Epic Pain Management / (973) 866-0336

Back Pain

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Most episodes of back pain resolve in a couple of weeks with rest and over-the-counter (OTC) medicines such as Motrin or Tylenol. If the pain keeps recurring, then you should seek prompt medical attention.

Causes of Back Pain

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 or sciatica

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

Facet Joint Disease


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 or neck pain.

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



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 or surgery might be needed. 

Sacroiliac Joint Disease


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 

Automobile Accident


Back injury caused by whiplash is the a common injury among car occupants after a motor vehicle accident. This can lead to Chronic Whiplash-Associated Disorder.

Conservative treatment includes Physical therapy. This is usually followed by Epidural Steroid Injection (ESI) or Medial Branch Block if needed.


Spinal Canal Narrowing

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

The treatment of narrowing depends on the cause. Epidural Steroid Injection (ESI) can offer symptomatic relief