The back is unique because it contains the spinal cord, which in turn transports the nerves from the brain to every other location of the body. As a result, back pain can be caused by issues affecting the muscles, bones and connective tissues of the back itself, or it may be related to conditions that affect the spine, including herniated discs, spinal stenosis, sciatica, spondylolisthesis or facet joint disease. Some spine diseases are degenerative in nature, becoming worse with age and wear and tear. Traumatic accidents and strenuous physical activity, including bending and lifting or carrying heavy or uneven loads, can strain back muscles and place excessive strain on the spine, sometimes causing nerve-related pain that travels to the legs and arms. Even simple lifestyle issues, like having poor posture, sitting for long periods of time, sleeping on an unsupportive mattress or wearing ill-fitting shoes can cause back pain, and so can chronic stress. Because so many factors can cause back and spine pain, an accurate diagnosis is essential for providing the most appropriate care.
Back pain diagnosis begins with a review of symptoms and a physical evaluation of the back, sometimes accompanied by passive or active motions to determine which movements cause pain and where symptoms are occurring. Diagnostic imaging usually will be prescribed to “look inside” the back to check for signs of arthritis, herniated discs, stenosis and other issues that may be causing pain. Sometimes, special dyes may be used to highlight the discs or other portions of the spine. Sometimes injections or “nerve blocks” may be performed to isolate the portion of the spine that's causing pain.
Today, there are many options for treating back and spine pain, including injections to block pain sensations or reduce inflammation, implants to stimulate the spinal cord and eliminate painful sensations, infusion devices that deliver medication directly to the site of pain, radiofrequency ablation of nerve tissue, and surgical intervention. Conservative approaches will be considered first, with more invasive options used only as needed.
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"Dr. Rafizad is a very smart, caring doctor who has extraordinary knowledge about choosing the right medicines."
"Dr. Mahrou, Dr. Rafizad, nurses & administrative staff are a complete team for pain management, very professional & caring for their patients. Thank you PCP!!!"
"I would highly recommend [Dr. Mahrou] to anyone suffering from acute or chronic pain. He truly is THE BEST physician I have ever had."
"I LOVE these two doctors; they are one of a kind. When you're in the office with the doctors they always make you feel as if you're the only person that matters."
"Dr. Rafizad has saved my life making the pain tolerable and in some cases go away all together."
"Dr. Rafizad is super intelligent & he actually listens when one speaks. I would recommend Dr. Rafizad highly to anyone with a pain issue. This is a first rate doctor."
"Dr. Reza Mahrou was a very PLEASANT and professional individual. We talked and he actually "listened" to what I had to say. I would definitely recommend this doctor."
"Dr Mahrou is the kindest most compassionate Dr. He has definitely improved my quality of life. He and Dr. Rafizad are my Dynamic Duo!"
"I recently had a procedure performed on my back. I'm very pleased with this group and will continue to go there. I would definitely recommend them."
"Dr. Mahrou is the most kind, genuine, compassionate Pain Management doctor I have ever seen. Thank god for Doctors that love their job and genuinely try to help people."