Back Pain

If you’re experiencing back pain, you’re not alone. Back pain, one of the most common medical conditions in the US, can range from a dull, recurring ache to sharp, sudden pain. At Saint Vincent Hospital, we have back and spine care specialists and neurosurgeons to help relieve your back pain.

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Move Better, Live Better

If back pain already affects the quality of your life, consider getting advanced and personalized back pain treatment at Saint Vincent Hospital. Our back doctors in Worcester, MA will work with you to give you a course of treatment and recovery options, focusing on recommending nonsurgical options first.

However, if non-invasive treatment options do not work, we may perform any of our spine surgery procedures suitable for your case. No matter the cause of your back pain, we can help you determine the best plan of action for your back pain through our skilled, hands-on evaluation and diagnosis.

What Causes Back Pain

Back pain may be caused by structural or medical problems that develop in the spine, muscles, ligaments, tendons or discs in the back. Inflammatory and other medical conditions may also hurt a patient’s back. While certain diseases and traumatic injuries can cause back pain, here are the common causes of back pain:

Improper Body Mechanics
Incorrect Bending or Lifting Techniques
Poor Posture
Poor Physical Condition

Our spine specialists use their clinical expertise for a quick, accurate diagnosis to develop a plan of care that fits your needs. We will exhaust every appropriate treatment option before considering surgery. For instance, our interventional specialists treat back pain with nonsurgical approaches such as medication management and injections.

However, there are cases where prescribed rest, exercise, conditioning programs or physical therapy are insufficient. If a surgical procedure becomes the right choice, our team of spine treatment specialists, including orthopedic specialists and neurosurgeons, are trained to effectively correct problems related to:

Acquired and congenital spinal deformities
Ankylosing spondylolisthesis
Congenital changes to the backbone
Degenerative disc disease
Dislocations and subluxations
Endometriosis
Fibromyalgia
Fractured vertebrae
Herniated or ruptured disc
Inflammatory arthritis affecting the spine
Kidney stones
Mechanical back dysfunction
Osteoporosis
Pregnancy
Scoliosis
Spinal stenosis
Spondylolysis and spondylolisthesis
Sprain
Strain and contusions
Systemic diseases affecting the spine
Traumatic and overuse spinal injuries
Tumors that develop on the spine or other back parts (rare)
Whiplash injuries
Work-related back pain

What Is a Spine Specialist Called?

The types of healthcare providers who will be involved in treating your back pain will depend on the cause of your condition:

Neurologists: treat conditions and disorders affecting the brain, spine and nerves
Neurosurgeons: perform surgery to treat nerve, brain and spinal disorders
Orthopedists: treat and perform surgery for diseases affecting the joints and bones
Pain specialists such as anesthesiologists with specialization in the evaluation, diagnosis and treatment of various pain types
Physical therapists: specialize in strengthening muscles
Primary or family care doctors
Rheumatologists: specialize in treating autoimmune disorders and musculoskeletal disease

When Should You See a Spine Specialist?

Depending on the severity of your back pain, you may feel pain only in a specific spot on your back or pain that radiates to your leg, hip or buttocks. You may experience worsening back pain when lifting, bending, sitting, standing or resting. Some people may feel back stiffness upon waking up with pain that lessens with activity.

You should visit a doctor if your back pain does not improve after a few weeks or if it comes along with fever, difficulty in urinating, unintended weight loss or pain, weakness or numbness in your legs. See a doctor if you feel:

Back pain after an injury or fall
Severe back pain that medication does not improve
Tingling and numbness

Back Pain Treatment

Your doctor may recommend medications to treat your back pain, such as:

Anti-inflammatory drugs
Muscle relaxants
Numbing injections
Over-the-counter or prescription pain relievers

You may use cold packs to relieve some back pain and hot packs to increase blood flow in your back’s muscles and tissues to promote healing. As much as possible, avoid bed rest. Limit exercise or activities that cause pain. Increase physical activity at a pace you can tolerate.

When performing daily activities such as pulling, pushing or lifting, properly move your body. Healthy habits such as relaxation, exercise, regular sleep, quitting smoking and a healthy diet can help prevent back pain.

Physical therapy and exercise may help decrease back pain by strengthening the muscles that support your back and improving your posture, mobility and positioning. Consult with your physician before starting an exercise routine. Here are other alternative and complementary treatments that may relieve your back pain:

Acupuncture: Chinese practice that uses needles to relieve pain
Transcutaneous electrical nerve stimulation (TENS): low-voltage electric currents are used to treat pain
Spinal manipulation: to massage and adjust the spine and muscles

What Are the Different Types of Back Pain Surgery?

Back surgery procedures may be recommended to relieve pain. A doctor must thoroughly assess a patient for surgery, as not everyone may qualify. The type of surgery will depend on a patient’s medical history and the cause of back pain. The doctor will walk a patient through back pain surgery's risks and possible benefits. Here are standard spine surgery procedures:

Disc replacement surgery: a surgeon replaces a damaged spinal disc with a synthetic one
Discectomy and microdiscectomy: relieve pressure on a nerve root or spinal canal by removing part of a herniated disc
Foraminotomy: treats spinal stenosis by cleaning out and widening the area where the nerve roots leave the spinal canal
Laminectomy: the doctor eases pressure on the nerves of the back by removing the bony spurs of a patient with spinal stenosis
Laser surgery: relieves pressure on the nerves by using a laser to reduce the size of a damaged spinal disc
Radiofrequency lesioning: prevents pain signals from reaching the spinal cord
Spinal fusion: treats spondylolisthesis and degenerative disc disease by joining together the spinal vertebrae that have slipped from their original position

How Serious Is Back Surgery?

Back pain surgery can carry higher risks than other surgery types because this procedure is done closer to the nervous system. A patient with successful surgery may still take a long time to recover. Some patients may lose their flexibility permanently.

Treatment That Brings Relief

We strive to help you through personalized and compassionate care during your spine care journey. Contact us to receive an appropriate diagnosis on the possible causes of your back pain so we may recommend treatment options that may ease your pain.

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Request one of our specialists to get a second opinion, or a really good first one.

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Seven Risks and Four Signs of a Stress Fracture

A stress fracture, also known as a hairline fracture, is a small crack or severe bruise within a bone that is most often caused by overuse or an increase in repetitive actions creating microscopic damage to the bone over time.

Normally, after increased force through numerous activities, bones adapt by ‘remodeling’ with new bone tissue forming over time to replace old bone tissue. Hairline stress fractures are more likely when the breakdown happens faster than the new bone tissue can form.

The bones of the foot and leg are especially susceptible to hairline fractures. These bones absorb a lot of stress during running and jumping. Most affected within the foot are the second and third metatarsals – thin tubular-shaped bones in the middle of the foot – the point of impact when you push off your foot to run or jump. Other areas common to stress fractures are your:

Heel
Ankle bones
Navicular, a bone on the top inner side of the midfoot

How Do I Know if I Have a Stress Fracture?

The most common symptom of a stress fracture is pain, which can get worse over time, especially if you don’t stop the weight-bearing activity. Other symptoms include:

Bruising
Swelling
Tenderness

What are the Risk Factors of Developing a Stress Fracture?

High-impact sports or activities – Basketball, tennis, track and field, long-distance running, gymnastics, dance and ballet all are activities that increase the risk of hairline fractures.

Gender – Women, particularly those who have abnormal or absent menstrual periods, are at higher risk of developing stress fractures.

Foot issues – high or rigid arches or flat feet, often caused by problematic footwear can contribute to stress fractures.

Weakened bones – Osteoporosis and medications that affect bone density can put you at risk of hairline fractures during normal, everyday activities

Previous stress fractures – Once you’ve had a stress fracture, your chance of getting another increases.

Lack of nutrients – Lack of vitamin D or calcium or eating disorders can cause your bones to be more susceptible to hairline fractures.

Change in surface – Different playing surfaces, such as a tennis player moving from a grass court to a hard court, can cause undue stress to the bones of the feet and legs.

What to Do if You Think You Have a Stress Fracture

Seek treatment from a doctor as soon as possible if you think you have a hairline stress fracture. If you do have a hairline stress fracture, ignoring the pain can result in the bone breaking completely.

In the meantime, there are treatments you can do on your own.

Follow the RICE method:

Rest
Ice
Compression
Elevation

Nonsteroidal anti-inflammatory over-the-counter drugs such as ibuprofen and aspirin can help with pain and swelling.

A physician will determine whether you have a hairline stress fracture and may recommend crutches, protective footwear or a cast. Some stress fractures require surgery, using pins or screws to hold bones together during the healing process.

The key to avoiding chronic, long-term pain is to ensure your stress fracture heals properly and completely before gradually returning to exercise or use.

Source:
Healthline