#1 Florida Center for Back Pain Treatment
First of all, back pain is a symptom of an underlying condition or injury. Acute pain commonly occurs when one or more nerves in the spinal column become impinged or pinched. This is commonly caused by a disc or bone spur pushing into the canal that houses the spinal cord, the cauda equina, and the nerve roots.
At birth, discs are comprised primarily of water, but they tend to dry and shrink as a person ages. When this occurs it causes changes in the spinal column. Further changes can occur when a disc ruptures or herniates (protrudes) because of injury. Very often in response to these changes, tissue around the spinal canal thickens, reducing the space in the spinal canal. This narrowing is commonly called stenosis. Additionally, when the facet joints degenerate, they become larger. Eventually forming spurs, and can pinch the nerve roots or even the spinal cord.
Common Back Pain Causes
Back pain that comes on abruptly and lasts up to six weeks is called acute pain. It can be caused by a fall or lifting a heavy object. When pain persists for more than three months (chronic pain) is not as likely as acute pain.
Below, you will find a list of common causes:
Diagnosing the Pain
Our spine doctors will first examine your back and assess your pain level along with your ability to sit, stand, walk and lift your legs. This information will help your specialist in determining the origin of the pain as well as how it is affecting your normal life. The doctor may recommend imaging tests such as X-rays, MRI or CT scans, blood tests, bone scan, and nerve studies.
While X-rays show bone alignment and whether you have arthritis or fractured bones, MRI or CT scans can reveal herniated disks or other underlying problems with bones, tendons, muscles, nerves, and ligaments.
Common Back Pain Treatment
For acute back pain, your doctor may recommend over-the-counter pain relievers and the use of heat. If home treatments aren’t working after several weeks, your doctor might suggest stronger medications such as muscle relaxants and anti-inflammatories, physical therapy, and/or cortisone injections if the pain radiates down your leg.
If you are unable to function at an acceptable level for your lifestyle, or your neurological deficit is becoming progressively worse in spite of conservative back pain treatment, then surgery may be recommended. In the vast majority of cases, modern spinal surgery is extremely successful in alleviating pain and restoring mobility.
There are a number of different surgical approaches to relieving back pain. The following is a general description of some of the most commonly performed procedures:
- Discectomy – the removal of all or part of the offending disc
- Decompression – the removal of bone spurs
- Corpectomy – the removal of a vertebra
- Fusion – the joining of discs to prevent motion in the affected area
Our team of back pain specialists, led by Dr. Ashish Sahai, 2018 Doctor of the Year and Castle Connolly Top Orthopedic Surgeon, are committed to our patients. You can request a visit at any of our offices in Boca Raton, Deerfield Beach, Coral Springs, and Plantation.