Back Pain
Ankylosing Spondylitis
Ankylosing spondylitis is inflammatory (auto-immume) arthritis of the spine and the sacroiliac joints. It often starts as a dull pain in the lower back or buttocks that is improved with activity. As the disease progresses, patients lose range of motion in the spine, leading to more severe stiffness and pain. Ankylosing spondylitis has a very strong genetic component (90+% have the HLA-B27 genotype) and is more common in men than women.
- NSAIDs
- Medication Management
- Injections
- Platelet Rich Plasma (PRP)
- Bracing
- Physical Therapy
- Joint Replacement
Arthritis
Arthritis refers to inflammation of a joint and/or joint pain. There are many different types of arthritis and, over time, the symptoms may become more and more severe, leading to loss of range of motion and/or inability of the joint to support weight.
- NSAIDS
- Medication Management
- Injections
- Platelet Rich Plasma (PRP)
- Bracing
- Physical Therapy
- Joint Replacement
Cervical Disc Herniations
Disc degeneration or acute injury can cause the nucleus to herniate into the spinal canal or the neural foramen.
- NSAIDs
- Medication Management
- Cervical Epidural Steroid Injection
- Physical Therapy
Coccyx (Buttock) Pain
The coccyx is the end of the spine, just below the sacrum. The human coccyx is often considered a vestigial remnant or corollary of a tail; thus, the coccyx is referred to as the tailbone. Coccyx pain or coccydynia is pain at the tailbone.
- NSAIDS
- Physical Therapy
- Coccyx Injections
Degenerative Joint Disease
Degenerative joint disease, also known as osteoarthritis, is a prevalent and chronic condition that affects millions of people worldwide. It is the most common form of arthritis and occurs when the protective cartilage that cushions the joints gradually breaks down. This leads to joint pain, stiffness, and reduced mobility.
- Joint Injections
- Nerve Blocks
- Radiofrequency Ablation (RFA)
- Weight Management
- Assistive Devices
- Medications
Joint Pain
Joints are ubiquitous in the human body as they are involved in movement of the spine and extremity. Joints play a crucial role in the kinematics of the human body as they are involved with movement and also help in unloading sheer pressure and weight of the body.
- NSAIDs
- Steroid Injections
- Joint Tap
Lumbar Disc Herniations
Disc degeneration or acute injury can cause the nucleus to herniate into the spinal canal or the neural foramen.
- NSAIDs
- Medication Management
- Lumbar Epidural Steroid Injections
- Physical Therapy
Lumbar Spinal Stenosis
Lumbar Spinal Stenosis is a common medical condition that affects the lower back, specifically the lumbar region of the spine. This condition occurs when the spinal canal narrows, putting pressure on the spinal cord and nerve roots. The resulting symptoms can range from mild discomfort to severe pain and disability.
- Physical therapy
- Exercise
- anti-inflammatory medications
- Epidural Steroid Injections
- Nerve Blocks
- Vertiflex
- Minimally Invasive Lumbar Decompression (MILD)
- Surgical Intervention
Multifidus Dysfunction
The multifidus muscle is the key stabilizing muscle in the lower back. A single injury to the back can cause impaired muscle control of the multifidus. This lack of muscle control can decrease the spine’s functional stability, leaving the spine susceptible to further injury and overloading. Restoring the neuromuscular control of the multifidus muscle can stabilize the spine, thereby increasing function and decreasing pain.
Muscle Spasms
Muscle spasms are painful, involuntary skeletal muscle contractions associated with abnormal electrical activity.
Post Laminectomy/Failed Back Surgery Syndrome
Lumbar post-laminectomy syndrome (failed back surgery syndrome) means that a patient continues to experience significant pain after they have had a spine surgery.
Posterior Element Pain
The interspinous ligaments of the lower cervical and upper thoracic spine and their associated muscles are susceptible to the development to the development of acute and chronic pain symptomatology following overuse. It is thought that bursitis is responsible for this pain syndrome.
- NSAIDs
- Radiofrequency Ablation
- Posterior Element Blocks
- Physical Therapy
Radiculopathy
Radiculopathy is dysfunction of a spinal nerve root (or roots) that results in pain, numbness, tingling, or weakness in either your arm or leg depending on which nerve root(s) are involved. When radiculopathy is present in the lumbar nerve roots, it produces sciatica; in the cervical nerve roots, it produces pain, numbness, tingling, and weakness in the shoulder, arm, wrist, and hands.
Sacroiliac Joint Pain
Sacroiliac joint pain is a common cause of lower back and buttock pain. The sacroiliac joint connects the sacrum (the triangular bone at the base of the spine) to the ilium (part of the pelvis). When this joint becomes inflamed or irritated, it can lead to discomfort and limited mobility.
- Sacroiliac Joint Injections
- Radiofrequency Ablation (RFA)
- Physical Therapy
- Medications
- Nerve Blocks
- SIJ Fixation
Spinal Compression Fractures
When a bone in the spine collapses, it is called a vertebral compression fracture. These fractures happen most commonly in the lower thoracic and lumbar spine.