Back Pain Causes and Treatment Options | NJ Spine & Orthopedic (2024)

Back pain, often characterized by a shooting or stabbing sensation that radiates down the leg and includes muscle aches, is a common problem affecting millions of Americans. In addition to poor posture, the condition may be brought on by muscle strain, trauma, injury, underlying medical conditions, or stress. While many cases of back pain often resolve on their own or are treatable with conservative interventions, some require specialized care.

Consulting a spine specialist trained to diagnose and treat spine-related conditions is advisable, particularly when dealing with chronic or severe back pain. Our team at can perform an exhaustive assessment, identify the root of the problem, and offer treatment alternatives ranging from non-invasive approaches to advanced surgical procedures.

Common Causes of Back Pain

Several factors may be possible causes of back pain, including:

• Poor posture and overuse can produce pain in the musculoskeletal system, including injury to the joints, bones, ligaments, or tendons (connective tissue). Symptoms of this type of pain are muscle stiffness, soreness, and limited mobility, especially with age.
• Medical conditions like kidney infection, pregnancy, or kidney stones are known to give rise to back pain. Fibromyalgia, in particular, causes fatigue and widespread aching, soreness, stiffness, or gnawing pain, often with sore spots in various parts of the back.
• Back pain can be exacerbated by psychological factors like stress, anxiety, or depression, which triggers tension in the muscles that cause pain and discomfort.

Pain in the back, neck, and spinal cord can have multiple causes, which makes it challenging to identify the underlying cause. In many cases, a combination of factors may be responsible for the pain. Consult a spine health doctor who can help you determine the cause and appropriate treatment plan.

Numerous causes of back pain exist, which is why an accurate diagnosis is critical to determining the underlying factors. A spine specialist evaluates a patient’s medical history, performs a physical examination, and uses various imaging and laboratory tests to diagnose back pain. This approach enables them to precisely identify the source of your pain and advise you on the best treatment option.

During a medical history evaluation and physical examination, the doctor wants to know how long, how severe, and whether the back pain is localized or radicular. They look for symptoms such as numbness, tingling, or weakness. A medical history pinpoints past injuries or conditions that could contribute to the pain.

Specific tests are administered to assess a patient’s posture, range of motion, and muscle strength to rule out or diagnose nerve compression and muscle weakness. X-rays, MRI tests, or CT scans can provide detailed images of the spine to identify dislocations and detect herniated discs, spinal stenosis, or other structural abnormalities that could be causing back pain.

Also, blood tests or urinalysis may be ordered to rule out underlying medical conditions, such as infections or inflammatory disorders, that could be contributing to the pain. A neurosurgeon can order specialized tests such as electromyography or nerve conduction studies to assess nerve function and detect nerve damage or compression due to conditions such as sciatica or spinal stenosis.

The treatment options for back pain vary mainly depending on the severity of the condition. They can include:

• Non-invasive treatments like physical therapy, which are often recommended to strengthen the muscles surrounding the spine and improve the range of motion. Your doctor may recommend a manual spine adjustment with chiropractic care to help alleviate pain and improve mobility.
• Non-steroidal anti-inflammatory drugs that can be helpful with inflammation, and muscle relaxants that are prescribed to patients who need help with muscle spasms. While opioids effectively address severe pain, their use is limited due to the risk of dependence and related side effects.
• Epidural steroid injections, which relieve lower back pain for four or more weeks. A corticosteroid medicine is injected into the epidural space. Patients can also be prescribed nerve blocks, for example, epidural injections that block pain signals from specific nerve(s).
• Alternative therapies, such as massage, yoga, and herbal remedies.
• Surgery, which is usually a last resort for back pain management. It’s only recommended when all the other treatments have failed to provide relief. Common surgical procedures for back pain include intralaminar endoscopic discectomy, a laminectomy, and posterior spinal fusion to remedy lower back pain.

Patients are advised to only work with a spine specialist to determine the best treatment options for their specific back pain condition.

Get Reliable Back Pain Diagnosis and Treatment from NJ Spine & Orthopedic

Back pain can significantly impact a person’s quality of life. Multiple factors, including poor posture, injuries, muscle strain, degenerative conditions, and stress, can cause it. Don’t suffer in silence.

Our skilled spine specialists at offer reliable treatment options using advanced techniques and state-of-the-art technology to diagnose and treat various spine conditions. We also tailor our treatment plans to each patient’s needs and help them achieve long-term relief. Call us today at (866) 553-0612 or complete our online contact form to schedule a consultation and start your journey toward a pain-free life.