After-Hours Urgent Ortho Care is now available in Wilton, Monday to Friday from 4:00 pm to 7:00 pm and Saturdays from 12:00 to 4:00 pm. Walk-ins welcome.

Where It Hurts: My Back

Most people will have low back pain at some point in their life, whether from an injury, a misstep, improperly lifting a heavy object. While acute low back pain may go away on its own, there are many chronic conditions that cause back pain to linger or even increase over time.

From irregular spinal curvatures and traumatic injuries to the normal wear and tear of our spinal structures, back pain comes in all shapes and sizes. Learn more about conditions that cause back pain and how the spine experts at Orthopaedic & Neurosurgery Specialists (ONS) can help.

Common Back Injuries and Spinal Conditions

We see people with all types of back pain. The most common injuries and conditions we treat are:

  • Arthritis: Arthritis causes pain, swelling, and loss of mobility in your vertebrae. Arthritis can happen over time as your cartilage wears out (osteoarthritis). You’re more at risk for developing arthritis if you’ve had a prior back injury. There are also certain types of arthritis, like ankylosing spondylitis, that specifically affect the spine.
  • Bulging and herniated discs: As we get older, the discs that cushion the bones of our spine get less flexible. They can even rupture. This can cause back pain that radiates down your buttocks into your thighs and numbness and tingling in the legs.
  • Degenerative disc disease: Degenerative disc disease is when your spinal disks wear down. When this cushioning erodes, it can be painful and can cause other problems like scoliosis.
  • Kyphosis: Kyphosis is a spinal disorder where an abnormal curvature of the spine results in a rounding of the upper back and hunched posture.
  • Neuropathy, or nerve pain in the back: Neuropathic pain in the back or spine can result from any type of pain that impinges or compresses a nerve such as lumbar radiculopathy, scarring causing clumping of nerve roots following a spinal procedure (arachnoiditis), and pain following back surgery.
  • Osteoporosis: Osteoporosis is a disease that weakens bones, especially in older women. In addition to be a leading cause for broken bones in older people. As a result, osteoporosis can cause a person to stoop or hunch (called kyphosis), which can aggravate back pain.
  • Pinched nerves and sciatica: With age, your spinal canal (what your spinal cord runs through) starts to thicken and narrow. This puts pressure on the nerves, including the sciatic nerve that runs down the back of your leg. Depending on which nerve is compressed, pain can also radiate down the front of your leg (thigh) and cause numbness and muscle weakness.
  • Sciatica: Sciatica is a very broad term describing nerve pain, not a specific diagnosis. Sciatic pain occurs when a lower lumbar or sacral nerve root in the lumbar spine is compressed.
  • Scoliosis: Scoliosis is an abnormal sideways curve that causes posture and alignment issues and breathing problems later in life. Usually, the curves develop in the adolescent years, and we treat them through bracing and surgery. Sometimes adults can also develop a type of scoliosis (degenerative or de novo scoliosis) that can cause back and leg pain.
  • Spinal cord injuries: The term ‘spinal cord injury’ refers to damage to the spinal cord resulting from trauma (e.g., a motor vehicle accident), disease (cancer), or degeneration.
  • Spinal stenosis: Spinal stenosis is a common condition where the spinal canal, which contains the nerve roots and spinal cord, becomes narrowed leading to nerve compression.
  • Spondylolisthesis: In spondylolisthesis, one of the bones in your spine — called a vertebra — slips forward and out of place. In some people, this causes no symptoms at all. Others may have back and leg pain that ranges from mild to severe.
  • Spondylolysis: Spondylolysis is a weakness or stress fracture in one of the vertebrae, the small bones that make up the spinal column. The most common vertebra affected is L5.
  • Sprains and strains: The soft tissues around your spine (muscles, tendons, and ligaments) can get strained or overstretched. This can happen because of poor posture, a fall, or other sudden movement. A sprain or a strain can cause loss of mobility but usually gets better with rest.
  • Vertebrae fractures: Some fractures are serious and happen because of trauma. But we often see less severe (though still painful) fractures that happen with age, from minor falls, and in people with osteoporosis. These are sometimes called compression fractures and are very treatable.

We see people with all types of back pain. The most common injuries and conditions we treat are:

  • Arthritis: Arthritis causes pain, swelling, and loss of mobility in your vertebrae. Arthritis can happen over time as your cartilage wears out (osteoarthritis). You’re more at risk for developing arthritis if you’ve had a prior back injury. There are also certain types of arthritis, like ankylosing spondylitis, that specifically affect the spine.
  • Bulging and herniated discs: As we get older, the discs that cushion the bones of our spine get less flexible. They can even rupture. This can cause back pain that radiates down your buttocks into your thighs and numbness and tingling in the legs.
  • Degenerative disc disease: Degenerative disc disease is when your spinal disks wear down. When this cushioning erodes, it can be painful and can cause other problems like scoliosis.
  • Kyphosis: Kyphosis is a spinal disorder where an abnormal curvature of the spine results in a rounding of the upper back and hunched posture.
  • Neuropathy, or nerve pain in the back: Neuropathic pain in the back or spine can result from any type of pain that impinges or compresses a nerve such as lumbar radiculopathy, scarring causing clumping of nerve roots following a spinal procedure (arachnoiditis), and pain following back surgery.
  • Osteoporosis: Osteoporosis is a disease that weakens bones, especially in older women. In addition to be a leading cause for broken bones in older people. As a result, osteoporosis can cause a person to stoop or hunch (called kyphosis), which can aggravate back pain.
  • Pinched nerves and sciatica: With age, your spinal canal (what your spinal cord runs through) starts to thicken and narrow. This puts pressure on the nerves, including the sciatic nerve that runs down the back of your leg. Depending on which nerve is compressed, pain can also radiate down the front of your leg (thigh) and cause numbness and muscle weakness.
  • Sciatica: Sciatica is a very broad term describing nerve pain, not a specific diagnosis. Sciatic pain occurs when a lower lumbar or sacral nerve root in the lumbar spine is compressed.
  • Scoliosis: Scoliosis is an abnormal sideways curve that causes posture and alignment issues and breathing problems later in life. Usually, the curves develop in the adolescent years, and we treat them through bracing and surgery. Sometimes adults can also develop a type of scoliosis (degenerative or de novo scoliosis) that can cause back and leg pain.
  • Spinal cord injuries: The term ‘spinal cord injury’ refers to damage to the spinal cord resulting from trauma (e.g., a motor vehicle accident), disease (cancer), or degeneration.
  • Spinal stenosis: Spinal stenosis is a common condition where the spinal canal, which contains the nerve roots and spinal cord, becomes narrowed leading to nerve compression.
  • Spondylolisthesis: In spondylolisthesis, one of the bones in your spine — called a vertebra — slips forward and out of place. In some people, this causes no symptoms at all. Others may have back and leg pain that ranges from mild to severe.
  • Spondylolysis: Spondylolysis is a weakness or stress fracture in one of the vertebrae, the small bones that make up the spinal column. The most common vertebra affected is L5.
  • Sprains and strains: The soft tissues around your spine (muscles, tendons, and ligaments) can get strained or overstretched. This can happen because of poor posture, a fall, or other sudden movement. A sprain or a strain can cause loss of mobility but usually gets better with rest.
  • Vertebrae fractures: Some fractures are serious and happen because of trauma. But we often see less severe (though still painful) fractures that happen with age, from minor falls, and in people with osteoporosis. These are sometimes called compression fractures and are very treatable.

Physicians

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