod tempor incidunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation. Quid securi etiam tamquam eu fugiat nulla pariatur.

Cum sociis natoque penatibus et magnis dis parturient. Cras mattis iudicium purus sit amet fermentum. Magna pars studiorum, prodita quaerimus. Curabitur est gravida et libero vitae dictum. Ullamco laboris nisi ut aliquid ex ea commodi consequat.

Roy Miler, MD

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Dolore magna aliqua. Quis ipsum suspendisse ultrices gravida. Risus commodo viverra maecenas accumsan lacus vel facilisis. Lorem ipsum dolor sit amet, consectetur. Tityre, tu patulae recubans sub tegmine fagi dolor. Quae vero auctorem tractata ab fiducia dicuntur. Salutantibus vitae elit libero, a pharetra augue. Quam diu etiam furor iste tuus nos eludet? Quisque placerat facilisis egestas cillum dolore. Contra legem facit qui id facit quod lex prohibet. Praeterea iter est quasdam res quas ex communi. Fabio vel iudice vincam, sunt in culpa qui officia. Ambitioni dedisse scripsisse iudicaretur.

Inmensae subtilitatis, obscuris et malesuada fames. Paullum deliquit, ponderibus modulisque suis ratio utitur. Nihil hic munitissimus habendi senatus locus, nihil horum? Qui ipsorum lingua Celtae, nostra Galli appellantur. Pellentesque habitant morbi tristique senectus et netus. Etiam habebis sem dicantur magna mollis euismod.

Cum ceteris in veneratione tui montes, nascetur mus. Morbi fringilla convallis sapien, id pulvinar odio volutpat. Lorem ipsum dolor sit amet, consectetur adipisici elit, sed eiusmod tempor incidunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation. Quid securi etiam tamquam eu fugiat nulla pariatur.

Cum sociis natoque penatibus et magnis dis parturient. Cras mattis iudicium purus sit amet fermentum. Magna pars studiorum, prodita quaerimus. Curabitur est gravida et libero vitae dictum. Ullamco laboris nisi ut aliquid ex ea commodi consequat.

Roy Miler, MD

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Dolore magna aliqua. Quis ipsum suspendisse ultrices gravida. Risus commodo viverra maecenas accumsan lacus vel facilisis. Lorem ipsum dolor sit amet, consectetur. Tityre, tu patulae recubans sub tegmine fagi dolor. Quae vero auctorem tractata ab fiducia dicuntur. Salutantibus vitae elit libero, a pharetra augue. Quam diu etiam furor iste tuus nos eludet? Quisque placerat facilisis egestas cillum dolore. Contra legem facit qui id facit quod lex prohibet. Praeterea iter est quasdam res quas ex communi. Fabio vel iudice vincam, sunt in culpa qui officia. Ambitioni dedisse scripsisse iudicaretur.

Inmensae subtilitatis, obscuris et malesuada fames. Paullum deliquit, ponderibus modulisque suis ratio utitur. Nihil hic munitissimus habendi senatus locus, nihil horum? Qui ipsorum lingua Celtae, nostra Galli appellantur. Pellentesque habitant morbi tristique senectus et netus. Etiam habebis sem dicantur magna mollis euismod.

Cum ceteris in veneratione tui montes, nascetur mus. Morbi fringilla convallis sapien, id pulvinar odio volutpat. Lorem ipsum dolor sit amet, consectetur adipisici elit, sed eiusmod tempor incidunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation. Quid securi etiam tamquam eu fugiat nulla pariatur.

Cum sociis natoque penatibus et magnis dis parturient. Cras mattis iudicium purus sit amet fermentum. Magna pars studiorum, prodita quaerimus. Curabitur est gravida et libero vitae dictum. Ullamco laboris nisi ut aliquid ex ea commodi consequat.

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Learn more

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Dolore magna aliqua. Quis ipsum suspendisse ultrices gravida. Risus commodo viverra maecenas accumsan lacus vel facilisis. Lorem ipsum dolor sit amet, consectetur. Tityre, tu patulae recubans sub tegmine fagi dolor. Quae vero auctorem tractata ab fiducia dicuntur. Salutantibus vitae elit libero, a pharetra augue. Quam diu etiam furor iste tuus nos eludet? Quisque placerat facilisis egestas cillum dolore. Contra legem facit qui id facit quod lex prohibet. Praeterea iter est quasdam res quas ex communi. Fabio vel iudice vincam, sunt in culpa qui officia. Ambitioni dedisse scripsisse iudicaretur.

Inmensae subtilitatis, obscuris et malesuada fames. Paullum deliquit, ponderibus modulisque suis ratio utitur. Nihil hic munitissimus habendi senatus locus, nihil horum? Qui ipsorum lingua Celtae, nostra Galli appellantur. Pellentesque habitant morbi tristique senectus et netus. Etiam habebis sem dicantur magna mollis euismod.

Cum ceteris in veneratione tui montes, nascetur mus. Morbi fringilla convallis sapien, id pulvinar odio volutpat. Lorem ipsum dolor sit amet, consectetur adipisici elit, sed eiusmod tempor incidunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation. Quid securi etiam tamquam eu fugiat nulla pariatur.

Cum sociis natoque penatibus et magnis dis parturient. Cras mattis iudicium purus sit amet fermentum. Magna pars studiorum, prodita quaerimus. Curabitur est gravida et libero vitae dictum. Ullamco laboris nisi ut aliquid ex ea commodi consequat.

S14 - A: Nullam in enim ullamcorper, efficitur dui a, fermentum erat. Cras in massa eget nisi imperdiet hendrerit vel interdum tellus. Ut pellentesque neque ipsum, quis fringilla nisl volutpat vel. Cras et luctus ipsum, quis blandit ligula. Morbi elementum tincidunt nibh eu lobortis. Ut consectetur ut libero sed sagittis.

Learn more

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To make an appointment with a minimally invasive and robotic spine surgery specialist, please call 330.665.4100.


“We have a good balance. I don't just take care of her, she takes care of me, too. I want to help give her the amazing life she's given me."

Read Alison & Tylor's Story.


For Raul, a second opinion meant a second diagnosis, but also a second chance to get his immune system in check and return to hiking.

Read Raul's Story.


Margo was among the first to try a disease-modifying therapy when the concept was introduced in the 1990s. That decision to actively manage her MS continues to pay dividends today, and physical therapy has become her preferred prescription for maintaining an active lifestyle.

Read Margo's Story.

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Roy Miler, MD

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Preston_Gordon_068448_L.jpg

Roy Miler, MD

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Roy Miler, MD

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Cleveland Clinic Children’s Hospital for Rehabilitation

Address:
18101 Lorain Ave
Cleveland, OH 44111

Hours:
Open 24 hours

Phone:
(216) 476-7000

Emergency room:
Open 24 hours

Cleveland Clinic Children’s Hospital for Rehabilitation

Address:
18101 Lorain Ave
Cleveland, OH 44111

Hours:
Open 24 hours

Phone:
(216) 476-7000

Emergency room:
Open 24 hours

Cleveland Clinic Children’s Hospital for Rehabilitation

Address:
18101 Lorain Ave
Cleveland, OH 44111

Hours:
Open 24 hours

Phone:
(216) 476-7000

Emergency room:
Open 24 hours

Location Map

To make an appointment with a minimally invasive and robotic spine surgery specialist, please call 330.665.4100.

For every symptom. For all disease-changing research. For resources to support everyone on your team MS.

Choose Cleveland Clinic Nevada.

For more information or to schedule an appointment, call 702.483.6000 or visit ClevelandClinic.org/NevadaMS

How can I schedule an appointment?

To schedule an in-person or virtual appointment with a Center for Spine Health specialist, please call 216.636.5860 or complete the form below to receive an appointment scheduling call from the Center for Spine Health.