Our Team

The spine specialists at SPINE OPTIONS will coordinate all of your spine care needs. Team members collaborate regularly to offer you the best treatment options. Spine Options brings together a team of medical and holistic professionals who specialize only in disorders of the back and neck. The group offers an impressive array of services and treatments that optimize pain management and the healing process. The expertise of the Spine Options Team, is an excellent resource for both primary care physicians and specialists. The group of professionals offers a unique combination of neck and back pain specialists.

Bradley S. Cash, MD, FAAPMR

Medical Director, Founder

Dr. Cash is a Board-certified physiatrist, or an MD trained in physical medicine and rehabilitation. He does see a variety of patients of any age for any musculoskeletal or neurological condition, but he specializes in back and neck pain. At your first visit SPINE OPTIONS, he performs an extensive evaluation to uncover the cause of your pain. Diagnostic testing is ordered if needed and a treatment planned tailored to the patient’s condition is developed. Then, throughout the course of your treatment plan, he leads the multidisciplinary team that cares for you. He has devoted his career to evaluating and designing treatment programs for individuals suffering from neck and back pain. That is why at SPINE OPTIONS, we routinely treat patients successfully where otherwise conventional treatment has failed. SPINE OPTIONS not only helps patients hoping to avoid surgery, but also focuses on recovery and rehabilitation for those that have completed surgery. As a Pain Management specialist, he is an expert in diagnosing spinal conditions, as well as experienced in managing pain to give your body an opportunity to heal and function at its best level. In addition, Dr. Cash has had extensive training in treating spinal dysfunction, neuromusculoskeletal disorders, and the use of therapeutic BOTOX and other injections. He has served on several national Chronic Pain and Botulinum Toxin Advisory Boards.

Dr. Cash completed his residency in Physical Medicine and Rehabilitation at Mount Sinai Hospital in Manhattan, and served as medical director of Rehab Institute of New York, a large, sub-acute rehabilitation program. He received his medical degree from New York Medical College in 1995 and a BA in Psychology with a Spanish minor from Emory University in 1990. He has maintained several hospital affiliations and an active member of local and national societies. He is a founding Board Member of the New York State Pain Society which is involved both in academic and political issues surrounding his Specialty.

Dr. Cash has years of experience and has expertise in Electrodiagnostic testing as well as various local myofascial and joint injections. He also has advanced skills in BOTOX injections for therapeutic techniques; Cervical Dystonia, Migraine Headaches and Spasticity. He also has specialized training in cosmetic BOTOX as well has Juvederm injections. SPINE OPTIONS does offer various interventional pain management injections to the lumbar and cervical spines under Flouroscopic Guidance by Dr. Lyle Posecion.

Lyle W.F. Posecion, M.D, FAAPMR, DABPM

Interventional Spine Specialist

Dr. Posecion is a board-certified in physical medicine and rehabilitation and board certified in pain medicine. He is a physician trained in the diagnosis and management of spine-oriented pain whether the cause is disease of the nerves, discs, muscles, joints and/or bones. The goal is to promote optimal patient health and function by combining exercise with evidence-based medical treatment.

Originally from Queens, NY, he received his undergraduate degree from New York University. He completed his medical education by interning at Long Island College Hospital, in Brooklyn, NY. He went on to finish a three-year residency in Physical Medicine and Rehabilitation at Kingsbrook Jewish Medical Center in Brooklyn, NY. He continued his training as a fellow in Interventional Spine and Pain Management with the Alabama Orthopedic, Spine, & Sports Medicine Associates in Birmingham, AL.

Dr. Posecion has a special interest in non-operative treatment of neck and back disorders, orthopedic rehabilitation, and sports injuries. He has extensive training and experience in minimally invasive pain management techniques, including epidural steroid injections, facet joint injections, and intradiscal procedures. He also performs electro-diagnostic studies to assist in diagnosing complex cases.

His objective is to work with his patients to design an individualized treatment program tailored to restore function and promote an active lifestyle. Different aspects of a treatment plan may include physical therapy, medications, or x-ray guided steroid injections. He provides non-operative care to patients that suffer with neck/back pain, arthritis, and work/sports related injuries with the intent of adding quality to life.

He is an active member of the New York State Pain Society, the American Academy of Physical Medicine and Rehabilitation, and the International Spine Intervention Society.

Gelsomina Rinaldi, DPT, CKTP

Physical Therapy

Gelsomina Rinaldi, DPT has been an avid fitness enthusiast for over 20 years. As an expert in Manual Techniques and Therapeutic Exercise, she is the Senior Supervisor of Physical Therapy at SPINE OPTIONS. She has been highly trained to focus on Spinal Dysfunction, Rehabilitation and Pain Management using Physical Therapy treatments and modalities. Her goals are to treat acute back pain patients hoping to avoid surgery, chronic pain patients looking to reduce pain and improve function and patients that had recent surgery that are in need of Rehabilitation.

She has an extensive exercise and nutrition background. She completed her undergraduate studies in Nutrition, then went on to pursue her Doctorate Degree at Mercy College in Physical Therapy in 2008 following a long work history employed as a Personal Trainer and Nutrition Consultant. Her completed clinical rotations at Mercy College have included affiliations at Montefiore Children’s Hospital in the Bronx, Beth Abraham Adult Day Care in White Plains, Rye Physical Therapy in White Plains, and ProActive Physical and Hand Therapy in the Bronx. Gelsomina worked as a Clinical specialist at several outpatient practices in Westchester and the Bronx over the last several years and became a Clinical Director. Her skills brought her to the team at Spine Options, and specializing solely in the spine although other body parts are treated when necessary.

Gelsomina is a Certified Kinesiotaping Practitioner, and utilizes kinesiotape as an adjunct to treat her patients. She is also trained in the Graston Technique, and utilizes her special tools to treat adhesions and scar tissue. Gelsomina believes that ‘a body in motion stays in motion’. She utilizes her exercise background to return her patient’s back to function. Gelsomina is also a Clinical Instructor and takes on students from various Physical Therapy programs, including Columbia University. Gelsomina is an active member of the American Physical Therapy Association and the APTA Orthopedic Section. She has studied to complete the Orthopedic Manual Therapy Certification from Maitland Australian Physiotherapy Seminars, and continues studying for the Orthopedic Certified Specialist Certification.

Christopher Brand, PT

Physical Therapy

Christopher Brand has been a practicing Physical Therapist since graduating from the Ithaca College program in 1992. He has several years experience focusing his career on treating patients with Musculoskeletal, Neurological and Spinal Disorders. Since beginning his career at Columbia-Presbyterian Medical Center, Chris has practiced in a number of settings. He has a vast experience evaluating, diagnosing and treating patients with complex problems. He has spent the latter part of his career focusing on outpatient orthopedics and the SPINE. Christopher’s knowledge and skills includes expertise in various treatment philosophies including both the Maitland and McKenzie approach. In addition Christopher incorporates Kinesiotaping techniques and orthopedic manual therapy procedures to address his patient’s both physical and functional limitations as well as treatment of Pain. He joined the SPINE OPTIONS team which allows his to use his expertise and focus on treatment of the most challenging patients. Christopher resides in Westchester County and enjoys spending his free time with his family.

Andrea Wolkenberg, PT, MA, CKTI, MCMT

Physical Therapy

Andrea Wolkenberg,PT, MA, CKTI, MCMT, has been a practicing, licensed physical therapist since 1979. She graduated from the University of Pennsylvania’s School of Allied Medical Professions with a Bachelor’s degree in physical therapy.

She holds a Master’s degree in Medical Anthropology from the New School for Social Research in New York City, and is currently pursuing her Doctor of Physical Therapy at the College of St. Scholastica. In 2001, Andrea became a Certified Kinesio Taping Instructor, and in 2012 she received her Mastery Certification in Manual Therapy from Hands On Seminars.

Andrea has spent most of her career working in outpatient orthopedics and subacute and long term care. Her clinical expertise is in pain management and manual therapy, having taken numerous continuing education courses with James Cyriax, Laurence Jones, John Mennell, Shirley Sahrmann, Stanley Paris, John Barnes, and many others. From 2004 to 2013, Andrea was the Director of Physical Therapy at Spine Options in White Plains, NY, specializing in the conservative treatment of back and neck pain.

Raphel C.Labelson, L.Ac.


A certified Acupuncturist in New York State, Raphel C.Labelson received his B.A in Biology from the University of Delaware. He pursued further studies at South Baylo University in Anaheim, California graduating with a Master of Science in Acupuncture and Oriental Medicine and a B.S. in Holistic Science, with honors in 2000.

In addition, Raphel conducted extensive research and charted an “outcome research project” for Multiple Sclerosis while attending graduate school. Raphel has been practicing acupuncture as a pain management specialist in Manhattan prior to joining the Spine Options team in 2004.

Raphel traveled to China to study at Longhua Hospital Shanghai University of Traditional Chinese Medicine. This is among the oldest TCM clinical centers in China. While there he studied gynecologic conditions, herbs used for cancer, degenerative osteoarthritis and pain syndromes.

Raphel Labelson has found acupuncture to be very successful in relieving pain in patients with low back pain, neck pain, sciatica, carpal tunnel, migraines and other instances of chronic pain.