Back Pain

Chronic Back Pain

Back pain can come from muscles, discs, nerves, or the small facet joints. We pinpoint the source and build a step-wise plan that helps you move, sleep, and work with less pain.

Back Pain

  • Aching or stiffness after sitting/standing

  • Sharp pain with bending, twisting, or lifting

  • Pain shooting down a leg (sciatica)

  • Pain when walking that eases when sitting or leaning forward

  • Morning stiffness that loosens with movement

  • Focused exam to map pain to muscle, disc, nerve, or facet

  • X-ray for alignment/fracture; MRI when results change next steps

  • Targeted diagnostic blocks (numbing medicine) to confirm the pain generator

Conservative care first

  • Targeted physical therapy, graded activity, posture/ergonomics

  • Medications when appropriate (acetaminophen; short NSAID courses; nerve-pain meds if indicated)

Image-guided options (case-by-case)

  • Epidural steroid injection for disc herniation/radiculopathy or stenosis flares

  • Medial branch blocks → radiofrequency ablation (RFA) for facet-joint pain

  • Sacroiliac (SI) joint injection when SI dysfunction is confirmed

  • Vertebral augmentation (kyphoplasty) referral if a painful compression fracture qualifies

  • Spinal cord stimulation evaluation for post-laminectomy (failed back surgery) pain

Surgical referral when structural repair is clearly the best option

Back Pain Conditions We Treat

Osteoporosis

Bone thinning that can cause painful spinal compression fractures—protect and treat.

Herniated Disc

Shooting leg pain/numbness (sciatica); PT first, epidural if needed.

Degenerative Disc Disease

Age-related disc wear causing stiffness/aches-strengthen, pace load, consider targeted care.

Spinal Stenosis

Narrowed canals causing leg pain/heaviness with walking—flexion-based rehab and selective epidurals.

Scoliosis

Adult spinal curvature with pain or fatigue-core-focused rehab and targeted relief.

Post-Laminectomy Syndrome

Persistent pain after back surgery—optimize rehab, targeted injections, consider spinal cord stimulation.

Compression Fracture

Sudden focal back pain (often with osteoporosis)-brace, bone health; kyphoplasty if appropriate.

Facet Syndrome

Localized back pain worse with extension/rotation-medial branch blocks and RFA for lasting relief.