Back Pain

Back pain can range from the upper back to the upper buttocks. The pain’s intensity can range from mild to severe, with severe pain likely hindering mobility and daily functions. Numerous factors can contribute to the development of back pain including herniated discs, spinal stenosis, and degenerative disc disease. Additionally, acute pain can arise from strained muscles, sprained ligaments, and suboptimal postural alignment. Sedentary lifestyles, excessive body weight, and psychological factors such as stress can also exacerbate and perpetuate back pain.

Conditions

Treatments

Ankylosing Spondylitis

Ankylosing spondylitis is inflammatory (auto-immume) arthritis of the spine and the sacroiliac joints. It often starts as a dull pain in the lower back or buttocks that is improved with activity. As the disease progresses, patients lose range of motion in the spine, leading to more severe stiffness and pain. Ankylosing spondylitis has a very strong genetic component (90+% have the HLA-B27 genotype) and is more common in men than women.

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Treatments

Arthritis

Arthritis refers to inflammation of a joint and/or joint pain. There are many different types of arthritis and, over time, the symptoms may become more and more severe, leading to loss of range of motion and/or inability of the joint to support weight.

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Treatments

Cervical Disc Herniations

Disc degeneration or acute injury can cause the nucleus to herniate into the spinal canal or the neural foramen.

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Coccyx (Buttock) Pain

The coccyx is the end of the spine, just below the sacrum. The human coccyx is often considered a vestigial remnant or corollary of a tail; thus, the coccyx is referred to as the tailbone. Coccyx pain or coccydynia is pain at the tailbone.

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Treatments

  • NSAIDS
  • Physical Therapy
  • Coccyx Injections

Degenerative Joint Disease

Degenerative joint disease, also known as osteoarthritis, is a prevalent and chronic condition that affects millions of people worldwide. It is the most common form of arthritis and occurs when the protective cartilage that cushions the joints gradually breaks down. This leads to joint pain, stiffness, and reduced mobility.

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Treatments

Joint Pain

Joints are ubiquitous in the human body as they are involved in movement of the spine and extremity. Joints play a crucial role in the kinematics of the human body as they are involved with movement and also help in unloading sheer pressure and weight of the body.

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Treatments

Lumbar Disc Herniations

Disc degeneration or acute injury can cause the nucleus to herniate into the spinal canal or the neural foramen.

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Lumbar Spinal Stenosis

Lumbar Spinal Stenosis is a common medical condition that affects the lower back, specifically the lumbar region of the spine. This condition occurs when the spinal canal narrows, putting pressure on the spinal cord and nerve roots. The resulting symptoms can range from mild discomfort to severe pain and disability.

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Treatments

Multifidus Dysfunction

The multifidus muscle is the key stabilizing muscle in the lower back. A single injury to the back can cause impaired muscle control of the multifidus. This lack of muscle control can decrease the spine’s functional stability, leaving the spine susceptible to further injury and overloading. Restoring the neuromuscular control of the multifidus muscle can stabilize the spine, thereby increasing function and decreasing pain.

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Muscle Spasms

Muscle spasms are painful, involuntary skeletal muscle contractions associated with abnormal electrical activity.

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Post Laminectomy/Failed Back Surgery Syndrome

Lumbar post-laminectomy syndrome (failed back surgery syndrome) means that a patient continues to experience significant pain after they have had a spine surgery.

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Posterior Element Pain

The interspinous ligaments of the lower cervical and upper thoracic spine and their associated muscles are susceptible to the development to the development of acute and chronic pain symptomatology following overuse. It is thought that bursitis is responsible for this pain syndrome.

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Treatments

Radiculopathy

Radiculopathy is dysfunction of a spinal nerve root (or roots) that results in pain, numbness, tingling, or weakness in either your arm or leg depending on which nerve root(s) are involved. When radiculopathy is present in the lumbar nerve roots, it produces sciatica; in the cervical nerve roots, it produces pain, numbness, tingling, and weakness in the shoulder, arm, wrist, and hands.

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Sacroiliac Joint Pain

Sacroiliac joint pain is a common cause of lower back and buttock pain. The sacroiliac joint connects the sacrum (the triangular bone at the base of the spine) to the ilium (part of the pelvis). When this joint becomes inflamed or irritated, it can lead to discomfort and limited mobility.

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Treatments

Spinal Compression Fractures

When a bone in the spine collapses, it is called a vertebral compression fracture. These fractures happen most commonly in the lower thoracic and lumbar spine.

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