Overview
The spine consists of vertebral bones separated by shock-absorbing intervertebral discs, linked by facet joints, and supported by heavy back muscles. Back pain often stems from mechanical strain, age-related disc degeneration, or irritation of the sacroiliac (SI) joints.
Common Causes of Back Pain
- Lumbar muscle strains and ligament sprains from heavy lifting or twisting
- Degenerative disc disease causing loss of disc height and flexibility
- Herniated or bulging lumbar discs putting pressure on nerve roots
- Sciatica (radiating pain, numbness, or tingling traveling down the leg)
- Sacroiliac (SI) joint dysfunction connecting the spine to the pelvis
- Spinal stenosis (narrowing of the spinal canal causing leg heaviness)
Symptoms That May Need Evaluation
You should consider an orthopedic evaluation if you experience any of the following symptoms:
- Aching, stiffness, or sharp muscle spasms in the lower back
- Pain that worsens with prolonged sitting, bending, or standing
- Shooting pain, tingling, or weakness radiating into the buttock or down the leg
- Difficulty walking upright or standing comfortably
- Morning stiffness that improves slightly with gentle movement
How Problems Are Diagnosed
Your visit includes a neurological screen (testing reflexes, sensation, and motor strength), gait analysis, and physical tests for nerve tension and SI joint tenderness. Digital X-rays assess disc heights, alignment, and arthritis.
Nonsurgical Treatment Options
Dr. Dalal emphasizes conservative care whenever possible before considering surgical intervention:
- Physical therapy focusing on core strengthening, lumbar stabilization, and posture
- Activity modification and ergonomic workplace adjustments
- Short-term anti-inflammatory medications and muscle relaxants
- Coordinated referrals for diagnostic spinal imaging or interventional injections
When Surgery May Be Considered
Dr. Dalal focuses on conservative, non-surgical management for orthopedic back pain. When progressive neurological weakness or surgical spine pathology is identified, patients are guided with clear diagnostic information and coordinated referrals.
Related Treatments & Procedures
Learn more about treatments related to back pain:
Why Choose Tri-State Orthopaedics
Tri-State Orthopaedics offers patients a calm, thorough evaluation where non-surgical therapies are prioritized to relieve back discomfort safely.
Our Office Locations
Dr. Dalal sees patients for back pain evaluation at both of our Mid-South offices: