Locating the Source of Back Pain

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Amir Mahajer, Interventional Spine Specialist at Baptist Health Neuroscience Center, explains where the pain comes from and what we can do about it. He says low back pain basically starts at the bottom of the ribs and goes all the way down to the bottom of your gluteal fold.

He highlights you can also have radiating pain or sciatica and that is from the nerve root, which gets pinched and then that pain can radiate down the leg.

Transcript
I think we have a 3d image that we can you can we can pull up you can walk over and show us maybe where the most where the pain comes from and what we can do about it here it’s right here doctor. Okay so here we have our 3d model or animation so we have let’s just talk about two different types of back pain we’ve got your nonspecific axial or like just in your back not going too far and that lower back pain basically starts at the bottom of the ribs here you can see the ribs this is 12th rib and then goes all the way down to the bottom of your gluteal folder to the bottom of your buttock so that just kind of back pain anywhere from your buttocks into your ribs it’s gonna be your nonspecific lower back pain in this general area also you can have radiating pain or what we call sometimes sciatica it’s really a radiculopathy some people say that sounds ridiculous however that’s from the nerve root the spinal nerve is exiting it gets pinched and then that pain can radiate down the leg in general below the knee sometimes just back regular back pain from a number of causes can radiate down the posterior thigh or the back of the thigh but generally doesn’t pass the knee so that’s kind of what we look at when we evaluate the back and then you can have lots of sprains and strains anywhere in this area that shouldn’t radiate past the knee if it radiates past the knee you probably have something else going on such as a pinched nerve. Alright and is radiating pain obviously that sounds pretty bad. No not in general so a lot of pain can radiate in a somatic dermatome that just means that so matically means has a different referral pattern you can think of something common like a shoulder pain every time an individual comes to me that shoulder pain they point in the middle of their arm this is not where the shoulder shoulder pathology is or where the pain generator is it’s a little farther up so in the body the way your brain interpret it interprets the pain it’s a little bit distant from the from the pathology or where the problem is. Any basic stretches you can show us while you’re standing there? Okay so one stretch I really like is the number seven stretch that’s kind of leaning over a table and you’re kind of stretch out so that your back is flat you’re gonna stretch the back of the legs you can stretch the lower back it’s a great exercise in the morning so just try to make your body look like a number seven you can do that every hour and that’ll make you feel great.
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