Back Pain

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Most of the episodes of back pain resolve in a couple of weeks with rest and over-the-counter medications such as Ibuprofen or Tylenol. If the pain keeps recurring, then people should seek medical attention.

Common causes of back pain include:

Herniated disc | Facet Joint DiseaseSciatica | Sacroiliac Joint Disease | Motor Vehicle Accident


Herniated Disc

Herniated or ruptured discs can occur when the rubbery discs between the spinal bones (vertebrae) become compressed and bulge outward or rupture (herniation), causing back pain, leg pain and sciatica

This condition is commonly treated with Epidural Steroid Injection (ESI). In certain severe cases, part of the disc may need to be cut-out, a procedure known as Discectomy.


Spinal Joint Disease

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Spinal or Facet joints are the joints that connect adjacent spinal bones (vertebrae). These joints commonly develop disease by years of repetitive strain, disc degeneration or minor trauma. This can lead to back and leg pain.

This condition is commonly treated with Medial Branch Block usually followed by Radiofrequency Ablation if Medial Branch Block is effective. 


Sciatica

Sciatica is a set of symptoms that occur when either the the nerve roots of the sciatic nerve or the sciatic nerve itself is compressed or irritated. This leads to shock-like or burning low back pain combined with pain through the buttocks and down one or both legs, occasionally reaching the foot.

This condition is commonly treated with Epidural Steroid Injection (ESI).  Occasionally discectomy might be needed. 


Sacroiliac Joint Disease

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Sacroiliac Joints in the pelvis connect the tail bone at the bottom of the spine (Sacrum) with the pelvic bone (Ilium). Each joint contains nerve endings that can cause significant pain if the joint is damaged or loses the ability to move properly.

The treatment options include Sacroiliac Joint Injection followed by Radiofrequency Ablation 


Spinal Canal  Narrowing

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Narrowing or stenosis of the central spinal canal or narrowing of the space from where the spinal nerves exit the spine can lead to pain, numbness or weakness of arms or legs.  

Epidural Steroid Injection (ESI) can offer symptomatic relief. Occasionally discectomy might be needed. Surgery may be an option in patients that don't respond to minimally invasive treatment option.


Treatment Options