Atlas Rehabilitation and Pain Medicine, located on Park Avenue South in Manhattan, New York and in Milburn, New Jersey is a renowned pain treatment centre at the forefront of advanced therapies for back pain. Atlas Rehabilitation and Pain Medicine of New York and New Jersey can provide pain management and pain treatment for your back pain. When it comes to lower back pain, you first need to have an accurate diagnosis for your pain. Most back pain can be managed conservatively, although some specific disorders require surgery. In most cases of back pain, patients will begin to notice relief within two weeks of starting pain management treatment at the Atlas Rehabilitation and Pain Medicine of New York or New Jersey. Back pain treatment options vary and the back pain doctors of Atlas Rehabilitation and Pain Medicine will provide recommendations for your specific back pain management and treatment.

Back pain may be due to poor back-muscle tone, muscle tension or spasms, back sprains, tears in ligaments or muscles, and joint problems. Sometimes nerves, as they leave the spinal cord, can be irritated by slipped disks. Such irritation, originating from the spine, can cause pain in the buttocks or legs and numbness, tingling, or weakness in the legs. If you have back pain, you' are not alone. Four out of five adults experience at least one stint of back pain at some point during their lifetime. Back pain is the fifth leading cause of trips to the doctor in the United States.

Many people who develop back pain may not need to see a pain doctor or other healthcare professional immediately. It is possible that your back pain symptoms may go away without any treatment.

You should visit your doctor, pain management specialist, or healthcare professional if you experience any of the following:

- Your back pain symptoms are severe
- Your back pain prevents you from doing everyday activities
- Your back pain does not go away or get better within a few days

Some of the most popular treatments for back pain as elected by the patients of the Atlas Rehabilitation and Pain Medicine of New York and New Jersey include:

Epidural injections for back pain: The nerves and discs of the spine are close to the outermost lining of the spinal cord. It is possible to inject pain relieving medicines in this location, called the epidural space, to provide back pain relief. The epidural space is identified under X-ray control and spread of the medication after injection followed by dynamic radiological imaging with dye.

Medial Branch Neurotomy for back pain: The facet (zygapophyseal) joints send pain signals along branches of the dorsal spinal rami called the medial branches. It has been shown that lesioning of these nerves can relieve back pain pain. The nerves are identified under X-ray imaging and numbed with local anesthetic. The patient then assesses the effect and degree of back pain relief and improvement in movement. If this appears to be helpful then the nerves can be lesioned. This involves placing a special type of needle near the nerves and once they are numbed heating them to put them out of action for a long time.

Lumbar sympathectomy for back pain: The sympathetic nerves can be an important pathway for transmission of pain from the discs. These can be blocked by an injection through the skin. The location of these nerves is determined by undertaking the procedure under X-ray together with use of a dye marker.

What medications are most commonly used to manage pain? While drug therapies differ for each person, the most common include:

- Adjuvant pain medications, including: antidepressants, anticonvulsants and muscle relaxors
- Opiates or "pain killers" used to treat acute pain
- Anti-inflammatory drugs to alleviate pain by reducing swelling and irritation

What are the most common causes of lower back pain? Lower back pain can be caused by a number of factors from injuries to the effects of aging. The most common causes of low back pain are: low back sprain and strain, age, osteoporosis and fractures and protruding disk.

If you need your back pain pain condition or chest pain condition diagnosed, or want to consider a minimally invasive alternative to traditional spine surgery or are seeking a spine surgeon, the spine doctors and pain management specialists of the Atlas Rehabilitation and Pain Medicine of Manhattan, New York and Millburn, New Jersey would be happy to see you for a consultation and help you learn about the treatment options available to you.