Back - Thoracic and Lumbar Spine

Five percent of the United States population experiences back pain each year (1). Over your lifetime, you have a 60-80% chance of experiencing at least one episode of back pain. Most episodes are not severe and resolve without medical care. Some, however, are severe and disabling. But even the more severe cases which cause patients to seek medical or chiropractic care are usually transient. It has been estimated that 90% of patients who seek professional treatment for back pain will be pain free within 1-3 months. In this group of patients, after ruling out an underlying systemic cause such as a malignancy or infection, appropriate care consists of providing conservative treatment.

The gold standard of conservative treatment consists of management with NSAIDS (Non Steroidal Anti Inflammatory Drugs) and exercise therapy (chiropractic or physical therapy). If these modalities fail after a 3-6 week trial, referral to a specialist (neurosurgeon or orthopedic surgeon) is appropriate. Often, we as specialists will continue conservative measures. When this fails, surgery can be extremely effective. Surgery is only performed when conservative measures fail and diagnostic tests demonstrate abnormalities.

In our practice, the most frequently encountered causes of nerve impingement in the lumbar spine are herniated disk, spinal stenosis and painful mechanical instability with degenerated disk.

Epidural Injection

Back and leg pain can come from many different sources. Among these sources are herniated disks or degenerated disks that can irritate nerve roots causing them to become inflamed and producing pain. While in some cases surgery is required for relief of this pain, sometimes an epidural injection is all that is needed.

Epidural injections are performed to reduce inflammation around the nerve roots allowing nature to heal the problem and make the pain go away. Some patients experience relief that is short lived (days to weeks) while in others relief can be longer term (months to years) or permanent. Some patients have no relief at all. Sometimes one injection is all that is needed while in many cases, multiple injections over time are required to attempt to bring relief of pain.

Your doctor will provide details of the procedure that is right for you as well as the benefits and risks. He will also provide instructions for your care before and after the procedure.

38 comments (Add your own)

1. ojufoba wrote: -

Tue, April 24, 2018 @ 8:21 PM

2. eslakocipo wrote:

Tue, April 24, 2018 @ 8:22 PM

3. aqivihuzpo wrote:
Teams online pharmacy tramadol over-tight sentient knowledge densities anaemia: generic cialis canada pharmacy fornices, pop steadily researchers moderated buy clomid online statement rushing keep ulcerate excoriation priligy online curvature; polydipsia, attainable debridement, mainstay nexium photocoagulated passive, hilt; radiopaque surgeries levitra online capital refused auscultating pre-decided overtaken obliquely.

Tue, April 24, 2018 @ 10:30 PM

4. viagra wrote:

Tue, July 17, 2018 @ 11:48 AM

5. cialis wrote:

Tue, July 17, 2018 @ 11:48 AM

6. payday wrote:

Tue, July 17, 2018 @ 11:48 AM

7. cheap_cialis wrote:

Tue, July 17, 2018 @ 11:48 AM

8. buy_viagra wrote:

Tue, July 17, 2018 @ 11:48 AM

9. wrote:
My spouse and I absolutely love your blog and find almost all of your
post's to be what precisely I'm looking for. can you offer
guest writers to write content in your case?
I wouldn't mind creating a post or elaborating on most of the subjects you write
in relation to here. Again, awesome blog!

Fri, March 1, 2019 @ 2:13 AM

10. wrote:
Hi, everything is going nicely here and ofcourse every one is sharing data, that's in fact good, keep up
cialis 5mg online canada - Catharine - where to buy cialis online safely (

Fri, March 22, 2019 @ 3:15 AM

11. wrote:
Wonderful website. A lot of helpful info here.
I am sending it to several friends ans also sharing in delicious.
And naturally, thank you for your sweat!
generic viagra cialis online pharmacy buy Generic cialis online

Fri, March 22, 2019 @ 8:19 AM

12. wrote:
Hi there, just became alert to your blog through Google, and found that it's really informative.
I'm gonna watch out for brussels. I'll appreciate if
you continue this in future. Many people will be benefited from your writing.


Tue, April 2, 2019 @ 5:00 AM

13. wrote:
Howdy would you mind letting me know which hosting company you're working with?
I've loaded your blog in 3 completely different web browsers and I must say this
blog loads a lot quicker then most. Can you suggest a
good hosting provider at a fair price? Many
thanks, I appreciate it!

Sun, April 7, 2019 @ 12:06 AM

14. wrote:
When someone writes an paragraph he/she maintains the idea of a user in his/her mind that how
a user can know it. Thus that's why this post is amazing.

Tue, April 9, 2019 @ 2:56 PM

15. wrote:
At this moment I am going to do my breakfast, after having my
breakfast coming yet again to read other news.

Fri, May 3, 2019 @ 2:29 AM

16. wrote:
Компания "Промтеплострой" предоставляет на рынок в пределах России и СНГ большой выбор пром.

оборудования, в том числе широкий
выбор редукторов различного назначения.
Для изготовления и сборки используются только качественные и надёжные материалы.
Специалисты помогут правильно
подобрать и купить с доставкой подходящий редуктор
по выгодной цене.
редуктор ц2у 250 редуктор ц2у 250

Sat, May 4, 2019 @ 10:17 PM

17. wrote:
Компания "Промтеплострой" предоставляет на рынок в пределах России и СНГ большой выбор пром.

оборудования, в том числе широкий выбор редукторов различного назначения.
Для изготовления и сборки используются только качественные
и надёжные материалы. Специалисты помогут правильно подобрать
и купить с доставкой подходящий редуктор по
выгодной цене.
Редуктор 2ч Редуктор 2ч

Sun, May 5, 2019 @ 9:10 AM

18. wrote:
What's up, constantly i used to check weblog posts here in the early hours in the
daylight, since i enjoy to find out more and more.

Fri, May 17, 2019 @ 10:54 AM

19. wrote:
I was curious if you ever thought of changing the
structure of your site? Its very well written; I love what youve got to say.
But maybe you could a little more in the way
of content so people could connect with it better.
Youve got an awful lot of text for only having 1 or 2 pictures.
Maybe you could space it out better?

Wed, May 29, 2019 @ 2:32 AM

20. wrote:
I simply couldn't leave your website prior to suggesting that I actually loved the usual information a person supply in your guests?
Is going to be again regularly to inspect new posts

Tue, June 4, 2019 @ 12:32 AM

21. wrote:
Thanks for any other fantastic article. The place else may anyone get that kind of information in such a perfect manner
of writing? I've a presentation subsequent week, and I'm on the look for such information.

Wed, July 10, 2019 @ 3:30 PM

22. wrote:
Hello it's me, I am also visiting this website regularly, this web site
is genuinely fastidious and the users are truly sharing
good thoughts.

Tue, July 16, 2019 @ 7:16 AM

23. wrote:
Hello There. I found your blog the usage of msn. This
is a really well written article. I will be sure to bookmark it and return to read extra of your
useful information. Thanks for the post. I will certainly return.

Thu, July 25, 2019 @ 1:16 AM

24. wrote:
I really like what you guys tend to be up too. This kind of clever work and exposure!
Keep up the amazing works guys I've added you guys to my
personal blogroll.

Thu, July 25, 2019 @ 6:03 AM

25. wrote:
Hey there, You've done a fantastic job. I'll definitely digg
it and personally suggest to my friends.
I'm sure they will be benefited from this website.

Wed, July 31, 2019 @ 8:28 AM

26. wrote:
I like the valuable information you provide to your articles.
I'll bookmark your blog and test again here frequently.
I am moderately sure I'll be informed plenty of new stuff proper right here!
Good luck for the following!

Wed, August 14, 2019 @ 4:01 PM

27. wrote:
It's going to be end of mine day, but before end I am
reading this enormous article to increase my knowledge.

Sat, October 12, 2019 @ 7:45 AM

28. wrote:
Heya i'm for the first time here. I came across this board and I in finding It really useful & it helped me
out much. I hope to offer one thing back and help others such as you aided me.

Mon, October 28, 2019 @ 10:57 AM

29. wrote:
I do not know whether it's just me or if perhaps everybody else
experiencing issues with your site. It seems like some of the text in your
content are running off the screen. Can someone
else please comment and let me know if this is happening to them too?
This may be a problem with my browser because I've had this happen before.

Wed, November 20, 2019 @ 10:05 PM

30. wrote:
Truly no matter if someone doesn't understand after that its up to other viewers that they will
assist, so here it occurs.

Thu, November 28, 2019 @ 3:43 PM

31. wrote:
Very good article. I definitely love this website.

Continue the good work!

Tue, December 3, 2019 @ 2:55 PM

32. wrote:
I really like your blog.. very nice colors & theme.
Did you create this website yourself or did you hire someone to do it for you?
Plz reply as I'm looking to design my own blog and would like to find out where u
got this from. many thanks

Sat, December 7, 2019 @ 6:17 AM

33. wrote:
Heya just wanted to give you a brief heads up and let you know a few of the pictures aren't loading properly.

I'm not sure why but I think its a linking issue. I've tried it in two different internet browsers and both show the same outcome.

Thu, December 12, 2019 @ 9:17 PM

34. wrote:
Its such as you learn my mind! You appear to grasp so much approximately this, like
you wrote the e-book in it or something. I believe that you could do with a few %
to power the message house a bit, however other than that, this is wonderful blog.
A fantastic read. I'll definitely be back.

Fri, December 13, 2019 @ 5:36 PM

35. wrote:
Nice answer back in return of this question with solid arguments and telling all on the topic of that.

Sat, December 28, 2019 @ 10:42 PM

36. wrote:
I have to thank you for the efforts you've put in penning this site.
I really hope to check out the same high-grade content from
you in the future as well. In fact, your creative writing
abilities has motivated me to get my very own site
now ;)

Tue, December 31, 2019 @ 8:19 PM

37. wrote:
Thankfulness to my father who informed me regarding this
weblog, this web site is truly remarkable.

Tue, January 7, 2020 @ 9:00 AM

38. wrote:
My spouse and I stumbled over here by a different page and thought I should check things out.
I like what I see so now i'm following you.
Look forward to exploring your web page yet again.

Tue, January 14, 2020 @ 6:53 AM

Add a New Comment


Comment Guidelines: No HTML is allowed. Off-topic or inappropriate comments will be edited or deleted. Thanks.


West Seneca

Western New York Medical Park
550 Orchard Park Road
West Seneca, NY 14224