There are many anatomic structures in the back/neck that can cause low back pain:

  • Lumbar strain/overuse injuries to the Muscles, Tendons, or Ligaments can cause debilitating acute low back pain.  Overtime, without proper treatment, these injuries can become long lasting or chronic.
  • Aging and long term overuse can cause wear and tear on the Vertebral Discs and the Facet Joints.  We call that Degenerative Disc Disease or Spondylosis.  This can cause severe axial back pain which can prevent normal daily activities.  In severe cases, Stenosis can develop which is a narrowing around the central spinal cord.  This is often characterized by low back pain and increasing leg pain while walking.
  • Acute falls, work injuries, or whiplash can cause acute injury to the Vertebral Discs or Lumbar Facet Joints.  This can lead to Disc Herniation, Lumbar Radicular Pain, or Facet Disease.  These diseases are characterized by acute low back pain and/or Sciatic (shooting or burning pain down one or both legs).
  • Arthritis of the Sacroiliac Joint can cause Sacroiliac Joint Disease.  This is characterized by low back pain or buttock pain that is severe in certain positions.
  • Many joint/orthopedic conditions like Hip Osteoarthritis, Trochanteric Bursitis, and Knee Osteoarthritis can present as low back, buttock, or hip pain. Also, many of these conditions can change our posture, gait, and sleeping position to cause acute or chronic low back pain.
  • Post spine surgery, unfortunately many patients develop scarring, inflammation, or degenerative changes that we call Post Laminectomy Syndrome.  This can cause a return to prior surgery pain or a new onset low back, neck, or sciatic pain.
  • Osteoporosis is a disease characterized by chronic bone weakness.  This can be associated with spine fractures that we call Vertebral Compression Fractures.  These are more common in the elderly and can be associated with severe low back pain.

Graphic showing spine and lower back painAt the UAMS Interventional Pain Clinic, we believe in a holistic, multi-disciplinary approach to spine care. With close collaboration with our physical therapists, neurosurgeons, rehab physicians, orthopedic surgeons, and other consultants, we will work with you to create a comprehensive plan to improve your back/neck pain and return you to your life.

We also believe in using minimally invasive interventions to break the pain cycle, eliminate dependence on opioid medications, and jump start your rehabilitation process.

Below is a list of the spine procedures that we perform:

  • Epidural Steroid Injection
  • Selective Nerve Root Block
  • Transforaminal Epidural Steroid Injection
  • Sacroiliac Joint Injection
  • Radiofrequency Ablation of the Lumbar/Thoracic/Cervical Medial Branches
  • Radiofrequency Ablation of the Sacroiliac Joint Lateral Branches
  • Kyphoplasty/Vertebroplasty
  • Spinal Cord Stimulation/Dorsal Column Stimulation
  • Dorsal Root Ganglion Stimulation
  • Intra-articular Facet Injections
  • Intra-articular Hip Injections

If you feel that you have one of these conditions or have been told by a physician that you need one of these procedures, we would love to evaluate you to develop a plan to decrease your painful symptoms.

If you feel that you have one of these conditions or have been told by a physician that you need one of these procedures, please visit our Become a Patient page.  We would love to evaluate you and develop a plan to decrease your painful symptoms.