Causes of Back Pain

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

Common causes of back pain include:

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


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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.


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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 and leg pain.

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


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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. 


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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 


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Spinal Canal Narrowing 

Spinal stenosis is a narrowing of the spaces within your spinal canal that can put pressure on the nerves that travel through the spine. Spinal stenosis occurs most often in the lower back and the neck. Pressure on the spinal cord and nerves can cause pain or numbness with walking and over time leads to leg weakness and sensory loss.


Treatment Options