Back pain treatment and relief in Castle Rock

Why Does Back Pain Occur?

Back pain arises when the structures in the spine, including muscles, discs, joints, and nerves, become irritated, inflamed, or injured. It can result from daily activities, poor posture, medical conditions, or trauma. Since the spine supports the body and facilitates movement, it is prone to strain and wear over time.

Back pain is a symptom of an underlying issue such as muscle strain, disc degeneration, or nerve compression. The severity and duration vary depending on the cause and the effectiveness of treatment.

What are Common Symptoms Associated with Back Pain?

Back pain symptoms range in intensity and duration. Depending on the underlying cause, individuals may experience:

  • Persistent aching or sharp pain – Localized or widespread discomfort, often worsening with movement or prolonged sitting.

  • Stiffness and reduced flexibility – Difficulty bending, twisting, or standing up straight due to muscle tightness or joint restrictions.

  • Radiating pain – Discomfort extending to the hips, buttocks, or legs, often indicating nerve involvement.

  • Muscle spasms and tightness – Sudden, involuntary contractions causing severe discomfort and limited mobility.

  • Numbness, tingling, or weakness in the legs – Potential signs of nerve compression, seen in conditions like sciatica or herniated discs.

Symptoms may be intermittent or chronic, depending on the severity and cause. Proper treatment can prevent progression and enhance mobility.

What Are the Most Common Causes of Back Pain?

  • Muscle Strain – Poor posture, excessive sitting, or improper lifting techniques strain back muscles.

  • Herniated or Bulging Discs – Disc material pressing on nerves can cause pain, numbness, or weakness.

  • Arthritis – A leading cause of persistent back pain after age 50, resulting from joint wear and tear.

  • Spinal Stenosis – Narrowing of the spinal canal compresses nerves, leading to pain and weakness.

  • Sciatica – Compression of the sciatic nerve causes pain radiating down one or both legs.

  • Trauma or Injury – Falls, accidents, or sudden movements can damage soft tissues in the back.

  • Compression Fractures – Common in the elderly, often due to osteoporosis, leading to vertebral fractures and pain.

  • Other Risk Factors – Age, stress, obesity, and inactivity contribute to back pain.

When Should I See a Doctor for Back Pain?

Most cases of back pain improve with rest and conservative treatments. However, medical attention is necessary in certain situations:

Seek Immediate Medical Attention If You Experience:

  • Severe back pain following an accident or injury.

  • Weakness, numbness, or tingling in the legs.

  • Loss of bowel or bladder control.

  • Persistent fever, chills, or unexplained weight loss.

Consult a Pain Specialist If:

  • Back pain lasts more than a few days and interferes with daily activities.

  • Over-the-counter medications and home treatments provide no relief.

  • You want to explore non-surgical options for long-term pain relief and improved function.

How Do Doctors Diagnose Back Pain?

Doctors typically diagnose back pain through medical history and a physical examination. If symptoms persist or worsen, imaging tests like MRIs or X-rays may be necessary to identify structural issues such as disc herniation or nerve compression. Many insurance providers require 4 to 6 weeks of conservative treatment before approving advanced imaging or injections.

What Are the Most Effective Treatments for Back Pain?

Many patients experience significant improvement with conservative treatments. Non-surgical therapies are the first step before considering injections or surgery. A combination of posture correction, physical therapy, and medication is often recommended, with injections used for persistent or severe pain.

Non-Surgical Treatment Options:

  • NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) – Reduce inflammation and pain.

  • Muscle Relaxants or Nerve-Calming Medications – Ease muscle tightness and nerve discomfort.

  • Physical Therapy – Focuses on posture correction, strength building, and flexibility.

  • Ergonomic Adjustments – Modifying workstations, mattresses, and sleep positions to reduce strain.

Injection-Based Treatment Options:

  • Trigger Point Injections – Relieve muscle spasms and knots contributing to chronic pain.

  • Epidural Steroid Injections (ESI) – Reduce inflammation around irritated nerves.

  • Facet Joint Injections – Target small spinal joints to alleviate arthritis-related pain.

  • Medial Branch Blocks – Temporarily numb specific nerves to assess suitability for longer treatments like radiofrequency ablation.

  • Medial Branch Radiofrequency Ablation (RFA) – Uses heat to disrupt pain signals from nerves for long-term relief.

  • Platelet-Rich Plasma (PRP) Injections – Utilize concentrated platelets from the patient’s blood to promote healing.

When Will My Back Pain Get Better?

The timeline for back pain relief depends on the cause and treatment approach:

  • Mild cases – Often improve within a few days to a few weeks with rest and home treatments.

  • Moderate cases – May take 4 to 6 weeks with physical therapy and medication.

  • Chronic or severe cases – May require several months, especially if nerve compression or advanced treatments are involved.

Most patients experience relief within weeks, but some with conditions like arthritis, disc herniation, or spinal injuries may require ongoing management through therapy, injections, and lifestyle adjustments.

What is the Fastest Way to Relieve Back Pain?

For quick relief, Dr. Carrera recommends combining treatments to reduce pain while supporting long-term recovery:

  • Anti-inflammatory medication – Long-lasting options like meloxicam reduce swelling and stiffness.

  • Trigger point or facet-joint injections – Provide targeted relief by calming tense muscles or joints.

  • Physical therapy – Helps build strength and prevent future pain once symptoms improve.

During flare-ups, patients often use a combination of anti-inflammatory medication and targeted injections to quickly reduce inflammation and relax muscles, preventing the need for invasive treatments.

What are the Best Sleeping Positions for Back Pain?

Sleeping position plays a crucial role in spinal alignment and pain prevention:

  • Back sleepers – Use a medium-firm mattress and a pillow that supports the lower back’s natural curve.

  • Side sleepers – Place a firm pillow between the knees to maintain spinal alignment and reduce pressure.

  • Stomach sleeping – Discouraged, as it forces the back into an unnatural position and can worsen pain.

Adjusting your mattress and sleeping posture can significantly reduce back pain and prevent stiffness.

How Can I Get Relief from Neck Pain?

Dr. Carrera and his team provide expert, patient-centered care for back pain relief in Castle Rock, Colorado. Same-week appointments may be available. Patients often come from Castle Rock, Lone Tree, Parker, Highlands Ranch, Denver, and surrounding areas.

Call 720-455-3775 to schedule your consultation today!