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Lower Back Pain

Pain Solutions -  - Pain Management Physician

Pain Solutions


Lower back pain is one of the most common medical problems, affecting most people at some point. Board-certified pain management physicians James Mirazita, MD, and PK Suchdev, MD, offer a variety of treatments for lower and mid-back pain at three Pain Solutions locations in Nashua, Gilford, and Concord, New Hampshire. If you have back pain that doesn’t go away on its own or is severe enough to interfere with your normal routine, call your nearest office or book an appointment online today.

Lower Back Pain Q & A

What is lower back pain?

Most back pain occurs in the lower back, also known as the lumbar region. The lumbar spine consists of five large vertebrae that support the majority of your upper body weight. In between the vertebrae, discs of cartilage act as shock absorbers and help your spine stay flexible. 

Strong bands of tissue called ligaments hold your vertebrae in place and tendons connect them to the muscles of your back. Your spinal cord runs through an opening in the center of your spinal column, with nerves branching off of it. 

Back pain can result from injury or damage to any of these structures. Most lower back pain is axial, which means you only feel the pain in your lower back. Other types of back pain may radiate, or travel down your buttock and leg. 


What causes lower back pain?

The team at Pain Solutions evaluates and treats many problems that cause lower back and mid-back pain, including:

  • Muscle strains and ligament sprains
  • Degenerative disc disease
  • Herniated or ruptured discs
  • Arthritis of the spine
  • Traumatic injuries
  • Spinal nerve compression
  • Spinal stenosis
  • Sciatica
  • Osteoporosis
  • Spondylolisthesis
  • Scoliosis
  • Muscle knots (trigger points)

Most lower back pain resolves on its own within a week or two. If you have persistent lower back pain that interferes with your quality of life, the team at Pain Solutions can help. 


How is lower back pain diagnosed?

First, the team at Pain Solutions carefully reviews your medical history and performs a physical exam. They may take various tests, such as X-rays or nerve conduction studies, to confirm or rule out specific causes of back pain. 

In some cases, your pain management physician may perform a diagnostic nerve block. This involves numbing a certain area to determine if that nerve is the source of your pain. 


How is lower back pain treated?

The team at Pain Solutions creates a personalized treatment plan that may incorporate a variety of traditional, interventional, and complementary therapies. Depending on your specific needs, treatment for lower back pain may include:

  • Physical therapy
  • Medication management
  • Heat and ice packs
  • Acupuncture
  • Spinal manipulation and mobilization
  • Trigger point injections
  • Epidural steroid injections
  • Radiofrequency nerve lesioning
  • Discography
  • Nerve blocks
  • Spinal cord stimulation
  • Disc nucleoplasty

To find relief from lower back pain, call Pain Solutions or book an appointment online today.