Back Pain

Disc Pain

Disc pain may occur when a patient has a symptomatic degenerated disc (one that causes neck, mid or low back pain or other symptoms). It is the disc itself that is painful and is the source of pain. This type of pain is typically called axial pain.

Herniated Disk

Disks are Mother Nature’s shock absorbers located between the vertebrae. A herniated disk is the pushing out of the disk out of its normal anatomical position.

Herniated disks may cause headache, neck, arm, mid-back, chest wall, lower back or leg pain and/or numbness. Either the herniated disk or leaking nucleus pulposis can cause irritation of the nerve roots passing near the disk. Disk’s may herniate through vigorous physical activities, trauma, or just spontaneously. Usually patients will not need surgery for herniated disks.

Tail-bone Pain, Coccydynia

Coccydynia is pain in the area of the coccyx (tail-bone). Coccydynia may be caused by direct pressure from sitting, trauma to the area, or muscle spasms in the pelvic floor region. To resolve the persistent pain not amenable to conservative treatment often ganglion of impar, coccygeal, and hypogastric plexus nerve blocks are needed.

DISORDER
  • Sacroiliitis
  • Iliolumbar Syndrome
  • Myofascial (Quadratus Lumborum Muscle)
  • Myofascial (Gluteus Medius Muscle)
  • Myofascial (Piriformis Muscle)
  • Facet Syndrome
  • Trochanteric Bursitis
  • Interspinous Ligamentous Syndrome

SYMPTOMS
  • Low back pain & buttock pain If severe may radiate to posterior thigh
  • Pain across back with referred leg pain
  • Back pain, hip, buttock, abdomen, or groin pain
  • Low back or buttock pain during activity
  • Low back pain, groin, perineum, buttock, hip pain
  • Aching low back pain with referred pain to the leg
  • Aching/burning back pain in high lateral of thigh
  • Widespread aching in trunk and pelvis; worse in A.M; chronic fatigue

PHYSICAL SIGNS
  • Joint tenderness to palpation
  • Tenderness/pain with lateral bending
  • Tenderness below and close to the 12th rib/side of spine
  • Tenderness above hip with painful sensations along side of leg
  • Localized tenderness at tailbone
  • Increasing back pain with bending sideways or backwards at the waist
  • Increasing back pain with bending sideways or backwards at the waist
  • Increasing back pain with bending sideways or backwards at the waist

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