A neurosurgeon’s guide to navigating neck and back pain

BY DR. CLAYTON HALDEMAN

Low back pain ranks as the second most common reason for doctor visits, with over 85% of adults experiencing back pain at some point in their lives. The symptoms range from a dull, constant ache to sharp, incapacitating pain. Fortunately, most episodes of back pain are self-limited, resolving within four to six weeks. Typically, these aches and pains, often due to muscle sprain or strain, respond well to rest and anti-inflammatory medications, such as ibuprofen or Aleve, and may not necessitate a doctor's visit.

When to seek treatment for back pain

However, if your pain persists or you experience symptoms such as weakness, numbness, or tingling in the arms or legs, loss of balance, loss of control over bowels or bladder, night back pain with weight loss, or fevers with back pain, it's time to consult a doctor. These "red flag" signs could indicate a more serious problem, such as infection, tumor, or severely pinched nerves.

Seven common causes of back pain and treatment options

1. Spinal Stenosis – A narrowing of the spinal canal can cause a dull ache in the low back and cramping leg pain. Treatment options include physical therapy, steroid injections, or surgery for severe cases.
   
2. Spondylolisthesis – This condition involves one spinal bone slipping forward over another, leading to similar symptoms as spinal stenosis. Treatment often involves physical therapy, injections, or surgery, with some cases requiring spinal fusion.
   
3. Disc Herniation – Known for causing "sciatica," disc herniation occurs when a tear in the disc's outer layer allows the inner gel to protrude, pressing on a nerve. While most heal on their own, treatments like physical therapy, medications, and minimally invasive surgery can alleviate symptoms.
   
4. Disc Degeneration – Age-related wear and tear can lead to disc degeneration, causing back pain and stiffness. Treatments focus on anti-inflammatories and physical therapy.
   
5. Fractures – Resulting from trauma, osteoporosis, or cancer, spinal fractures range in severity. Treatments vary from self-healing to procedures like kyphoplasty or fusion surgeries, with osteoporosis cases requiring bone health improvement.
   
6. Scoliosis – An abnormal spinal curvature causing pain and postural imbalances. Treatment includes physical therapy and, for severe cases, surgery.
   
7. Infection –  Spinal infections, treatable with antibiotics or surgery for severe cases, can arise from various sources, including the skin, mouth or heart.

Understanding when to seek treatment and the available options for back pain can significantly improve your quality of life. If you’re experiencing persistent back pain or "red flag" symptoms contact us today.

If you're ready to take the next step towards managing your back or neck pain, we invite you to fill out the form below. By providing your details, you'll enable us to connect you with the best care tailored to your specific needs.

Once you submit your information, one of our dedicated team members will reach out to you within two business days.

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.elq-form .col-lg-2{<br /> width:16.66667%}<br /> .elq-form .col-lg-3{<br /> width:25%}<br /> .elq-form .col-lg-4{<br /> width:33.33333%}<br /> .elq-form .col-lg-5{<br /> width:41.66667%}<br /> .elq-form .col-lg-6{<br /> width:50%}<br /> .elq-form .col-lg-7{<br /> width:58.33333%}<br /> .elq-form .col-lg-8{<br /> width:66.66667%}<br /> .elq-form .col-lg-9{<br /> width:75%}<br /> .elq-form .col-lg-10{<br /> width:83.33333%}<br /> .elq-form .col-lg-11{<br /> width:91.66667%}<br /> .elq-form .col-lg-12{<br /> width:100%}<br /> .elq-form .col-lg-pull-0{<br /> right:auto}<br /> .elq-form .col-lg-pull-1{<br /> right:8.33333%}<br /> .elq-form .col-lg-pull-2{<br /> right:16.66667%}<br /> .elq-form .col-lg-pull-3{<br /> right:25%}<br /> .elq-form .col-lg-pull-4{<br /> right:33.33333%}<br /> .elq-form .col-lg-pull-5{<br /> right:41.66667%}<br /> .elq-form .col-lg-pull-6{<br /> right:50%}<br /> .elq-form .col-lg-pull-7{<br /> right:58.33333%}<br /> .elq-form .col-lg-pull-8{<br /> right:66.66667%}<br /> .elq-form .col-lg-pull-9{<br /> right:75%}<br /> .elq-form .col-lg-pull-10{<br /> right:83.33333%}<br /> .elq-form .col-lg-pull-11{<br /> right:91.66667%}<br /> .elq-form .col-lg-pull-12{<br /> right:100%}<br /> .elq-form .col-lg-push-0{<br /> left:auto}<br /> .elq-form .col-lg-push-1{<br /> left:8.33333%}<br /> .elq-form .col-lg-push-2{<br /> left:16.66667%}<br /> .elq-form .col-lg-push-3{<br /> left:25%}<br /> .elq-form .col-lg-push-4{<br /> left:33.33333%}<br /> .elq-form .col-lg-push-5{<br /> left:41.66667%}<br /> .elq-form .col-lg-push-6{<br /> left:50%}<br /> .elq-form .col-lg-push-7{<br /> left:58.33333%}<br /> .elq-form .col-lg-push-8{<br /> left:66.66667%}<br /> .elq-form .col-lg-push-9{<br /> left:75%}<br /> .elq-form .col-lg-push-10{<br /> left:83.33333%}<br /> .elq-form .col-lg-push-11{<br /> left:91.66667%}<br /> .elq-form .col-lg-push-12{<br /> left:100%}<br /> .elq-form .col-lg-offset-0{<br /> margin-left:0}<br /> .elq-form .col-lg-offset-1{<br /> margin-left:8.33333%}<br /> .elq-form .col-lg-offset-2{<br /> margin-left:16.66667%}<br /> .elq-form .col-lg-offset-3{<br /> margin-left:25%}<br /> .elq-form .col-lg-offset-4{<br /> margin-left:33.33333%}<br /> .elq-form .col-lg-offset-5{<br /> margin-left:41.66667%}<br /> .elq-form .col-lg-offset-6{<br /> margin-left:50%}<br /> .elq-form .col-lg-offset-7{<br /> margin-left:58.33333%}<br /> .elq-form .col-lg-offset-8{<br /> margin-left:66.66667%}<br /> .elq-form .col-lg-offset-9{<br /> margin-left:75%}<br /> .elq-form .col-lg-offset-10{<br /> margin-left:83.33333%}<br /> .elq-form .col-lg-offset-11{<br /> margin-left:91.66667%}<br /> .elq-form .col-lg-offset-12{<br /> margin-left:100%}<br /> }<br /> .elq-form .row{<br /> display:inherit}<br /> .LV_invalid_field,input.LV_invalid_field:active,input.LV_invalid_field:hover,textarea.LV_invalid_field:active,textarea.LV_invalid_field:hover{<br /> outline:1px solid #c00}<br /> .LV_validation_message{<br /> font-weight:700;<br /> margin:0 0 0 5px}<br /> .LV_valid{<br /> display:none}<br /> .LV_invalid{<br /> color:#c00;<br /> font-size:10px}<br /> .submit-button-style{<br /> padding:7px 20px;<br /> border:1px solid #979797;<br /> border-radius:3px;<br /> background-color:#fff;<br /> color:#4a4a4a;<br /> cursor:pointer}<br /> .checkbox-aligned{<br /> margin-left:5px;<br /> display:inline}<br /> .form-element-layout{<br /> padding:5px 10px}<br /> .form-element-instruction{<br /> font-size:10px}<br /> .form-element-form-text{<br /> margin:0}<br /> .form-field-visible-xs-block{<br /> display:none}<br /> .elq-form-design-field .list-order input[type=radio]{<br /> margin-left:1px}<br /> @media (max-width:767px){<br /> .form-field-visible-xs-block{<br /> display:block}<br /> }<br /> .form-field-hidden-xs{<br /> display:block}<br /> @media (max-width:767px){<br /> .form-field-hidden-xs{<br /> display:none}<br /> }<br /> .custom-overlay{<br /> margin-left:2px;<br /> background:#fff;<br /> box-shadow:0 0 4px 0 #777;<br /> border-radius:2px;<br /> max-width:256px}<br />

<br /> function handleFormSubmit(ele) {<br /> var submitButton = ele.querySelector('input[type=submit]');<br /> var spinner = document.createElement('span');<br /> spinner.setAttribute('class', 'loader');<br /> submitButton.setAttribute('disabled', true);<br /> submitButton.style.cursor = 'wait';<br /> submitButton.parentNode.appendChild(spinner);<br /> return true;<br /> }<br /> function resetSubmitButton(e){<br /> var submitButtons = e.target.form.getElementsByClassName('submit-button');<br /> for(var i=0;i<submitButtons.length;i++){ submitButtons[i].disabled = false; } } function addChangeHandler(elements){ for(var i=0; i<elements.length; i++){ elements[i].addEventListener('change', resetSubmitButton); } } var form = document.getElementById('form64'); addChangeHandler(form.getElementsByTagName('input')); addChangeHandler(form.getElementsByTagName('select')); addChangeHandler(form.getElementsByTagName('textarea')); var nodes = document.querySelectorAll('#form64 input[data-subscription]'); if (nodes) { for (var i = 0, len = nodes.length; i < len; i++) { var status = nodes[i].dataset ? nodes[i].dataset.subscription : nodes[i].getAttribute('data-subscription'); if(status ==='true') { nodes[i].checked = true; } } }; var nodes = document.querySelectorAll('#form64 select[data-value]'); if (nodes) { for (var i = 0; i < nodes.length; i++) { var node = nodes[i]; var selectedValue = node.dataset ? node.dataset.value : node.getAttribute('data-value'); if (selectedValue) { for (var j = 0; j < node.options.length; j++) { if(node.options[j].value === selectedValue) { node.options[j].selected = 'selected'; break; } } } } } this.getParentElement = function(list) { return list[list.length-1].parentElement}; var dom0 = document.querySelector('#form64 #fe1466'); var fe1466 = new LiveValidation(dom0, { validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false} ); fe1466.add(Validate.Custom, { against: function(value) { return !value.match(/(telnet|ftp|https?):\/\/(?:[a-z0-9][a-z0-9-]{0,61}[a-z0-9]\.|[a-z0-9]\.)+[a-z]{2,63}/i); } , failureMessage: "Value must not contain any URL's"} ); fe1466.add(Validate.Custom, { against: function(value) { return !value.match(/(<([^>]+)>)/ig);<br /> }<br /> , failureMessage: "Value must not contain any HTML"}<br /> );<br /> fe1466.add(Validate.Length, {<br /> tooShortMessage:"Invalid length for field value", tooLongMessage: "Invalid length for field value", minimum: 0, maximum: 35}<br /> );<br /> fe1466.add(Validate.Presence, {<br /> failureMessage:"This field is required"}<br /> );<br /> var dom1 = document.querySelector('#form64 #fe1467');<br /> var fe1467 = new LiveValidation(dom1, {<br /> validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false}<br /> );<br /> fe1467.add(Validate.Custom, {<br /> against: function(value) {<br /> return !value.match(/(telnet|ftp|https?):\/\/(?:[a-z0-9][a-z0-9-]{0,61}[a-z0-9]\.|[a-z0-9]\.)+[a-z]{2,63}/i);<br /> }<br /> , failureMessage: "Value must not contain any URL's"}<br /> );<br /> fe1467.add(Validate.Custom, {<br /> against: function(value) {<br /> return !value.match(/(<([^>]+)>)/ig);<br /> }<br /> , failureMessage: "Value must not contain any HTML"}<br /> );<br /> fe1467.add(Validate.Length, {<br /> tooShortMessage:"Invalid length for field value", tooLongMessage: "Invalid length for field value", minimum: 0, maximum: 35}<br /> );<br /> fe1467.add(Validate.Presence, {<br /> failureMessage:"This field is required"}<br /> );<br /> var dom2 = document.querySelector('#form64 #fe1468');<br /> var fe1468 = new LiveValidation(dom2, {<br /> validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false}<br /> );<br /> fe1468.add(Validate.Custom, {<br /> against: function(value) {<br /> return !value.match(/(telnet|ftp|https?):\/\/(?:[a-z0-9][a-z0-9-]{0,61}[a-z0-9]\.|[a-z0-9]\.)+[a-z]{2,63}/i);<br /> }<br /> , failureMessage: "Value must not contain any URL's"}<br /> );<br /> fe1468.add(Validate.Custom, {<br /> against: function(value) {<br /> return !value.match(/(<([^>]+)>)/ig);<br /> }<br /> , failureMessage: "Value must not contain any HTML"}<br /> );<br /> fe1468.add(Validate.Length, {<br /> tooShortMessage:"Invalid length for field value", tooLongMessage: "Invalid length for field value", minimum: 0, maximum: 35}<br /> );<br /> fe1468.add(Validate.Presence, {<br /> failureMessage:"This field is required"}<br /> );<br /> var dom3 = document.querySelector('#form64 #fe1469');<br /> var fe1469 = new LiveValidation(dom3, {<br /> validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false}<br /> );<br /> fe1469.add(Validate.Custom, {<br /> against: function(value) {<br /> return !value.match(/(telnet|ftp|https?):\/\/(?:[a-z0-9][a-z0-9-]{0,61}[a-z0-9]\.|[a-z0-9]\.)+[a-z]{2,63}/i);<br /> }<br /> , failureMessage: "Value must not contain any URL's"}<br /> );<br /> fe1469.add(Validate.Custom, {<br /> against: function(value) {<br /> return !value.match(/(<([^>]+)>)/ig);<br /> }<br /> , failureMessage: "Value must not contain any HTML"}<br /> );<br /> fe1469.add(Validate.Length, {<br /> tooShortMessage:"Invalid length for field value", tooLongMessage: "Invalid length for field value", minimum: 0, maximum: 35}<br /> );<br /> var dom4 = document.querySelector('#form64 #fe1470');<br /> var fe1470 = new LiveValidation(dom4, {<br /> validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false}<br /> );<br /> fe1470.add(Validate.Custom, {<br /> against: function(value) {<br /> return !value.match(/(telnet|ftp|https?):\/\/(?:[a-z0-9][a-z0-9-]{0,61}[a-z0-9]\.|[a-z0-9]\.)+[a-z]{2,63}/i);<br /> }<br /> , failureMessage: "Value must not contain any URL's"}<br /> );<br /> fe1470.add(Validate.Custom, {<br /> against: function(value) {<br /> return !value.match(/(<([^>]+)>)/ig);<br /> }<br /> , failureMessage: "Value must not contain any HTML"}<br /> );<br /> fe1470.add(Validate.Length, {<br /> tooShortMessage:"Invalid length for field value", tooLongMessage: "Invalid length for field value", minimum: 0, maximum: 35}<br /> );<br /> fe1470.add(Validate.Presence, {<br /> failureMessage:"This field is required"}<br /> );<br /> var dom5 = document.querySelector('#form64 #fe1471');<br /> var fe1471 = new LiveValidation(dom5, {<br /> validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false}<br /> );<br /> fe1471.add(Validate.Presence, {<br /> failureMessage:"This field is required"}<br /> );<br /> var dom6 = document.querySelector('#form64 #fe1472');<br /> var fe1472 = new LiveValidation(dom6, {<br /> validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false}<br /> );<br /> fe1472.add(Validate.Custom, {<br /> against: function(value) {<br /> return !value.match(/(telnet|ftp|https?):\/\/(?:[a-z0-9][a-z0-9-]{0,61}[a-z0-9]\.|[a-z0-9]\.)+[a-z]{2,63}/i);<br /> }<br /> , failureMessage: "Value must not contain any URL's"}<br /> );<br /> fe1472.add(Validate.Custom, {<br /> against: function(value) {<br /> return !value.match(/(<([^>]+)>)/ig);<br /> }<br /> , failureMessage: "Value must not contain any HTML"}<br /> );<br /> fe1472.add(Validate.Length, {<br /> tooShortMessage:"Invalid length for field value", tooLongMessage: "Invalid length for field value", minimum: 0, maximum: 35}<br /> );<br /> fe1472.add(Validate.Presence, {<br /> failureMessage:"This field is required"}<br /> );<br /> var dom7 = document.querySelector('#form64 #fe1473');<br /> var fe1473 = new LiveValidation(dom7, {<br /> validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false}<br /> );<br /> fe1473.add(Validate.Custom, {<br /> against: function(value) {<br /> return !value.match(/(telnet|ftp|https?):\/\/(?:[a-z0-9][a-z0-9-]{0,61}[a-z0-9]\.|[a-z0-9]\.)+[a-z]{2,63}/i);<br /> }<br /> , failureMessage: "Value must not contain any URL's"}<br /> );<br /> fe1473.add(Validate.Custom, {<br /> against: function(value) {<br /> return !value.match(/(<([^>]+)>)/ig);<br /> }<br /> , failureMessage: "Value must not contain any HTML"}<br /> );<br /> fe1473.add(Validate.Length, {<br /> tooShortMessage:"Invalid length for field value", tooLongMessage: "Invalid length for field value", minimum: 0, maximum: 35}<br /> );<br /> fe1473.add(Validate.Presence, {<br /> failureMessage:"This field is required"}<br /> );<br /> var dom8 = document.querySelector('#form64 #fe1474');<br /> var fe1474 = new LiveValidation(dom8, {<br /> validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false}<br /> );<br /> fe1474.add(Validate.Presence, {<br /> failureMessage:"This field is required"}<br /> );<br /> fe1474.add(Validate.Format, {<br /> pattern: /(^[A-Z0-9!#\$%&'\*\+\-\/=\?\^_`\{\|\}~][A-Z0-9!#\$%&'\*\+\-\/=\?\^_`\{\|\}~\.]{0,62}@(([A-Z0-9](?:[A-Z0-9\-]{0,61}[A-Z0-9])?)(\.[A-Z0-9](?:[A-Z0-9\-]{0,61}[A-Z0-9])?)+)$)/i, failureMessage: "A valid email address is required"}<br /> );<br /> fe1474.add(Validate.Format, {<br /> pattern: /\.\.|\.@/i, failureMessage: "A valid email address is required", negate: "true"}<br /> );<br /> var dom9 = document.querySelector('#form64 #fe1524');<br /> var fe1524 = new LiveValidation(dom9, {<br /> validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false}<br /> );<br /> fe1524.add(Validate.Custom, {<br /> against: function(value) {<br /> return !value.match(/(telnet|ftp|https?):\/\/(?:[a-z0-9][a-z0-9-]{0,61}[a-z0-9]\.|[a-z0-9]\.)+[a-z]{2,63}/i);<br /> }<br /> , failureMessage: "Value must not contain any URL's"}<br /> );<br /> fe1524.add(Validate.Custom, {<br /> against: function(value) {<br /> return !value.match(/(<([^>]+)>)/ig);<br /> }<br /> , failureMessage: "Value must not contain any HTML"}<br /> );<br />