Minimally Invasive Options For Back Pain

Most adults have experienced some form of back pain at some point. Often exacerbated by movement, back pain can completely disrupt daily life. Most cases are treatable through at-home remedies and rest. More severe cases can be corrected with physical therapy and minimally invasive treatments such as epidural steroid injections, ablation, and surgery.

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What causes back pain?

Back pain is the leading cause of doctor visits and missed work. The pain can result from a problem with the muscles, nerves, and ligaments of the back. Referred pain such as kidney problems or a pulled leg muscle can also put a strain on the lower back. Pain symptoms range from dull throbs to stabbing pain and even numbness. Pain can start in the back and continue down the legs. Back pain often becomes worse during any movement. When the back pain lasts more than a couple weeks or begins to impact daily life, it is time to see a physician. Back pain is more likely to occur in adults than in adolescents.

At home therapies

Most cases of back pain can be treated at home with over the counter medication and rest. Topical ointments can alleviate discomfort in the affected area. Movement during back pain is often painful and uncomfortable. Going to the gym should be avoided until the individual has been cleared by a physician. Treatment plans will often include physical/chiropractic therapy and alternative therapies such as acupuncture, medical massages, and yoga. For individuals with more severe back pain, popular minimally invasive options include epidural steroid injections, ablation, and surgery.

1. Epidural Steroid Injections

Injections can be given into the epidural space of the spine. These epidural steroid injections (ESI) work to reduce inflammation caused by the narrowing of the spinal passages. Though ESI will not treat the underlying cause, the steroids can momentarily relieve the cycle of pain and discomfort and allow the patient to move more freely.

2. Ablation

Blocking pain signals through ablation involves blocking the nerves used to transmit pain signals. A surgeon will first use a temporary nerve block to identify the nerves causing the pain. The spine specialist will then use heat, cold, or chemicals to remove or destroy the identified bundle of nerves responsible for sending the pain signals to the brain. Ablation is often only temporary as many of the nerves will fight to grow back.

3. Surgery

Minimally invasive options for surgery are widely used.  This type of surgery uses smaller incisions, causes less harm to surrounding muscles and tissues.  This less invasive procedure also provides the patient with quicker recovery time. Many minimally invasive surgeries (MIS) are performed with microscope video cameras and tubular retractors. The tubular retractors work by dilating the surrounding tissues, eliminating the need to cut directly through the muscle. Popular MIS methods include discectomy, spinal decompression, and transforaminal lumbar interbody fusion (TLIF).

Life with back pain

Back pain ranges from dull throbs to stabbing pains and can make for a miserable existence. There are many treatment options available that may include physical therapy, lifestyle changes and over the counter medications. MIS may be an option for more severe cases. Consulting with a spine specialist for the best solution should be the first line of defense for back pain.

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“Experience was amazing. The nurses my son needed at this time couldn’t have been chosen any more perfect. They were supportive and understanding, patient and just great human beings.THANK YOU KINDLY ”

“Anesthesia staff was outstanding!”

“NO wait time, RN Rebecca answered all questions prior to my visit by phone and again answered all questions and concerns while prepping me.”

“Amazing nurses, very caring and friendly and put both me and my son at ease.”

“The nurses were very nice and caring!”
“Dr. Tupper was amazing! He spent time explaining exactly what he was doing, what I would experience and made sure I was comfortable.”
“No severe pain – Just a little discomfort – I was asked several times during procedure if I was OK – they showed genuine concern for my well being.”

“Anesthesia staff was outstanding!”

“Experience was amazing. The nurses my son needed at this time couldn’t have been chosen any more perfect. They were supportive and understanding, patient and just great human beings.THANK YOU KINDLY ”

“Everyone was friendly and the place was very clean.”

“Dr. Tupper was amazing! He spent time explaining exactly what he was doing, what I would experience and made sure I was comfortable.”
“Efficiency of the staff. Courteous, friendly and caring attitude. Excellent office staff. Pleasant surroundings.”

“I liked that it was so clean. Every staff member was pleasant and easy to talk with.”

“The staff was very polite, they were excellent. They explained exactly what was going on.”

“Marcia and staff were excellent and genuinely cared for my well being. Wish I could have taken them home.”

“Everyone was concerned with my comfort.”

“Incredibly professional, friendly and confidence of knowing their roles as healthcare employees. Excellent!”
“Rebecca was amazing. I have always had trouble in the past with getting an IV started. I told Rebecca I was concerned about it. She got it on the 1st try – no digging in my arm and NO bruising the next day.”
“Rebecca was amazing. I have always had trouble in the past with getting an IV started. I told Rebecca I was concerned about it. She got it on the 1st try – no digging in my arm and NO bruising the next day.”
“The STAFF from the moment you walk in were the nicest people I’ve encountered at a medical facility.”
“Dr. Dedhia made everything clear and even scheduled an early follow-up appt so I could get back to work sooner.”

“Amazing nurses, very caring and friendly and put both me and my son at ease.”

“Marcia and staff were excellent and genuinely cared for my well being. Wish I could have taken them home.”

“Dr. Best…is the best!”

“Everyone was concerned with my comfort.”

“The nurses were very nice and caring!”

“The staff was great, especially Mary and Marcia. Marcia was extremely helpful post-op and made sure I was comfortable and well-cared for.”

“NO wait time, RN Rebecca answered all questions prior to my visit by phone and again answered all questions and concerns while prepping me.”

“All staff were wonderful.”

“No severe pain – Just a little discomfort – I was asked several times during procedure if I was OK – they showed genuine concern for my well being.”
“Efficiency of the staff. Courteous, friendly and caring attitude. Excellent office staff. Pleasant surroundings.”
“The STAFF from the moment you walk in were the nicest people I’ve encountered at a medical facility.”
“Incredibly professional, friendly and confidence of knowing their roles as healthcare employees. Excellent!”

“I can’t say enough about Marcia and the entire team. The care I received was well beyond anything I could have expected.”

“Dr. Best…is the best!”

“I liked that it was so clean. Every staff member was pleasant and easy to talk with.”

“Entire staff was knowledgeable and courteous. They genuinely cared for my well being and made sure my wife and I were taken care of.”

“Dr. Dedhia made everything clear and even scheduled an early follow-up appt so I could get back to work sooner.”

“All staff were wonderful.”

“Everyone was friendly and concerned about my comfort. They frequently asked how I was doing, or if I needed something.”
“Everyone was friendly and concerned about my comfort. They frequently asked how I was doing, or if I needed something.”

“The staff was great, especially Mary and Marcia. Marcia was extremely helpful post-op and made sure I was comfortable and well-cared for.”

“Everyone was friendly and the place was very clean.”

“I can’t say enough about Marcia and the entire team. The care I received was well beyond anything I could have expected.”

“The staff was very polite, they were excellent. They explained exactly what was going on.”

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