Low Back Pain

Lower back pain is an exceedingly common problem in the United States.  As a matter of fact it is one of the most common reasons for a patient to visit their family doctor.  In the United States, 85% will experience an episode of lower back pain at some point in their lifetime. 

What is causing my Low Back Pain?


Your lower back pain may be either mechanical or non-mechanical.  Mechanical low back pain is by far the most common cause, and it is back pain that comes from the spine itself, the intervertebral discs of the spine, or the soft tissue surrounding the spine.  Non-mechanical low back pain fortunately is far less common and may be due to things like a tumor, infection, or some other inflammatory condition.  Lastly, there is referred low back pain in which a dysfunctional or injured organ may be referring pain to the lower back.  Fortunately, referred low back pain is also uncommon.  Potential causes of mechanical low back pain include things like a sprain or strain of the low back, intervertebral disc degeneration or herniation, a compressed nerve of the spine (called a radiculopathy), narrowing of the spinal canal (called spinal stenosis), a shifting of the vertebra out of its correct position (spondylolisthesis), spinal curvature abnormalities such as scoliosis, somatic dysfunction or arthritis of the joints of the lumbar spine (called facet joints), somatic dysfunction or arthritis of the joints where the spine meets the pelvis (called the sacroiliac joints), or tight painful points in the muscles called myofascial trigger points.


Low Back Pain Treatment


Treatment of low back pain starts with a trained health care professional to help you determine the cause of your pain and help you determine the best plan of treatment.  The diagnosis begins with meeting your doctor at Vivify Health & Wellness who will obtain a detailed history of your condition and perform a physical examination.  At times, but not always, x-rays or other advanced imaging would be indicated.  Sometimes your doctor will perform another test to diagnose an injured nerve, called an EMG with NCS testing. 


Dr. Karl Robinson has over 12 years of experience evaluating and treating low back pain.  He is a board certified chiropractor with training and certification in chiropractic neurology.  Dr. Robinson is also a nurse practitioner with training in interventional pain management procedures with certification by the American Academy of Procedural Medicine and the Academy of Integrative Pain Management.  Dr. Robinson incorporates various physical modalities in treating low back pain; including chiropractic adjustments, manual therapy, medication, nutrition, lifestyle changes, and injection therapies.  At Vivify Health & Wellness you will receive a careful examination and a treatment plan customized to your condition and needs, when indicated appropriated diagnostic tests will be performed referred out, and if your specific condition requires more specialized care we will always do our best to ensure that the correct referral is made.