NOSS; Neurosurgery, Orthopaedics & Spine Specialists, PC

NOSS; Neurosurgery, Orthopaedics & Spine Specialists, PC Connecticut's leader in neurosurgery and orthopaedic surgery.

02/18/2026

Most patients who come to NOSS are not looking for big promises. They are looking for clarity. They want to know what is actually happening in their spine, what can safely be done, and what recovery might realistically look like. Dr. O’Brien starts there, taking time to walk through the situation and answer questions before jumping to solutions.
At NOSS, Dr. O’Brien works closely with patients dealing with compression fractures and other spinal conditions that can limit movement and disrupt daily life. He focuses on getting an accurate diagnosis and understanding how the injury is affecting stability, posture, and function. Treatment often begins with conservative options like activity guidance, bracing, and pain management, with the goal of supporting healing while keeping patients moving safely. When more advanced care is needed, Dr. O’Brien discusses minimally invasive procedures as one part of a broader plan, not a default next step.
Patients appreciate Dr. O’Brien’s calm, straightforward approach. He explains imaging, outlines options clearly, and makes sure patients understand why a specific path is being recommended. The focus stays on reducing pain, protecting the spine, and helping patients feel steady and confident as they work their way back to everyday activities.

02/16/2026

Staying connected and mentally engaged in the winter is just as important as staying physically healthy. Shorter days, colder weather, and fewer social opportunities can lead to isolation or low energy, so being intentional about connection and mental stimulation can make the season feel more fulfilling.
Maintain social connections. Schedule regular check-ins with friends or family, whether through phone calls, video chats, or small in-person gatherings. Winter is a great time for cozy connections—game nights, shared meals, or walking dates can help maintain strong relationships even when routines slow down.
Engage your mind with purpose. Reading, puzzles, learning a new skill, or taking an online class can keep your brain active and curious. Creative outlets like writing, drawing, cooking new recipes, or playing music also provide mental stimulation and a sense of accomplishment.
Create structure and routine. Having a daily or weekly routine helps prevent the winter months from feeling monotonous. Setting small goals—such as a daily walk, journaling time, or a weekly hobby night—can provide motivation and something to look forward to.
Practice mindfulness and self-reflection. Winter is a natural season for slowing down and turning inward. Mindfulness practices, meditation, or gratitude journaling can support emotional well-being and reduce stress. Even a few minutes a day can help improve focus and mood.
Stay involved in your community. Volunteering, attending local events, or participating in group classes can foster a sense of belonging. Staying connected to a larger purpose helps combat winter isolation and keeps your mind engaged in meaningful ways.
By nurturing relationships, stimulating your mind, and creating intentional routines, winter can become a season of connection, growth, and mental clarity rather than disconnection.

02/13/2026

Not every problem needs a surgical solution, and at NOSS, care does not start with jumping to the most aggressive option. Many patients come in worried that pain automatically means surgery, when in reality there are often effective, lower-impact ways to improve movement and reduce discomfort. The focus is on understanding the issue first and choosing the least invasive path that makes sense for the patient.
At NOSS, Dr. Mashia works with patients who are dealing with musculoskeletal pain, limited mobility, and alignment issues that affect how they move through the day. His approach to chiropractic care is focused on careful evaluation, clear explanations, and hands-on treatment that supports the body’s natural ability to heal. Dr. Mashia takes time to understand how pain shows up in daily routines, then uses targeted adjustments and supportive care to improve movement and reduce strain.
Patients often say they feel comfortable and informed during visits with Mashia. He explains what he is seeing, what he is working on, and how each adjustment fits into the bigger picture of recovery. The focus stays on helping patients move more freely, manage pain more effectively, and feel confident about their care at every step.

02/11/2026

We would like for you to welcome Zoe Riecker, PA-C,to the NOSS team!
Zoe is a Certified Physician Assistant at NOSS with extensive experience in neurosurgical care. She previously spent five years at Georgetown University Hospital, where she advanced to Lead Neurosurgery Physician Assistant and received multiple awards for her dedication to patient-first care, integrity, teamwork, and service.
Zoe earned her Bachelor of Science in Health Sciences from Gettysburg College, graduating Magna Cum Laude, and completed her Master of Medical Sciences in Physician Assistant Studies at Arcadia University, where she also held leadership roles with the American Academy of Physician Assistants. She is known for her compassionate, patient-centered approach, focusing on clear communication, active listening, and collaborative care to ensure patients feel informed and supported throughout treatment.
If you are in need of care from one of our world-class surgeons, Zoe may be the Physician Assistant that helps facilitate your treatment. If you haven’t been seen at NOSS lately request an appointment today by visiting our website at nossmd.com or giving us a call at 203.755.6677.

02/09/2026

February may be one of the coldest months of the year, but it’s also a great time to get creative and stay committed to your health and fitness. Shorter days and winter weather can make motivation dip, so the key is choosing activities that feel fun rather than forced. By mixing movement with seasonal experiences, staying active becomes something to look forward to instead of a chore.
Winter-friendly workouts like indoor cycling, yoga, Pilates, and strength training are perfect for building endurance and flexibility while staying warm. February is also an ideal month to try something new—dance classes, rock climbing gyms, pickleball, or a group fitness challenge can reignite motivation and keep routines fresh. If weather allows, outdoor activities such as brisk walks, snowshoeing, hiking, or even cold-weather running can boost both physical fitness and mental clarity.
Staying fit in February isn’t just about exercise, it’s about overall wellness. Prioritizing balanced meals, staying hydrated, and getting enough rest helps support immune health during peak cold and flu season. Adding small habits like daily stretching, short movement breaks, or mindful breathing can make a big difference in how your body feels. By embracing the season and focusing on consistency over perfection, February can become a strong, healthy foundation for the rest of the year.

02/06/2026

Workers’ compensation injuries can be complex, affecting not only your physical health but also your ability to work, earn income, and maintain peace of mind. At NOSS, we understand the unique challenges that come with work-related injuries and provide comprehensive, coordinated care designed to support both recovery and a safe return to work. Our team focuses on identifying the root cause of your symptoms early, helping to prevent long-term complications and unnecessary delays in care.
NOSS offers a multidisciplinary approach to workers’ compensation, bringing together experienced surgeons, physicians, nurse practitioners, and physician assistants who collaborate closely on each case. Using advanced diagnostic imaging and thorough clinical evaluations, we develop accurate diagnoses and individualized treatment plans. We also work directly with referring providers, case managers, and workers’ compensation insurers to ensure clear communication, proper documentation, and a smooth care process for patients.
Throughout treatment, patients receive clear explanations, timely updates, and guidance at every step. Our goal is not only to treat the injury, but to help patients regain function, confidence, and independence as efficiently and safely as possible. With a focus on quality outcomes and coordinated care, NOSS helps injured workers move forward with clarity, support, and trust in their recovery plan.

02/04/2026

A workplace injury can upend your daily routine, restrict movement, and leave you unsure about what comes next. When pain isn’t properly addressed, it can compromise job safety and lead to lingering issues that affect both your work and personal life. Early, accurate diagnosis is key to protecting your health and supporting a safe, confident return to activity.
At NOSS, you receive a comprehensive evaluation focused on pinpointing the true cause of your symptoms. Our surgeons, nurse practitioners, and physician assistants use advanced imaging and detailed clinical assessments to deliver precise diagnoses. We collaborate closely with referring providers and workers’ compensation teams to ensure your care is seamless, well-coordinated, and easy to navigate. Throughout the process, your comfort, recovery, and understanding remain our top priorities.
Many patients find that this structured, expert-led approach provides clarity and reassurance during a challenging time. You’ll receive clear explanations, prompt communication, and a personalized treatment plan rooted in the highest standards of multidisciplinary care. Our mission is to help you heal safely while feeling informed and supported every step of the way.
If a work-related injury is impacting your ability to perform your job or move comfortably, our team is here to help. A focused evaluation at NOSS can provide the guidance and confidence you need to move forward. Schedule an appointment by calling 203-755-6677 or visiting nossmd.com.

02/02/2026

Patients in Waterbury love Dr. Theera Vachranukunkiet! Our patients say that she is a pleasure to see and our team says she’s a pleasure to work with.
Dr. Vachranukunkiet is a Electrodiagnostic Pain Management Specialist whose work is defined by precision, compassion, and a commitment to helping patients regain function and improve quality of life. As a double board-certified specialist in Physical Medicine & Rehabilitation and Electrodiagnostics, she combines advanced clinical expertise with a thoughtful, patient-centered approach to care.
If you come to NOSS for pain-related issues you will likely spend time with Dr. V, and if you’d like to request an appointment, contact us at 203-755-6677 or visit nossmd.com.

01/30/2026

Dr. Manzo is a trusted and familiar face at NOSS, known throughout the community as being an accomplished Board Certified and Fellowship trained Orthopaedic surgeon. But also Dr. Manzo is known for the way he genuinely connects with his patients. From the first visit, he takes the time to listen, answer questions, and make sure people feel comfortable and understood.
Patients often say they leave appointments feeling informed rather than overwhelmed, with a clear understanding of their care plan and next steps. His board certification and fellowship training provide a strong clinical foundation, but it is his calm, approachable style that truly stands out.
Dr. Manzo creates an environment where patients feel confident asking questions and involved in their own care. That combination of expertise and compassion is why so many patients continue to recommend him to friends and family. To request an appointment with Dr. Manzo, Call 203-755-6677 or visit nossmd.com today

01/28/2026

Persistent headaches, numbness, or weakness can be more than a minor inconvenience—they may signal an underlying neurological condition that requires careful attention. When these issues go unaddressed, they can affect daily life, limit mobility, and, in some cases, lead to more serious complications. Early evaluation by a skilled specialist is essential to protect your health and maintain quality of life.
NOSS neurosurgeons bring advanced expertise to every evaluation and procedure. Using precise imaging and thorough diagnostic assessments, our surgeons work alongside nurse practitioners and physician assistants to identify the exact source of your symptoms. This collaborative, multidisciplinary approach ensures that your care plan is accurate, clear, and tailored to your needs.
Every step of care at NOSS is designed to be smooth and supportive. Our team communicates clearly, coordinates seamlessly with other providers when necessary, and guides you through treatment options with confidence and clarity. Patients benefit from both advanced surgical techniques and the reassurance of coordinated, expert care.
If neurological symptoms are affecting your life, NOSS neurosurgeons are ready to provide the evaluation and guidance you need. Early attention can bring clarity, protect your function, and help you move forward with confidence.
📞 Call 203-755-6677 or 1-800-463-8764, or use our online appointment form to connect with a specialist today.

01/23/2026

The NOSS News For You page is a timely source of medical insights, health tips, and updates straight from the specialists at NOSS. It features accessible articles on topics that matter to patients, from understanding why minor injuries should not be ignored and how to navigate workers compensation after a job injury to maintaining bone health as you age and preventing sports‑related joint issues. Recent posts also highlight community engagement and in‑depth guidance on common conditions like neck pain and arthritis.
Each article is written to help you make informed decisions about your health, with clear explanations of symptoms, causes, and when to seek evaluation from skilled providers. The page reflects NOSS’s commitment to patient education by offering practical advice that supports everyday wellness and long‑term musculoskeletal health.
If you are looking for reliable, patient‑centered information to help you understand pain, injuries, and treatment options, the News For You page at NOSSMD.com is a great place to start. Visit regularly to stay informed and empowered in your care journey with the NOSS team.

01/21/2026

Neck, shoulder, or arm pain can slowly take over your day and make simple movements uncomfortable. At NOSS in Waterbury, Dr. Mashia focuses on identifying the root cause of pain early so it does not progress or interfere with mobility and daily life.
Dr. Mashia’s evaluations can be important for patients because no one wants to be rushed into surgery. We believe in surgery only as a last resort, and many non-surgical therapies such as acupuncture and chiropractic care can be extremely effective.
Through careful evaluation and hands-on chiropractic care, Dr. Mashia creates treatment plans that are focused, practical, and designed for lasting relief rather than short-term fixes. Patients appreciate the time he takes to listen, explain what is happening in their body, and guide them through each step of care.
If pain is limiting your ability to move comfortably, Dr. Mashia and the NOSS team are here to help you get back to feeling stronger, more mobile, and confident in your care. To request an appointment, Call 203-755-6677 or visit nossmd.com today.

Address

500 Chase Parkway
Waterbury, CT
06708

Opening Hours

Monday 8am - 4pm
Tuesday 8am - 4pm
Wednesday 8am - 4pm
Thursday 8am - 4pm
Friday 8am - 12pm

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