Back Pain Isn't One Diagnosis
Back pain is the leading cause of disability worldwide and one of the most common reasons patients seek medical care. Despite how common it is, back pain is often treated as though every patient has the same problem. In reality, back pain is a symptom with many possible causes, and identifying the correct source is essential for successful treatment.
Common Sources of Back Pain
Clinical Insight
MRI findings don't always explain a patient's symptoms. Successful treatment depends on identifying the actual pain generator—not simply treating what's visible on imaging.
Why Common Treatments Don't Always Work
Epidural Steroid Injections
Epidural steroids may temporarily reduce inflammation around irritated nerves, but they do not repair damaged discs, ligaments, or other structures contributing to chronic pain.
Radiofrequency Ablation
Radiofrequency ablation interrupts pain signals by disabling small sensory nerves around the facet joints. While many patients experience temporary relief, the procedure does not restore damaged tissue and may affect the muscles that help stabilize the spine over time.
Spinal Surgery
Surgery remains appropriate for certain conditions, including significant neurological deficits, spinal instability, cauda equina syndrome, or structural failure that has not responded to conservative treatment. However, many patients may benefit from less invasive options before considering surgery.
Important Note
Every patient is different. Treatment recommendations should always be based on a complete evaluation, imaging, and physical examination.
How Regenerative Medicine May Help
A Personalized Evaluation
"The key to treating back pain isn't finding more treatments—it's finding the correct diagnosis first."
— Dr. Joseph Albano
Finding the Right Treatment
Back pain has many possible causes, and no single treatment works for everyone. A thorough evaluation can help determine whether regenerative medicine, rehabilitation, or another approach is the most appropriate path for your condition and goals.