Back Pain Management
Understanding Back Pain Management
Back pain is one of the most common medical complaints worldwide. While most acute back pain resolves with conservative care within a few weeks, chronic back pain lasting more than 3 months requires specialized spine surgeon evaluation to accurately identify the anatomical pain generator—whether it is an intervertebral disc, facet joint, sacroiliac joint, or muscle imbalance.
Common Signs & Symptoms
- Dull aching, burning, or sharp pain across the lower back, buttocks, or hips
- Inability to stand up straight or bend forward without discomfort
- Morning stiffness in the lumbar spine that eases with movement
- Muscle spasms that cause severe localized tenderness
Primary Causes & Risk Factors
- Lumbar muscle or ligament strain from lifting or sudden awkward twist
- Degenerative disc disease and internal disc disruption
- Facet joint osteoarthritis
- Poor sitting ergonomics, lack of physical activity, and obesity
Diagnostic Evaluation by Dr. Nitish Agrawal
Conservative Options
- Structured spine rehabilitation, core strengthening, and ergonomics consultation
- Short-term medications (NSAIDs, muscle relaxants)
- Diagnostic and therapeutic facet joint blocks or Radiofrequency Ablation (RFA)
- Trigger point injections for myofascial pain syndrome
Minimally Invasive Surgery
- Surgical intervention is needed in fewer than 5% of pure back pain cases, reserved for documented segmental instability, severe spondylolisthesis, or refractory disc degeneration.
Recovery & Rehabilitation Timeline
Most acute episodes resolve within 2 to 4 weeks with proper physical therapy. Chronic back pain patients achieve significant pain relief through targeted interventional pain management.
Frequently Asked Questions
When should I worry about back pain?
You should see Dr. Nitish Agrawal immediately if back pain is accompanied by fever, unexplainable weight loss, pain radiating below the knee, numbness in the legs, or changes in bowel or bladder control.
Book Consultation
Consult Dr. Nitish Agrawal for Back Pain Management.