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What Type Of Doctor For Lower Back Pain

Back Pain Treatment In Westlake And Avon Ohio

Relieving Lower Back Pain | Fredrick P. Wilson, DO

Orthopaedic Associates, Inc. has an excellent orthopedic team comprised of 13 board-certified, fellowship-trained surgeons who deeply care for our patients. We take your treatment seriously and will stop at nothing to ensure you find relief.

If you are ready to say goodbye to back pain, call us today at 892-1440 to make an appointment. You can also request an appointment online. We look forward to serving you in our Westlake and Avon clinics!

More Advanced Care Options

Surgery When other therapies fail, surgery may be considered to relieve pain caused by worsening nerve damage, serious musculoskeletal injuries, or nerve compression. Specific surgeries are selected for specific conditions/indications. However, surgery is not always successful. It may be months following surgery before the person is fully healed and there may be permanent loss of flexibility. Surgical options include:

Implanted nerve stimulators

  • Spinal cord stimulation uses low-voltage electrical impulses from a small implanted device that is connected to a wire that runs along the spinal cord. The impulses are designed to block pain signals that are normally sent to the brain.
  • Dorsal root ganglion stimulation also involves electrical signals sent along a wire connected to a small device that is implanted into the lower back. It specifically targets the nerve fibers that transmit pain signals. The impulses are designed to replace pain signals with a less painful numbing or tingling sensation.
  • Peripheral nerve stimulation also uses a small implanted device and an electrode to generate and send electrical pulses that create a tingling sensation to provide pain relief.

Different Types Of Spine And Lower Back Surgery

Mar 28, 2018 | Patient

Whether youve got spondylosis, a herniated disc, spinal stenosis, scoliosis, or chronic back pain, a surgery may be the next move in your health journey. Read on as we break-down the most common types of back surgeries, explain the procedure, and share which back/ spine surgery might resolve your back condition and symptoms.

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Who Gets Back Pain

Anyone can have back pain. You may be more likely to have back pain because of the following:

  • Fitness level: Back pain is more common among people who are out of shape. You may also get back pain if you exercise too hard after not being active for a while.
  • Obesity: If you are overweight or obese, it can put stress on the back and cause pain.
  • Job-related risk factors: Jobs that require heavy lifting, pushing, pulling, or twisting can injure the back. A desk job may also play a role, especially if you slouch or sit all day in an uncomfortable chair.
  • Age: You may have more back pain as you get older, particularly after you turn 45.
  • Family history: Your genes play a role in some disorders that cause back pain.

Working With A Pain Specialist

Which Type of Doctor Should I Visit for Lower Back Pain?

Bring a copy of all your medical records, including any X-rays, to your first appointment. Also have a list of all the medicines you take, including any herbs and supplements. It can help to keep a pain diary, where you write down how you feel each day.

The doctor will examine you and talk to you about your pain. They’ll want to know:

  • Where it hurts
  • How it feels
  • When your pain first started
  • How bad it is
  • What you think may have caused it
  • Any medicines you take for it or other treatments youâve tried
  • What makes it worse or better

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Warning Signs Of Back Pain

Pain and repetitive strain injuries are extremely common if workstations are not set up ergonomically, forcing workers to work with unnatural posture for an extended period of time. Long working hours with unnatural postures can lead to high muscle tension. If the situation deteriorates, workers will feel pain beginning from the shoulder into the neck. Headaches might also occur later, which can indicate cervical spine misalignments. If there is osteophyte growth and nerve roots are irritated or compressed, pain and numbness will emerge along the upper limbs. Dizziness, photophobia and muscle atrophy can develop in severe cases.

Low Back Pain Fact Sheet

If you have had lower back pain, you are not alone. Back pain is one of most common reasons people see a doctor or miss days at work. Even school-age children can have back pain.

Back pain can range in intensity from a dull, constant ache to a sudden, sharp or shooting pain. It can begin suddenly as a result of an accident or by lifting something heavy, or it can develop over time as we age. Getting too little exercise followed by a strenuous workout also can cause back pain.

There are two types of back pain:

  • Acute, or short-term back pain lasts a few days to a few weeks. Most low back pain is acute. It tends to resolve on its own within a few days with self-care and there is no residual loss of function. In some cases a few months are required for the symptoms to disappear.
  • Chronic back pain is defined as pain that continues for 12 weeks or longer, even after an initial injury or underlying cause of acute low back pain has been treated. About 20 percent of people affected by acute low back pain develop chronic low back pain with persistent symptoms at one year. Even if pain persists, it does not always mean there is a medically serious underlying cause or one that can be easily identified and treated. In some cases, treatment successfully relieves chronic low back pain, but in other cases pain continues despite medical and surgical treatment.

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What Research Is Being Done

The mission of the National Institute of Neurological Disorders and Stroke is to seek fundamental knowledge of the brain and nervous system and to use that knowledge to reduce the burden of neurological disease. NINDS is a component of the National Institutes of Health , the leading supporter of biomedical research in the world.

As a primary supporter of research on pain and pain mechanisms, NINDS is a member of the NIH Pain Consortium, which was established to promote collaboration among the many NIH Institutes and Centers with research programs and activities addressing pain. On an even broader scale, NIH participates in the Interagency Pain Research Coordinating Committee, a federal advisory committee that coordinates research across other U.S. Department of Health and Human Services agencies as well as the Departments of Defense and Veterans Affairs.

What Is The Chiropractic Treatment Approach For Low Back Pain

What causes low back pain – Real Pain Doctor Explains
  • Reduce Pain – For both acute and chronic pain, the goal of treatment initially would be to reduce the pain, or to break the pain cycle. As the pain level is reduced, the muscles will relax, reversing the pain cycle. Certain modalities may be employed to provide pain relief and reduce inflammation at this stage, such as interferential current therapy, ultrasound therapy, dry-needling, ice/heat cycle, etc.
  • Restore normal joint mechanics – Depending on the examination findings, your chiropractor will adjust the vertebral joints that are misaligned . A chiropractic spinal adjustment is a high-velocity, low-amplitude force directed to specific joint segment. Sometimes other techniques are also employed to effect the correction, including flexion-distraction, drop table, etc.
  • Improve flexibility and strength To prevent future injuries, it is important to improve the flexibility of the joints and the strength of the core muscles. Your chiropractor will advise you on appropriate stretching and strengthening exercises according to your physical needs and fitness level.
  • Lifestyle adjustments Exercises, diet, working posture, sleep etc. play a vital role in the development and otherwise prevention of low back pain. Your specialist in chiropractic will work with you to identify lifestyle adjustments that will help you maximize the quality of your health.
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    The Importance Of An Accurate Diagnosis

    The physician will need to take a careful medical history and do a physical exam to look for certain red flags that indicate the need for an X-ray or other imaging test. In most cases, however, imaging such as X-ray, MRI , or CT scan is unnecessary.

    There may also be certain clues in a patients medical history. Low back, nonradiating pain is commonly due to muscle strain and spasm. Pain that radiates into the buttock and down the leg may be due to , a condition in which a bulging disc presses on the sciatic nerve, which extends down the spinal column to its exit point in the pelvis and carries nerve fibers to the leg. This nerve compression causes pain in the lower back radiating through the buttocks and down one leg, which can go to below the knee, often combined with localized areas of numbness. In the most extreme cases, the patient experiences weakness in addition to numbness and pain, which suggests the need for quick evaluation.

    A persistent shooting or tingling pain may suggest lumbar disc disease. A pain that comes and goes, reaching a peak and then quieting for a minute or two, only to reach a peak again, may suggest an altogether different cause of back pain, such as a kidney stone.

    When tumor or infection are suspected, the doctor may order blood tests, including a CBC and sedimentation rate .

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    Why Does My Back Hurt

    There are various causes of back pain, including muscle pain with or without muscles spasms, disc pain, joint pain, or nerve pain. In most cases, these are not harmful or dangerous.

    Muscle pain is the most common acute back pain. The period of acute pain is usually limited and may be treated at home or by primary care doctors. Sometimes, these patients may be referred to doctors who specialize in back pain. Some back pain can be a symptom of a more serious problem, like a fracture, infection, or cancer in the spine, said H. Michael Guo, MD, a Duke physiatrist who specializes in spine care. These patients should be seen by spine doctors. Fortunately, spine infections and cancer are very rare and usually only affect people with special risk factors. Spine fractures are also rare and may be associated with thinned spine bones or injuries.

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    Which Way Should You Go

    The wide array of back-pain treatment choices can be daunting, suggests Penney Cowan, executive director of the American Chronic Pain Association. “There is no road map that says turn left here and then turn right here,” says Cowan.

    The advice of a trusted family doctor is a logical place to start your journey. Once a serious problem such as a tumor has been ruled out, back pain treatment is often a collaborative course of treatment. Make sure your general practitioner understands the range of caregivers and the variety of approaches, and start shopping.

    What Do Doctors Do For Back Pain

    Which Type of Doctor Should I Visit for Lower Back Pain?

    Ready for some relief? Its no fun living with chronic lower back pain, and once youre ready to say, I want to find the best lower back doctor near me!, youre on the first step to living a better life. The pain management specialists at the Pain Treatment Specialists will first listen to your concerns, and then determine a care plan that best fits your current condition, level of pain, and diagnosis. Our Ivy League-trained doctors have a wide variety of non-surgical options to provide patients with long-lasting relief from chronic lower back pain. Some of the teams treatments include:

    • Lumbar Radiofrequency Ablation: This treatment involves electromagnetic waves that travel at the speed of light. The wave, which is a form of heat energy, is delivered precisely to the nerve endings that radiate pain. For patients who have not experienced success with nerve blocks or injections, lumbar radiofrequency ablation provides a longer-lasting option of increased mobility and pain reduction.
    • Lumbar Facet Injection: This treatment inject a small amount of local anesthetic or numbing medicine into small joints around the vertebrae. This numbs the facet joints, blocks pain, and provides relief from chronic lower back pain.

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    What Are The Risk Factors For Developing Low Back Pain

    Anyone can have back pain. Factors that can increase the risk for low back pain include:

    Age: The first attack of low back pain typically occurs between the ages of 30 and 50, and back pain becomes more common with advancing age. Loss of bone strength from osteoporosis can lead to fractures, and at the same time, muscle elasticity and tone decrease. The intervertebral discs begin to lose fluid and flexibility with age, which decreases their ability to cushion the vertebrae. The risk of spinal stenosis also increases with age.

    Fitness level: Back pain is more common among people who are not physically fit. Weak back and abdominal muscles may not properly support the spine. Weekend warriorspeople who go out and exercise a lot after being inactive all weekare more likely to suffer painful back injuries than people who make moderate physical activity a daily habit. Studies show that low-impact aerobic exercise can help maintain the integrity of intervertebral discs.

    Weight gain: Being overweight, obese, or quickly gaining significant amounts of weight can put stress on the back and lead to low back pain.

    Genetics: Some causes of back pain, such as ankylosing spondylitis , have a genetic component.

    Smoking: It can restrict blood flow and oxygen to the discs, causing them to degenerate faster.

    Backpack overload in children: A backpack overloaded with schoolbooks and supplies can strain the back and cause muscle fatigue.

    Types Of Doctors That Specialize In Back Pain

    HARVARD TRAINED PAIN DOCTORS | VOTED #1 PAIN CENTER | PAIN TREATMENT SPECIALISTS

    If you have back pain, there are a number of different specialists that can help. Back pain can be caused by a number of different reasons, and as a result, there are a number of different doctors that specialize in treating back pain in different ways. It can be difficult to know which type of doctor to see, so we have compiled a list of some of the most common back pain specialists, in order for you to make a more informed choice about your future treatment.

    If you are experiencing severe pain and feel ready to find the best back pain doctor and book an appointment today, you can jump straight ahead to the bottom of this article and submit a contact form, or give us call at 767-3227. One of our team members will help you identify the best back pain doctor near you.

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    What Doctor Should I See For Back Pain

    If your back pain is from a recent strain or mild injury, your primary care doctor can probably help. But if the pain is severe, ongoing, or accompanied by other symptoms such as numbness or tingling in your arms or legs, it may be time to see a back doctor. Start with someone who specializes in nonsurgical treatment for back pain. This can include a physiatrist, chiropractor, physical therapist, or orthopaedic physician assistant. They can evaluate your condition and offer appropriate treatment to help alleviate your pain. Depending on your circumstances, they might also refer you to another type of back specialist — for example, a pain management specialist or spine surgeon.

    How Is Low Back Pain Diagnosed

    What are the types of back pain? – Dr. Manjunath A

    Along with a complete medical history and physical exam, tests for low back pain may include:

  • X-ray. This test uses electromagnetic energy beams to make images of bones onto film.
  • CT scan. This imaging test uses X-rays and computer technology to make detailed images of any part of the body, including the bones, muscles, fat, and organs. CT scans are more detailed than general X-rays.
  • MRI. This test uses large magnets and a computer to make detailed images of organs and structures in the body.
  • Radionuclide bone scan. This imaging technique uses a very small amount of radioactive material that is injected into the patient’s bloodstream to be detected by a scanner. This test shows blood flow to the bone and cell activity within the bone.
  • Electromyogram . This test checks nerve and muscle function.
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    What Does It Mean If Lower Back Pain Is Shooting Into Legs

    Lower back pain can radiate to other parts of the body: up or down from its place of origin. Sometimes lower back pain can be on one side of the back, which is also normal.

    If the pain is shooting from the lower back into one or both legs, it could be sciatica , but its not always the case. There are many parts in the lower back that may cause the pain to radiate into the legs, such as facet joints, sacroiliac joints, muscles or inflammation of the bursa.

    Arthritis Of The Spine

    Arthritis of the spine the slow degeneration of the spinal joints is the most frequent cause of lower back pain. All of us experience wear and tear as we age, and it is normal for your lower back to start acting up as you get older. As the cartilage breaks down between the spinal joints, surrounding tissues may become inflamed. The inflammation and the thinning of cartilage increase friction in the joints, which may cause pain in the lower back.

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    Can Lower Back Pain Be A Sign Of Something Serious Like Cancer

    Lower back pain can be related to cancer. In fact, it is one of the first symptoms of prostate cancer when it metastasizes and creates lesions. Almost any cancer can spread to the back and some, like sarcoma, can originate in the back. Be cautious, especially if you are experiencing other symptoms besides lower back pain. Talk to your doctor if you have additional symptoms or concerns.

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