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Low back pain is the second most frequently reported diagnosis, after the common cold, which is seen in outpatient primary care clinics. In the majority of cases, the symptoms are self-limiting and resolve by 6-8 weeks time. However, symptoms of back pain do frequently recur and, at times, can become chronic and develop into radiculopathy or sciatica. There are a variety of factors that can predispose someone to developing recurrent back pain such as a strong family history, trauma, certain occupations, smoking, obesity, inactivity, stress, and structural abnormalities.

Initial therapeutic intervention should stress patient education on the natural course of acute and recurrent low back pain, guidance regarding activity level and modification, the use of analgesics and other modalities. In moderate to severe cases, physical therapy as well as spinal injections may be indicated.

The goal of physical therapy is multifaceted and includes: - making patient aware of proper ergonomics and body mechanics - postural retraining - improving flexibility - core strengthening - addressing the fear of movement - symptom management with application of heat, cold and education on pacing, and back and sleep supports

In cases of moderate to severe pain which is unresponsive to conservative treatment, spinal steroid injections, performed with the help of x-ray guidance, can alleviate the pain of a herniated disc, spinal stenosis and lumbar facet joint synovitis.

Spaulding-Medford offers comprehensive spine care that includes full diagnostic and therapeutic services. Physicians are fully trained in spine examination and in interpretation of spinal imaging. The center also provides a full range of spinal therapeutic injections, which include epidural steroid injections, nerve blocks, facet and sacroiliac joint injections as well as radio frequency ablation.

The comprehensive physical therapy services include patient education, modalities, manual therapy, therapeutic exercise using state of the art equipment and flexibility training. Spaulding-Medford has developed a unique exercise-based spine program for individuals committed to preventing recurrence of back pain and dysfunction. The Spine Care Program runs two evenings per week for 5-week duration. Experienced physical therapists with clinical expertise in spine dysfunction work directly with participants. The program combines individualized progression within a group-based exercise setting. Patients are encouraged to optimize their spine health through principles of Pilates core strengthening, yoga based flexibility and general strengthening and conditioning.

For more information about the Spine Care Program at Spaulding-Medford, please call (781) 391-7518.