Concierge Medicine of Wichita

Blog

Pain Management

BACK PAIN

How Common is Back Pain?

While it is estimated that four out of five people will experience back pain at some point in their lives, back pain that lasts longer than a few weeks is not normal.

Back Pain Symptoms:

Back pain symptoms may include feelings of muscle ache, stabbing or shooting pain, stiff or limited flexibility in the back or lower back, inability to stand with proper posture and radiating pain down one or both legs.

Where is my back pain coming from?

Muscle Strains - 

Did you know that muscle related pain is one of the most common reasons for overall back pain? It is true. Muscle related pain can be caused by improper lifting techniques, overuse, poor posture or a sudden awkward movement or fall.

Bulging or Herniated Discs - Spinal discs are soft cushions between vertebra. Sometimes, the soft jelly like substance inside the disc can bulge out of place or rupture, putting pressure on the surrounding nerves causing back pain. Disc related pain can be caused by an injury. Interestingly, some people who have bulging or herniated discs will never experience any back pain.

Sciatica - Sciatica refers to pain that stems from the sciatic nerve, a large nerve extending from the lower back down the back of each leg. Sciatica is not a disorder, but a symptom of another underlying problem, such as a spinal stenosis, a pinched/irritated nerve in the lower back or a herniated disc. Learn more about sciatica.

Other Painful Conditions:

If you have spinal stenosis, degenerative disc disease, scoliosis, compression fractures, arthritis or osteoporosis you may also experience pain in the back. These conditions can be treated with conservative, minimally invasive procedures.

Risk Factors for Back Pain:

There are a few factors that can increase your risk of developing back pain, such as: smoking, obesity, age, physical labor, sedentary work and depression.

Preparing for Your Doctor Appointment:

Before you meet with your clinic doctor, take note of some important facts.

Is your back pain the result of an injury?

What movements increase or decrease your back pain?

What are the symptoms you have been feeling?

How long have you had this back pain?

What does your back pain feel like? Dull, aching, stabbing or shooting?

What type of work do you do?

What treatments or medications have you already tried to resolve your back pain?

Diagnosis Testing:

To help determine the cause of your back pain, your provider may ask you a lot of questions and ask for some diagnostic testing. 

Some common diagnostic imaging includes:

X-Ray – an x-ray shows the alignment of the bones in your spine and whether you have any broken or arthritic bones that may be causing pain. Always bring your x-ray images with you to an appointment to help your provider understand your full history.

Magnetic resonance imaging (MRI) or computerized tomography (CT) scans – These tests show images of bone, muscle, tissue, nerves, blood vessels, tendons and ligaments. These tests can show disc herniation, muscle tears, ligament problems and can help your provider understand your back pain. 

Nerve Studies – Electromyography (EMG) – Electromyography (EMG) is a test used to study nerve and muscle function. There are two parts to EMG testing; a nerve conduction study and a needle exam for muscle testing. The nerve conduction study involves stimulating the nerves at different points with small electric stimulation so their function can be measured. The needle exam involves inserting very fine needles into several muscles. These needles pick up both normal and abnormal electrical signals given off by a muscle. The EMG can provide information about the extent of nerve and/or muscle injury and can give some indication as to whether the damage is reversible. An EMG may be performed when the patient has unexplained muscle weakness to distinguish if the problem is in the muscle or if it due to nerve disorders. The EMG can detect abnormal electrical activity of muscles and nerves that can occur in many diseases and conditions, including muscular dystrophy, muscle inflammation, pinched nerves, damage to nerves in the arms and legs (peripheral nerve damage), multiple sclerosis and carpal tunnel syndrome.

Back Pain Treatment Options:

There are a number of treatment options that help reduce back pain, which include:

Epidural Steroid Injection

Discogram

Facet Joint Injection

Trigger Point Injection

Radio-frequency

Neuroablation

Minimally Invasive Posterior Facet Fusion

Sacroiliac Joint Injection.

Brett Curfman