Low Back Pain

Low Back Pain

Almost everyone will suffer some form of lower back pain during their lifetime. It is the most common cause of job-related disability, according to the National Institute of Neurological Disorders and Stroke. This often debilitating pain interferes with every aspect of daily life, from tasks as simple as getting dressed, to preparing meals, to sitting in a chair, let alone the more strenuous activities like sports and exercise or recreation.

Lower back pain may resolve itself in a short period of time with little to no intervention. However, persistent low back pain which does not resolve requires evaluation. As with many painful conditions, a consultation with a medical professional can determine whether the pain may be treated medically or surgically. However, chronic pain that does not or will not respond to these treatments may be a candidate for a pain management program that incorporates a multidisciplinary approach.

Common Lower Back Pain Conditions

Lumbar Stenosis
This condition is associated with radiating pain down the legs and feet, numbness, pain, and feelings of weakness. These symptoms are the result of the narrowing of the spinal canal. This narrowing causes compression of nerves, which control sensation and movement. There are multiple treatment options for this condition.

Lumbar Facet Pain
One of the most common causes of low back pain is facet joint disorder. These facet joints in the low back become inflamed and can cause excruciating pain. Bending, twisting, and even the motion of walking can be unbearable when the condition is acute. The pain can radiate into the buttocks and legs, mimicking a disc condition. Pain management is crucial for patients experiencing this kind of condition.

Lumbar Strain
Everyone experiences lower back strain to varying degrees. The routines of our daily lives can place stress and strain on the low back with things like lifting children, doing yard work, or sometimes just from sitting in the same position for extended periods of time. When this strain occurs, the muscles of the low back become inflamed, a natural response to strain. The muscles will tighten, adding to the sensation of discomfort, and when they do not relax, the low back discomfort can become painful and progressively worse if not treated. There are several treatment options available for lumbar strain.

Sacroiliac Joint Dysfunction
The sacroiliac joints are found in the lower back joining the spine and the pelvis. Strain to the sacroiliac joints, often the result of excessive stress to the region, can result in excruciating pain. Inflammation in the sacroiliac joint can radiate pain into the upper leg, making walking or sitting next to impossible. Carolinas Pain Center offers several treatment options for sacroiliac joint dysfunction.

Piriformis Syndrome
Piriformis syndrome, a neuromuscular disorder, affects the sciatic nerve which begins in the lower back and runs through the buttocks and down in the legs. Through normal wear-and-tear of the hip and leg motions, or due to trauma or excessive pressure, the piriformis muscle can constrict the sciatic nerve. Patients with piriformis syndrome describe it as painful, with a numb sensation, often accompanied by weakness in the affected leg. Consultation with a pain management specialist will help determine the best course of action for managing this pain.

Coccydynia
The coccyx, or tailbone, is made of several fused vertebrae. When these vertebrae experience injury or strain of their connective tissues, they become inflamed and painful. Sitting may be a very unpleasant or painful experience for patients with this syndrome. Evaluation by a pain management specialist is essential to determine the best course of treatment.

2 Responses to Low Back Pain

  1. II can’t say enough about Dr. Joanne Wroblewska. I have degenerative disc disease, facet joint arthritis, left hip pain, Spondylitis, and siatica. I have had lower back pain for about 15 years, only the last 6 -8 years has it been chronic. The pain interfered in my everyday life. I couldn’t sit, stand, or walk for any longer than 15 – 20 minutes. I lost 2 jobs because of it, fought with my husband constinly, couldn’t go grocery shopping, or sit in the car for any length of time. I thank God that I found this pain center. Dr. Joanne explained why I was in so much pain. She suggested a treatment plan, starting with the Edidural injections to see if that would give me relief. I was in less pain after my injections. The injections were less painful than a bee sting. Dr. Joanne takes her time, explains what she is doing, and tells you what you will fell during the procedure. The pain gradually returned, and Dr. Joanne next course of treatment is Radio Frequencey Ablasion. No surgury, non invasive, and Dr. Wroblewska is waiting to hear back from my insurance to see what they will cover. Most doctors would do the procedure if its covered, but Dr. Joanne takes the extra step to let me know what my out of pocket would be. I have seen Megan on appointments where no procedure was being done. She is awesome, very sweet, knowledgable, and can answer any question. If she is not sure, she will find out before you leave. I was indroduced to Dr. Shah, and again, what a kind, pleasant and caring doctor. There are so many words I can use to describe how WONDERFUL the doctors, the PA ‘s, and the entire staff is, I hope I made my point. I would and have recommended Carolina Pain Center to anyone dealing with any kind of chronic pain. It will be the best thing you can do for yourself, relieving and soon getting rid of the chronic pain you thought you would have to just live with.

  2. [ have had eight operation on my back, I screws going from the top of my back to the tail bone. I have sever chronic pain from my spine about everyday, from the point that it comes the lower back, then to top across the shoulders runs down into the hips through the legs to my toes with numbing pain and also deal with having spasms. The spasms be in toes and legs also moves into lower back. Have restriction as far as no standing up for 2 minutes, no riding for long period of time, no bending and no mopping the floor. I also have home health aide that comes out to my house and assist me. Some problem with getting in the tub and bend over trying to put my pants or shoes on.

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