Lower Back Pain

Lumbar back is typically classified by the extent of the pain in the back itself and the pain down the legs. Lumbar back pain is usually caused by the joints in your lumbar back, your lumbar back muscles, or the nerves in your lumbar back. 


Treatment, if pain caused by JOINTS (facet arthropathy)

This happens more often than most people realize because the joints in the lumbar back essentially wear down through the course of a human’s lifetime. The pain is a deep gnawing pain that is worst when you move your head side to side. We will first get confirmation of this with a simple X-ray of the lumbar back and go over the results with you. Once we confirm this, we will target the nerves that go specifically go to the joints that are worn down with a diagnostic injection. If this helps, we will semi-permanently turn off the nerves. Part of the goal with helping you with the pain is to also strengthen the muscles so that the stress on the joints is reduced. This is how long-term pain relief and functionality is achieved.


Treatment, if pain caused by NERVES (lumbar radiculopathy)

The nerves in your lumbar back come off the spinal cord and go through a hole (the neuroforamen) in your spine before they go through the legs to your feet. The space around the spinal cord can get tight from the joints and bushings (discs) wearing down and forming scar tissue. This tightening of the space causes the nerves to swell which further increases the pressure. Often, it is sufficient to inject the area with steroids to calm the inflammation down and to strengthen the muscles so that the stress on the joints is reduced. Unfortunately, this has to be done repeatedly while we rehabilitate your muscles. If we are unable to achieve sustained relief, we may need to escalate your care to a neurosurgeon who can create more space for the nerves.


Treatment, if pain caused by MUSCLES

Regardless of the source of your pain, the muscles in your lumbar back will tighten up and have to work extra hard. This wears them down and is similar to having to run a marathon day in and day out. We can help. The key to running a marathon without pain is to get enough sleep and recovery (which we can help with) as we help your muscles handle the extra requirements.

Conditions & Treatments

Head Pain

Facial Pain

Neck Pain

Shoulder Pain

Hand Pain

Chest/Upper Back Pain

Mid-Back Pain

Abdomen Pain

Pelvic Pain

Lower Extremity Pain

Pain All Over