Cause of Lower Back Pain

Degenerative Disc Disease

• The most common cause of low back pain is due to degenerative changes inside the disc. Disc lose its cushioning ability and not able to bear the weight of our body.

• This problem which also called as “Disc Desiccation” leads to lower back pain which is more in prolong standing, bending forward and lifting weight.

• Many times, surrounding wall of the disc which is called “Annulus Fibrosus” break down and developed tear in it commonly called as “Annular Tear”.

Facet Joint Arthropathy

• Many patients came to us with lower back pain but their MRI finding shows no structural damage of disc. In this type of pain we check about the source of pain may be other than disc which is facet joint.

• Facet joint is situated on back side of disc and spinal cord. There are two joint right and left side at each level.

• The facet joint pain are like pain occurs more on bending backward, prolong sitting without support and also in night time when patient sleep on his back (supine sleeping). This pain reduces when patient sleep on their side either left or right.

Vertebral Compression Fracture

• Fractured vertebrae are often the result of osteoporosis, a condition that causes weak, porous bones. This occurs more in older individuals when they fall, leading to the collapse of the vertebral body.

• Spondylolisthesis, caused by a crack in the pars defect, leads to abnormal movement between the vertebrae, resulting in pain and instability. This condition can further aggravate symptoms, particularly during activities involving bending or lifting.

Ankylosing spondylitis, infection, tumors

• Various forms of arthritis, including osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis develop degenerative changes in spine which leads to lower back pain. Some time infections can cause pain when they involve the vertebrae or discs that is called spondylo-discitis. Many times, tuberculosis of spine (Koch’s Spine) also a reason of back pain.

• Tumors, too, are relatively rare causes of back pain. Occasionally, tumors begin in the back, but more often they appear in the back as a metastasis of cancer that has spread from elsewhere in the body.

Psychological Cause

• Untreated depression and anxiety can make back pain feel much worse. Likewise, insomnia, or the lack of sleep, can also contribute to back pain. Chronic stress often leads to muscle tension, increasing the likelihood of back stiffness and discomfort.

• Emotional distress can also heighten the sensitivity to pain, making it feel more intense than it actually is. Lack of sleep impairs the body's ability to heal and recover, prolonging pain and slowing recovery.

Symptoms of Lower Back Pain

Impulse Pain Clinic, known for offering the best lower back pain treatment in Ahmedabad, spreads awareness about the condition by sharing its symptoms. Here mentioned are the most common symptoms share by our pain specialist doctors in Ahmedabad present at Impulse Pain Clinic.

Persistent pain or stiffness anywhere along your spine.
Sharp, localized pain in the lower back (belt like region)— especially after lifting heavy objects or engaging in other strenuous activity.
Chronic pain in the middle or lower back, especially after sitting or standing for extended periods.
Back pain that radiates from the low back to the buttock, down the back of the thigh, and into the calf and toes
Pain also occurs during night time when we sleep on our back.

Treatment of Lower Back Pain

Biologics in Spinal Pain
(PRP & BMAC)

Various biological treatment is now considering as advance pain management treatment for degenerative disc and facet joint arthropathy related pain. At Impulse pain clinic we offer Platelet Rich Plasma (PRP) and Bone Marrow Aspirate Concentrate (BMAC) for chronic spine related pain.
Aim of using biologic therapy is to support the self-healing process of affected disc and facet joint, slow down the joint and disc degeneration and suppress the inflammatory process that leads to pain relief and recovery of the damaged area of spine.
We collect patient’s blood to make PRP and Bone marrow to make BMAC. After collection of blood, we process it with international standard special kit (drPRP / Tricell BMAC KIT). Finally, growth and healing factors separated from blood / bone marrow and we inject in diseased disc and facet joint.
PRP had various growth factors which reduce the pain of degenerative disc by improving its structural strength. It also slow the process of arthropathy in facet joint. BMAC is very useful in treatment of degenerative disc along with annular tear present in disc wall. After treatment with BMAC annular tear gets heal and improve the integrity of disc.
Goal of biologics treatment in pain management is to give long term pain relief with improve the strength of disc and reduce the degeneration in facet joint.

Ozone Therapy

Injection of Ozone-Oxygen mixture into the disc is a new alternative method of treating patients suffering from back caused by disc degeneration.
When we inject ozone inside the disc it neutralizes the toxic materials present inside the degenerative disc and cause shrinkage of disc.
Large number of international studies confirms the efficacy of this treatment and superiority of this treatment over conventional disc surgery.

Epidural Injection

Interlaminar and transforaminal epidural neuroplasty done with steroid or ozone injection around nerve root to reduce the inflammation and help to relieved the acute lower back pain when patient has sudden onset of pain due to jerk or heavy weight lifting.

Disc Fx Procedure

DISC FX is internationally accepted procedures for patient suffering from disc degeneration with mild bulge.
It is interventional procedures in which some part of degenerated disc with toxic material is to be removed under local anesthesia and do bipolar annuloplasty with minimal damage of surrounding spinal cord and nerve root.
This procedure done in operation theater set up under fluoroscopic guidance and contrast study.

Radiofrequency
Ablation (RFA)

Radiofrequency ablation (RFA) is a procedure used to reduce pain of facet joint arthropathy. An electrical current produced by a radio wave is used to block the small area of nerve tissue, thereby decreasing pain signals from that specific area.
RFA can be used to help patients with chronic (long-lasting) low-back pain. RFA has proven to be a safe and effective way to treat some forms of pain like facet joint pain and cancer related pain in spine. It also is generally well-tolerated, with very few side effects.
Radiofrequency nerve block to remi communicant is also a useful treatment for degenerative disc pain, vertebral compression fracture and vertebral metastasis.

High Intensity LASER
(Class 4)

High intensity laser therapy can be given for trigger point pain, muscular spasms and myo-fascial pain. Class 4 High intensity laser is very powerful machine for treating the muscular pain in lower back.
It has deep tissue penetration power. It is basically a” Regenerative Therapy” which produce the new cell in tissue by stimulating the mitochondria of the cell.
After high intensity laser therapy patient will get long term pain relief. We have 12 W power machine which is 50 times more powerful than ordinary Ultrasound therapy or class 1 to 3 LASER machine.

Vertebroplasty

We commonly do this treatment for vertebral compression fracture due to osteoporosis in old age people or metastatic cancer collapsed vertebrae. Medicated cement to be injected inside the vertebrae and give strengthening to spine to reduce the pain of compression fracture.