Low Back Pain

Low Back Pain | Comprehensive Pain Management Center

Low Back Pain

Low back pain is typically a result of damage or irritation of lower back structures. It usually resolves itself within four weeks but often comes back. Low back pain is

categorized into acute and chronic back pain. Acute low back pain is abrupt and happens after a

specific activity like lifting heavy objects or after a car accident. Chronic pain is expressed as

pain in the back or down either or both legs occurring over six months. Lower back pain is

diagnosed during a physical exam an sometimes through the use of radiographic imaging, like X-

ray, CT scanning, MRI, or bone scanning. Boney structures, vertebral discs, ligaments and

muscles, and other organs may be responsible for lower back pain.

Boney Structure Causes

  • Facet joint osteoarthritis
  • Spinal stenosis: spinal cord narrowing
  • Vertebral body fractures
  • Osteoporosis
  • Spondylolisthesis: vertebrae slips forward
  • Neoplasms
  • Infections


  • Facet injections
  • Vertebroplasty
  • SI joint injection
  • Lysis of adhesions
  • Spinal cord stimulation


Vertebral Disc Cause


  • Facet injection
  • Facet denervation
  • Epidural steroid injections
  • Epidural infusions


Spinal Ligament and Muscle Cause

  • Myofascial pain syndrome
  • Muscular strain
  • Torn muscle
  • Ligament strain
  • Ligament tear


  • Trigger point injections
  • Physical therapy
  • Massage
  • Exercise


Referred pain cause

  • Kidney, pancreas, spleen, and liver become damaged and send pain to spinal cord resulting in pain of the back instead of pain of the damaged organs

Comprehensive Pain Management Center