Back pain is a common condition for many people, and one of the most difficult to diagnose and treat. At Texas Orthopedics, our spine doctors have the expertise and experience to help you find the right treatment plan to help end your back pain.

Our physical medicine and rehabilitation physicians Dr. Kenneth Bunch, Dr. Vishal Kancherla and Dr. Ai Mukai specialize in non-surgical spine care using conservative treatments, such as physical therapy, injections delivered under X-ray or ultrasound guidance, and non-narcotic medications.

Our spine surgeons perform surgeries only after all conservative treatment options have failed. Our fellowship-trained orthopedic spine surgeons include Dr. James Smith, and Dr. Atilla Onan.

Common back conditions and treatments:

• Degenerative Disc Disease
• Herniated Disc
• Low Back Pain
• Osteoporosis
• Pinched Nerves
• Sciatica
• Spinal Stenosis
• Slipped Vertebrae - Spondylolisthesis
• Stress Fracture - Spondylolysis
• Facet Joint Syndrome
• Coccydynia - Tailbone Pain

Non-surgical Procedures:

• Lumbar Epidural Steroid Injections
• Radiofrequency Ablation/Neurotomy
• Lumbar Transforaminal Epidural Steroid Injections
• Intercostal Nerve Blocks
• Caudal Epidural Steroid Injections
• Sacroiliac (SI) Joint and Ligament Injections
• Sacroiliac Radiofrequency Ablation
• Medial Branch Nerve Block
• Trigger Point Injections

Surgical Procedures:

• Discectomy: Microdiscectomy and Traditional Discectomy
• Spinal Fusion: Posterior and Anterior
• Lumbar Disc Replacement
• Laminectomy (Decompression)
• Facetectomy

How Do I Know If I Need Back Surgery?

Many times, surgery is not needed for back pain because there are a number of very
effective, non-invasive and non-surgical treatments. Conservative treatments, such as
medication, physical therapy and rest, typically resolve back pain. However, if these
approaches do not work, then you may need to have back surgery. Some common back
injuries include spinal stenosis, disc replacement, herniated discs, and more.

There are also some back problems that can only be corrected with surgery. For
example, if you have bone spurs on your spine, then a surgery called a laminectomy
may be necessary to remove them and give you relief.

At Texas Orthopedics, we have both back pain specialists and fellowship-trained spine
surgeons on staff. This allows us to offer many different kinds of treatment for your back
injury or chronic pain. And with eight locations, we make it more convenient to get the
care you need for your back pain.

What are the Symptoms of Back Injury?

Back pain may not show up for 24 hours after an injury. The pain may get worse if you
move, and you may also notice numbness and tingling in the area. Additionally, you
may have pain that radiates to other parts of the body such as the arms and legs.

A severe back injury can cause more serious symptoms. This includes shortness of
breath, bloody urine and numbness in the arms and legs. If you notice any of the
symptoms, then you will need to seek medical attention as soon as possible.

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Visit our patient education library to learn more about back problems and treatments.