Back Pain
Issues with the hips, particularly where they connect to the spine through the sacroiliac joints, are the primary cause of low back pain. The numerous muscle tendons and ligaments enveloping the hips and spine often get irritated days, weeks, or even months after the initial damage to the hip joints occurs. This additional damage can easily cause confusion for health professionals.
Dr. Abraham ensures he pays meticulous attention to all potential pain sites, including the hip joints and areas above or below the hips. Typically, an initial history and examination require an hour's worth of comprehensive work to identify the sources of pain. The key is accurate diagnosis, and treatment only commences after this assessment. A range of treatments may be required. It's worth noting that injections are not usually administered during the initial patient visit.
What causes back pain?
Back pain can be attributed to a variety of factors including overextended soft tissues, injured tendons, spinal mechanical imbalance, and on rare occasions, direct damage to the spine. Back injuries often onset rapidly, leading to immediate pain and loss of optimal functionality, whereas degenerative conditions manifest slowly over months or even years, causing a gradual decline in mobility and escalating pain.
Potential conditions causing your back pain might include:
● Sacroiliac joint pain (the most prevalent cause)
● Tendon strains and ligament sprains
● Osteoarthritis
● Radiculopathy (compressed nerves)
● Disc herniation
● Spinal stenosis
● Degenerative disc disease
● Scoliosis
To ascertain the origin of your back pain, X-rays or MRI imaging are seldom required unless your medical history includes recent weight loss, a fall, fever, or a history of cancer. Dr. Abraham employs a comprehensive set of patient history questions and a detailed physical examination to pinpoint the affected structures. He then explains the identified causes to the patient and discusses the available treatment options.
How is back pain treated?
The treatment plan for your back pain is tailored based on the underlying cause of your condition.
Muscle strains, for instance, often heal quickly with rest and the use of hot and cold compresses, while other conditions need further interventions.
If you're suffering from back pain linked to spinal issues, Dr. Abraham can help. Utilizing a gentle, hands-on approach, he performs manual manipulations to realign the vertebrae.
Dr. Abraham also integrates innovative techniques such as fascial distortion correction. This therapy involves specialized massage methods designed to alleviate tension and untangle knots in the fascia - the connective tissue beneath your skin surrounding your muscles.
Dr. Abraham collaborates with highly skilled physical therapy specialists. These professionals offer top-notch rehabilitation programs and pain management strategies designed to address and alleviate your back pain.
If your back pain is resisting these conservative treatments, the primary approach Dr. Abraham uses for most patients with back pain is Prolotherapy.
How does Prolotherapy help with back pain?
Prolotherapy is a simple yet powerful way that helps your body heal itself. Dr. Abraham uses this method by giving you shots that include only a type of sugar called dextrose or glucose and a numbing medicine. These shots are given into the part of your back that hurts.
In classic Prolotherapy, Dr. Abraham puts the shot into the deep parts of your tissues. This is like telling your body to send helper cells to any places that are damaged to make things better.
Also, Dr. Abraham specializes at a new kind of Prolotherapy, named Perineural Injection Therapy (PIT). PIT involves putting the same dextrose or glucose solution into the small nerves just under your skin. It's reduces nerve pain by stopping the communication of pain to your brain. PIT can quickly reduce or eliminate pain while you're still in the doctor's office. However, you might need more shots a few days or a week later. Just traditional Prolotherapy, the result is that you will be pain-free and be able to move and regain your normal strength.
Contact us
When considering an appointment as a new patient, please call to speak directly with Dr. Abraham.