Expert Spine Care for a Pain-Free Life
We are committed to providing you with the best medical and healthcare services to help you live healthier and happier.



Montesano Spine & Sport
At Montesano Spine & Sport, we are dedicated to helping patients overcome serious back and neck disorders with expert care and personalized treatment plans. Led by Dr. Pasquale X. Montesano, our clinic offers a full spectrum of spine care solutions, ranging from conservative therapies to minimally invasive procedures and advanced surgical interventions.
Comprehensive services for your health needs

Non-Surgical Treatments
We provide effective non-surgical treatments, including physical therapy, chiropractic care, and massage therapy, to help relieve pain and improve mobility..

Conditions We Treat
Our expertise covers structural spine pathologies, radicular pain, vehicle accident injuries, and spine-related issues caused by slips and falls..

Minimally Invasive Procedures
For advanced care, we offer minimally invasive procedures such as radiofrequency ablation, endoscopic discectomies, and disc replacements to reduce pain and restore function..

Surgical Interventions
In complex cases, we perform surgical interventions, including disc fusions, laminectomies, and decompressions, to provide long-term relief and improve spinal health..
Real experiences exceptional healthcare delivered
Dr. Montesano, reviewed all my lower back issues and is preparing me for all the future steps for surgery.
Additionally, a very organized office with great staff. I highly recommend Dr. Montasano for anyone with back, neck or any orthopedic needs.
The staff all the way down everyone was helpful, knowledgeable & took care of my husband very well.
Feedback after 6 months of surgery.
Patient: A Vilela
DOB: October 31, 1967.
Age: 57 years old
Height: 5.07
Weight: 158 pounds
Surgery: L5/S1 lumbar disc replacement (Prodisc L), July 25, 2024. Sarasota.
Post-operative evolution
After the surgery carried out on July 25, 2024, recovery took place without major efforts until November 2024.
Feeling good, wanting to run again, I made an action plan to run a 5K at a constant speed. I felt so good that I chose not to seek help from physiotherapists.
To help with strengthening, I started using a weight vest which, together with the CamelBack, totals a load of around 19 pounds.
Evolution
- November 2024: Walk 5K to 6K (3.10 to 3.72 miles). Presenting pain in the T8 thoracic spine region during some training and in day-to-day occasions.
- December 2024: walk and run 6k to 8k (3.72 to 4.97 miles), interleaving 5 minutes of walking with 5 minutes of running, 5 to 6 times a week. Presenting two episodes of mild pain in the L5 region during exercise, having stopped running and keeping walking. Also presenting moderate pain with discomfort in the region of the T8 thoracic spine on the right side for more than 10 times but not only during exercise but also in everyday life after physical exercise. There was no pain in the L5/S1 region.
- January 2025: walk and run 6k to 10k (3.72 to 6.21), interleaving 5 minutes of walking with 10 minutes of running, 5 to 6 times a week. There was no pain in the T8 thoracic spine region during training, but during some daily activities such as getting in and out of a car several times a day, there is a lot of torsion. No physical activity in the last week this month due to a strain on my left calf. There was no pain in the L5/S1 region.
- February 2, 2025: Street race, Publix Run and Arts 5K, held in the city of Fort Myers - FL, still wearing a 19 pounds load. Running performed at constant speed without any pain in the spine region as a whole. The journey took 31 minutes, and I felt a muscle strain in the calf of my left leg, which led me to walk the last 100 meters. There was no pain in the L5/S1 region. Mild discomfort in the right back at T8 at the end of the day.
- March 2, 2025: Streat race, Megalodon Weekend 5k, held in the city of Venice – FL, without a weight vest. Running performed at constant speed without any pain. The jorney took 26:35:55. Without discomfort in the right back at T8. There was no pain in the L5/S1 region.
- March 13, 2025: Keeping my focus on activities, today I ran 10K, 1:09:46 and during this activity I continue to use the 19 pound vest, never running less than 5K at least 3 times a week. Without any pain. It's as if I had never had pain in the lower back.
- The photos are from the race held on February 2, 2025, March 2, 2025 and March 13, 2025.
Thanking Montesano Spine & Sport again – Dr Pasquale X. Montesano
I will only see Dr. Montesano here in Florida. I highly recommend him.
He's really a great Dr
Also the cleanliness and the beautiful clinic is beyond expectations. Thank you for all your help 🙏
Meet Dr. Pasquale X. Montesano
Dr. Pasquale X. Montesano is the principal Orthopedic Spine Surgeon at Montesano Spine & Sport. He holds a Bachelor of Science from Siena College and a medical degree from New York Medical College.
With extensive postgraduate training, Dr. Montesano has earned multiple awards, including the Volvo Award in Clinical Science (1998) and the Howmedica Spinal Fixator Grant (1989). He is a Diplomate of the American Board of Spine Surgery Society, a Fellow of the American Academy of Orthopaedic Surgeons, and a Member of the American College of Forensic Examiners.
Our Mission
Helping patients regain function and comfort from serious spine conditions.
Your First Visit
We’ll review your medical history, receive a neurological exam, and explore treatment options with a clear understanding of risks and benefits.

Why Us

Making the Right Treatment Choice
Every treatment option comes with risks and benefits. If surgery is necessary, your physical health and mental outlook play a major role in recovery. Approach your treatment with confidence, realistic goals, and a commitment to healing..

Key Steps for Patients
Stay Informed, Ask Questions, Making the Right Treatment Choice

Take Charge of Your Health
You are the key decision-maker in your healthcare journey. It’s essential to ask questions, understand your options, and actively participate in choosing the best treatment for you.


Making the Right Treatment Choice
Every treatment option comes with risks and benefits. If surgery is necessary, your physical health and mental outlook play a major role in recovery. Approach your treatment with confidence, realistic goals, and a commitment to healing..

Key Steps for Patients
Stay Informed, Ask Questions, Making the Right Treatment Choice

Take Charge of Your Health
You are the key decision-maker in your healthcare journey. It’s essential to ask questions, understand your options, and actively participate in choosing the best treatment for you.
Contact Us
Get in Touch
Office Hours:
Monday – Friday 8:30 – 5:00pm
Emergencies
If you have an emergency after normal office hours, you will be directed to go to the nearest hospital emergency room where you will be evaluated by the emergency room physician. They will be in direct contact with your doctor or the on-call doctor from our office.