Lumbar sprain and Muscle strain are the most common causes.

Lumbar spondylosis; also called arthritis of the back.  This could lead to central or foraminal narrowing as well.  Presents with a stiff neck, if associated with spinal stenosis could have associated weakness or numbness or changes in bowel or bladder.

Degenerative disc disease or Lumbar disc disease:  This could be disc tear/disc bulge/disc protrusion/disc extrusion or sequestration.  Depending on severity this could lead to neurological symptoms as well.

Arthritis of facet joints again goes along with lumbar spondylosis.  This could present pain in the back and side of the hips. 

– Central and foraminal spinal stenosis
– Lumbar radiculopathy (sciatica) or lumbar radiculitis
– Poor posture
– Myofascial pain syndrome
– Fractures
– Cancer or infection

The Key is listening to the patient, having a detailed history, and comprehensive examination.

He also uses investigations including x-rays, MRI scans, CT scans, and EMG nerve conduction studies.  We could also be using nerve blocks to localize pain.

Essentially this depends on the condition that modern presents with.

We are pleased to announce that we use regenerative medicine/Regenexx to help heal injuries and arthritis.

In the setting of sciatica however lumbar radiculopathy, we use epidural steroid injection.

We could also be using facet joint injection or medial branch block followed by radiofrequency ablation for facet joint pain.

We may use a discogram

– We work with physical therapists in formulating exercise plans.
– Medication management enables someone to be functional.
– In recalcitrant cases, we could use a spinal cord stimulator.

At some point, most of us have suffered a back sprain or acute injury. Sometimes this can be ongoing or severe enough to interfere with your activities. 

Common causes or back pain or lumbar sprain, which is an injury of ligaments and joints

– The lumbar strain is an acute injury of the muscles
– Disc tear or disc bulge which is an injury of the lumbar intervertebral disc
– This may be associated with inflammation along the nerve where the pain could run down the leg called sciatica.

Degenerative disc disease which is arthritis in L disc and facet joints

– Facet joint arthritis
– Sacroiliac joint arthritis

Treatment of back pain:

For step, of course, is a comprehensive evaluation of the patient including a detailed history and physical examination and a review of the images.

The good news is that most back pain does not need surgery.

The treatment options include the following:

– Physical therapy focused on improving muscle health which supports and unloads the disc
– Supportive medication management which enables the patient to be functional
– Lumbar radiofrequency ablation or facet joint injection which helped to cut down pain from facet joint origin

Regenerative medicine: Regenexx has a proven record of helping arthritis and injuries heal naturally. Proud to say that we are one of the nearly 90 clinics across the country offering Regenexx treatment. Please visit our Regenexx page to heal without surgery.