Chronic Low Back Pain - Dr. Ronjon Paul

Chronic Lower Back Pain is another common condition defined by affecting the lumbar region for three months or longer. Pain ranges in form and severity, and stems from anomalies in the anatomical structure of the back.

About Chronic Low Back Pain

Chronic Lower Back Pain is another common condition defined by affecting the lumbar region for three months or longer. Pain ranges in form and severity, and stems from anomalies in the anatomical structure of the back.

Causative factors may include stress, trauma, or concomitant disease, but in many cases may be difficult to isolate. Even so, a number of therapeutic solutions exist to provide relief for patients suffering from this chronic ailment. The causative problem may resolve naturally, but pain can persist despite this. Doctors will work with patients to understand as much as possible about their condition, and find appropriate solutions for their individual needs.

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About Chronic Low Back Pain

Chronic Lower Back Pain is another common condition defined by affecting the lumbar region for three months or longer. Pain ranges in form and severity, and stems from anomalies in the anatomical structure of the back.

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https://paulspine.com/wp-content/uploads/2021/06/nuvasive.png
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Causative factors may include stress, trauma, or concomitant disease, but in many cases may be difficult to isolate. Even so, a number of therapeutic solutions exist to provide relief for patients suffering from this chronic ailment. The causative problem may resolve naturally, but pain can persist despite this. Doctors will work with patients to understand as much as possible about their condition, and find appropriate solutions for their individual needs.

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PAIN THAT COMES AND GOES

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LOW BACK PAIN IS OFTEN ASSOCIATED WITH RADIATING LEG PAIN

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PAIN MAY PRESENT AS A DULL, SHARP, PIERCING, OR BURNING SENSATION

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PAIN MAY STAY IN ONE PLACE OR RADIATE TO OTHER AREAS, SUCH AS THE FRONT, SIDES, BACK, AND LEGS

Chronic Low Back PainBy the numbers

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adults report experiencing low back pain
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lost work days to low back pain every year
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of population will experience back pain in life
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related minimally invasive treatments offered by Dr. Paul

Chronic Low Back PainBy the numbers

0123456789001234567890%
adults report experiencing low back pain
012345678900123456789001234567890M
lost work days to low back pain every year
0123456789001234567890%
of population will experience back pain in life
01234567890
related minimally invasive treatments offered by Dr. Paul
https://paulspine.com/wp-content/uploads/2021/06/lumbar-spinal-stenosis.jpg

Is chronic low back pain dangerous?

Generally, there are relatively few complications of chronic low back pain, though it can reduce patient mobility significantly. Rarely, in instances of spinal cord or nerve root compression, swift medical attention is required to prevent functional losses.

https://paulspine.com/wp-content/uploads/2021/06/lumbar-spinal-stenosis.jpg

Is chronic low back pain dangerous?

Generally, there are relatively few complications of chronic low back pain, though it can reduce patient mobility significantly. Rarely, in instances of spinal cord or nerve root compression, swift medical attention is required to prevent functional losses.

How is chronic low back pain managed?

Many options exist for the management of chronic back pain, including:

  • Physical Therapy – May include stretching exercises, manual therapies, TENS, ultrasound, heat.
  • Medications – Varied, such as NSAIDs, narcotics, muscle relaxants, and nerve stabilizing drugs.
  • Procedures – Range from injections to open surgery.
  • Coping Skills – Chronic pain can influence all aspects of one’s life, and including a psychologist or psychiatrist in treatment can greatly enhance patient quality of life.
  • Complementary Medicine Treatments – Acupuncture, nutritional therapy, and others.

For acute and sometimes chronic pain primarily in the back or neck it’s very reasonable to seek care from one of our spine physical therapists. For many insurances, referrals are not required. Dr. Paul’s team works closely with the therapists. They often facilitate referrals to Dr. Paul and his spine surgery partners.

https://paulspine.com/wp-content/uploads/2021/01/dr-ronjon-paul-md-1020x681px-how-is-condition-managed.jpg
https://paulspine.com/wp-content/uploads/2021/01/dr-ronjon-paul-md-1020x681px-how-is-condition-managed.jpg

How is chronic low back pain managed?

Many options exist for the management of chronic back pain, including:

  • Physical Therapy – May include stretching exercises, manual therapies, TENS, ultrasound, heat.
  • Medications – Varied, such as NSAIDs, narcotics, muscle relaxants, and nerve stabilizing drugs.
  • Procedures – Range from injections to open surgery.
  • Coping Skills – Chronic pain can influence all aspects of one’s life, and including a psychologist or psychiatrist in treatment can greatly enhance patient quality of life.
  • Complementary Medicine Treatments – Acupuncture, nutritional therapy, and others.

For acute and sometimes chronic pain primarily in the back or neck it’s very reasonable to seek care from one of our spine physical therapists. For many insurances, referrals are not required. Dr. Paul’s team works closely with the therapists. They often facilitate referrals to Dr. Paul and his spine surgery partners.

About Physical Therapy

For acute and sometimes chronic pain primarily in the back or neck it’s very reasonable to seek care from one of our spine physical therapists. For many insurances, referrals are not required. Dr. Paul’s team works closely with the therapists. They often facilitate referrals to Dr. Paul and his spine surgery partners.
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How is chronic low back pain diagnosed?

A thorough physical examination and patient history are mainstays of diagnosis for chronic low back pain. Usually a diagnosis can be made on this information alone, but in some cases additional tests will be ordered to exclude conditions that would put patient health at risk if left untreated. Such tests may include blood tests, x-rays, CT scans, bone scans, MRI, diagnostic injections, electromyography, among others. It may be difficult to reach a definitive diagnosis at the conclusion of an initial visit, but ruling out more dangerous possibilities still makes for a successful evaluation. The overall goal of each case is to reduce pain, improve function, and improve patient quality of life.

https://paulspine.com/wp-content/uploads/2021/01/dr-ronjon-paul-md-1020x681px-how-is-condition-diagnosed.jpg

How is chronic low back pain diagnosed?

A thorough physical examination and patient history are mainstays of diagnosis for chronic low back pain. Usually a diagnosis can be made on this information alone, but in some cases additional tests will be ordered to exclude conditions that would put patient health at risk if left untreated. Such tests may include blood tests, x-rays, CT scans, bone scans, MRI, diagnostic injections, electromyography, among others. It may be difficult to reach a definitive diagnosis at the conclusion of an initial visit, but ruling out more dangerous possibilities still makes for a successful evaluation. The overall goal of each case is to reduce pain, improve function, and improve patient quality of life.

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Disclosures & Important Information

Disclaimer
The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images and information, contained on or available through this web site is for general information purposes only. Dr. Paul makes no representation and assumes no responsibility for the accuracy of information contained on or available through this web site, and such information is subject to change without notice. You are encouraged to confirm any information obtained from or through this website with other sources, and review all information regarding any medical condition or treatment with your physician. NEVER DISREGARD PROFESSIONAL MEDICAL ADVICE OR DELAY SEEKING MEDICAL TREATMENT BECAUSE OF SOMETHING YOU HAVE READ ON OR ACCESSED THROUGH THIS WEB SITE.

Dr. Paul does not recommend, endorse or make any representation about the efficacy, appropriateness or suitability of any specific tests, products, procedures, treatments, services, opinions, health care providers or other information that may be contained on or available through this web site. DR. PAUL IS NOT RESPONSIBLE NOR LIABLE FOR ANY ADVICE, COURSE OF TREATMENT, DIAGNOSIS OR ANY OTHER INFORMATION, SERVICES OR PRODUCTS THAT YOU OBTAIN THROUGH THIS WEB SITE. www.paulspine.com/legal/disclaimer.

Individuals’ outcomes may depend on a number of factors, including but not limited to patient characteristics, disease characteristics and/or surgeon experience.

All logos and names are trademarks or registered trademarks of their respective owners.

©2021 Ronjon Paul MD. All rights reserved.

Privacy Policy   |  Terms of Use   |   Disclaimer   |   Sitemap

Disclosures & Important Information

The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images and information, contained on or available through this web site is for general information purposes only. Dr. Paul makes no representation and assumes no responsibility for the accuracy of information contained on or available through this web site, and such information is subject to change without notice. You are encouraged to confirm any information obtained from or through this website with other sources, and review all information regarding any medical condition or treatment with your physician. NEVER DISREGARD PROFESSIONAL MEDICAL ADVICE OR DELAY SEEKING MEDICAL TREATMENT BECAUSE OF SOMETHING YOU HAVE READ ON OR ACCESSED THROUGH THIS WEB SITE.

Dr. Paul does not recommend, endorse or make any representation about the efficacy, appropriateness or suitability of any specific tests, products, procedures, treatments, services, opinions, health care providers or other information that may be contained on or available through this web site. DR. PAUL IS NOT RESPONSIBLE NOR LIABLE FOR ANY ADVICE, COURSE OF TREATMENT, DIAGNOSIS OR ANY OTHER INFORMATION, SERVICES OR PRODUCTS THAT YOU OBTAIN THROUGH THIS WEB SITE. www.paulspine.com/legal/disclaimer.

Individuals’ outcomes may depend on a number of factors, including but not limited to patient characteristics, disease characteristics and/or surgeon experience.

All logos and names are trademarks or registered trademarks of their respective owners.

Privacy Policy   |  Terms of Use   |   Disclaimer   |   Sitemap

©2021 Ronjon Paul MD. All rights reserved.

DAY OF SURGERY INFORMATION

Edwards Hospital

Arrival & Directions

Drive to the South parking garage. Free Valet parking is available during business hours. If you self-park, take the elevator from the garage to the first floor to enter the main hospital lobby. Wheelchairs are available if needed. Take the D elevator to the 2nd floor. Proceed to the Surgical and Endoscopy Check-In Desk. Here you and your family will be checked in and escorted to the Pre-op Area to be prepared for surgery. Up to two family members may wait with you until you are taken to surgery. Your family may then wait in the Surgical Waiting room until notified by the surgeon that the surgery has been completed. A receptionist will take down contact information so that your family may be easily reached to speak with Dr. Paul. Complimentary coffee is available for your family while in the Surgical Waiting room. The cafeteria and gift shop are on the ground floor in the North area of the hospital and the coffee shop is in the South area of the hospital for your family’s convenience.

Get Directions to Edwards Hospital

In the preoperative room you will be prepared for surgery. The team will be checking your vital signs, starting your IV, validating your medications, health history, lab results and any follow up for additional testing needed. At this time, they will obtain your consent for surgery and answer any questions you may still have. Your anesthesiologist will see you and your family prior to your surgery. Dr. Paul, Adam or Kevin  will mark your surgical site. You will be escorted to the operating room by cart. Your family can wait in the surgical waiting room. Dr. Paul will call them when surgery is completed.  If he can not reach them, he will leave a message with the Patient Liaison. Following surgery you will be taken to the Post Anesthesia Care Unit (PACU) where you will recover for an hour or more. During this time, pain and nausea control will be established and your vital signs will be monitored frequently.