In Pain? Get an expert consult today.

What Hurts?


Back and neck problems affect how the rest of the body functions. We can diagnose your back and neck conditions and recommend the best treatment options for you. Non-surgical treatments are always the first to be considered, but minimally-invasive surgery is also available if you have a more complicated condition.

WhetShoulderher you are dealing with a chronic condition that has developed over time, or you went through sudden trauma that has injured your joint, we will help relieve your pain through the least invasive treatment options possible. Before you know it, you will be on the road to recovery.


Joint pain can make day-to-day activities seem impossible. While some conditions can be treated with non-surgical treatment, others may only improve with surgery. We strive to find the least invasive treatment options possible, and only recommend surgery if it has significant potential at improving your joint problem.

Whether your hand problem results from trauma associated with new injuries, complications of old injuries, arthritic conditions, congenital abnormalities, nerve compression disorders (such as carpal tunnel syndrome), or abnormal growths, you can depend on Vital Orthopedic & Spine Institute  to treat your condition with expertise and care.


Overuse, injury, and normal wear can all cause a number of symptoms in the hip and pelvis area. While resting can improve the symptoms, other injuries may require more advanced treatment, such as injections, total hip replacement, orthoses, or surgery. We can help you find the best treatment for your specific hip and pelvis issues, often utilizing minimally-invasive options to minimize downtime.


The knee is a very problematic joint especially prone to injury, due to the significant force applied when playing sports. It can develop problems from wear or overuse, which can create the need for surgical intervention. If you experience pain or discomfort in your knee, you should consult a medical professional to learn of the cause. By doing so, you can understand what the best form of treatment is and how to prevent your problem from worsening.


Minimally-invasive foot and ankle procedures will help you get back to your normal activities with the least amount of downtime possible. Your feet and ankles support the entire weight of the body, as well as additional stress, they are one of the most commonly injured areas. Seek orthopedic attention if you experience abnormal sensations or pain to keep your joints healthy and working properly.

Maximum Vitality. Minimum Pain.

For me this is not a slogan, IT IS A PROMISE.

I understand how pain can affect every aspect of your life whether it limits you in your workplace or in your everyday life. I know how frustrating it can be not being able to do the things you like with the people you love.

My main goal is to use minimally invasive procedures to help you recover quickly and with little discomfort.

Maximum Vitality. Minimum Pain.

— Robere Missirian MD


Dr. Missirian is a Board certified, experienced Orthopedic Surgeon who has been treating injured patients for 20 years with a multi-modality clinical approach. He believes that patient care begins with conservative, non-surgical treatment with physical therapy, rehabilitation, medications, trigger point injections and bracing, followed by more invasive treatment such as pain management and surgery when appropriate.

In 1988, Dr. Missirian obtained a Bachelors of Science in Biology from the University of Southern California. Four years later, he obtained his M.D. from George Washington University in Washington DC. In 1997, he completed his orthopedic surgery residency in Long Island, NY and the following year he started his private practice in Los Angeles, CA, ultimately expanding to 10 clinics and a surgery center. In 2014, he and his family moved to Florida where he established the Vital Orthopedic & Spine Institute.

What Our Patients Are Saying About Us


|| Thank you for all your help after my car accident! I feel great because of you ||


Mrs. Doris Halloway

|| Wonderful staff, very professional. Made me feel very comfortable ||


Andre Graham

|| Thanks to Vital Ortho the pain in y neck is gone, I am over 95% cured after a scary accident ||


Thank you Vital!

In Pain? Get an expert consult today.

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