Wellness Workshop | Unraveling Axial Back Pain | Thomas P. Ragukonis, MD
Thomas P. Ragukonis, MD, is a top pain management specialist who lends his skills and expertise to serve patients as Medical Director and Founder of Bergen Pain Management in West New York, Union, and Paramus, NJ. With four convenient locations in New Jersey, Bergen Pain Management is a premiere pain management practice... more
Understanding Chronic Axial Back Pain
Chronic axial back pain is a common yet complex condition that affects many individuals. It is primarily localized to the lower back and does not radiate into the legs or other areas. The pain can be sharp or dull, intermittent or constant, and varies in severity.
Causes and Diagnosis
Axial back pain is often mechanical in nature, meaning it worsens with certain activities, such as prolonged sitting or strenuous sports, and improves with rest. Identifying the exact cause can be challenging, as multiple structures—including discs, facet joints, and soft tissues—may contribute to the pain. While imaging like MRI scans can detect degenerative changes, these findings do not always correlate with pain levels.
Treatment Approaches
For most cases, non-surgical treatments are effective. These include physical therapy, activity modification, pain management with medications, and applying ice or heat. If symptoms persist beyond six weeks, additional interventions such as injections or surgery may be considered for severe cases.
While chronic axial back pain can significantly impact daily life, a tailored treatment plan can help manage symptoms and improve overall function.
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