Neck Pain, Mid Back Pain, and Low Back Pain

Back pain is a very common pain, indeed the most common musculoskeletal pain, at least for the American population. What is worse is that in many cases, it becomes chronic, and those who suffer from it think they have to adapt to live with it, especially people a little older, who justify it by saying, “ah, it’s age!”.

Something can actually be done to cure back pain. Sometimes it is necessary to change habits. Other times you can resort to physiotherapy and the technologies available. In any case, to address your back pain, it is essential to identify the cause.

It seems simple to say, but in fact, it is not, and in most cases, it is necessary to consult a spine specialist to identify it. In fact, the causes of back pain are many, and different approaches are adopted to treat it depending on the type of back pain.


Back Pain is the third leading cause of absence from work


Could it be true that all of us, at least once, have suffered from back pain? 

In some cases, it is a temporary pain; in others, it can become chronic. The data on back pain is slightly different from source to source, but we can say that about 25% of workers suffer from it to get an idea. Back pain is, in fact, the third cause of absence from work after regular flu and diseases affecting the upper respiratory tract. In individuals over 50, the percentage of those with back pain rises a lot, ranging between 60 and 80%.


What is Neck Pain, Mid Back Pain, and Low Back Pain?


The back is made up of a complicated structure of ligaments, muscles, bones, discs, and tendons that work with each other to support our body and allow us to move. An issue with anyone of these parts could cause discomfort.

Back pain is a very common problem and affects a large part of the population at some point in their life. In many cases, it is not known exactly what causes it, but the good news is that in most cases, it is not a serious problem, and it is usually due to a simple strain in a muscle or ligament.

It can range from mild discomfort in the performance of daily activities to sharp pains that make movement difficult. Although colloquially we usually talk about the upper, middle, or lower back pain, because it is in these areas where it manifests itself, the clinically correct thing to do is refer to:


  • Neck Pain:  Upper back pain manifests around the cervical vertebrae that make up the neck and nearby musculature and extends to the upper shoulder and scapulae.
  • Mid Back Pain: This pain is known as middle back pain, and it can also be caused by a muscle contracture, a joint irritation, or even a problem in the thoracic organs such as the lungs or the pleura.
  • Low Back Pain: This pain is suffered exclusively at the lumbar level (lower back). It can be caused by multiple pathologies, from a muscle contracture, renal colic, or a local nerve root impingement. It is one of the most common pains among the population.


Depending on the symptoms and type of pain, they can also be classified into mechanical back pain and inflammatory back pain.

In most cases, back pain is mechanical, but the symptoms of both types of pain are very similar, making it difficult to differentiate them without the help of a professional.


The diagnosis


“Back pain causes” is a very common Google search. And the answers to this question are often confusing. The causes of back pain can be many and sometimes more than once for specific back pain.

Almost always, to find the causes, one turns to the general practitioner, who in turn indicates the specialist to contact. During the first visit, the specialist must identify the point of origin of the pain. Some specific tests may be enough to do this. However, if the tests are not enough, the specialist will ask the patient to do a diagnostic test, for example, an X-ray or (even better) an MRI.


How to cure Back Pain


Once the diagnosis is made, there are multiple remedies for the patient that can help in the different stages and are not invasive. For example, instrumental therapies such as Implanted nerve stimulators or Tecar therapy help reduce inflammation and pain when the pain is very acute.

You can resort to Radiofrequency Neurotomy, Cortisone injections for chronic pain. Next, suitable manual therapy and/or osteopathic treatment become essential to improve muscle contractures and joint relationships. The last and equally important phase is that of muscle strengthening, with specific exercises for back pain and guided by the physiotherapist.

What is essential to underline is that no patient is the same as the other; therefore, the treatment process must be personalized after a careful and thorough evaluation.

The advantage of non-invasive therapy, when done correctly, over drugs is in the long run. In the USA, the use of analgesics for back pain is widespread. Pain relievers or anti-inflammatory drugs fix the problem at the moment but work regardless of the cause of the back pain. For this, they dab, but they do not solve.

The sooner you approach the  Pain Management Specialist, the more likely you will have a quick recovery.

Dr. Munsih Lal’s approach is non-invasive and helps to decrease the use of anti-inflammatories for pain management.

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