Among the symptom (presentation) pain is the first and foremost and back pain tops the list. A 2017 survey found that 54 percent of U.S. adults had back or neck pain for 5 years or longer and 58 percent of adults with back pain sought medical care for their pain in any given year. The above statistics explicitly state a back pain patient is not a member of an exclusive, by invitation only, club but just another one of the hundreds of millions who are all labeled under the title of back pain. Simple anatomical facts can explain why this affliction so ubiquitous. 33 individual bones called vertebrae sit on top of each other, like the stones sit on top of each other in a pyramid. There is no glue, no cement and no fusion between the bones. There is only a thin collagenous material with a mucoprotein gel in the center, very similar to a sunny side up egg, called intervertebral disc in between the vertebrae. Each vertebrae has four moving joints; two with the bone above two with the bone below. Joints are covered by a large number of ligaments. All this is cloaked in multiple layers of muscles. There are a total of 360 joints in a human body and out of these over hundred joints called facet joints exist in the spine. There are 31 pairs of spinal nerves coming out from narrow hiatuses in between the vertebrae. The back therefore is like a perpetual motion machine whose multiple individual parts are always in a motion even when individuals are visiting the world of dreams in their sleep. Each part of this mechanical structure Bones, joints, ligaments, discs, nerves, muscles can individually or collectively be injured and each injury can have its own specific presentation. Therefore when the back cries and we feel pain a thorough evaluation, an early diagnosis and an appropriate treatment has to be timely and actively initiated. The axiom “A stitch in time saves nine ” holds true of all human afflictions but especially for back pain. Neither all back pains cure lies in rods and fusion nor can every ailment be alleviated by simple motions, massage or manipulation. Knowledge of when, why, where and what Intervention is needed is as vital as to know when not to intervene and to let the back heal on its own. To be continued…
Dr. Khan is an Anesthesiologist specializing in pain management. He established his interventional practice in the Lakeland area in 1997.
Dr. Khan completed his surgical training at the Medical College of Ohio, Surgical & Anesthesiology at Stonybrook New York, Acute & Chronic Interventional Pain
Management Fellowship at New York Medical College, and Critical Care Fellowship at USF.
He is Board Certified in Anesthesia, Critical Care, and Pain Management.
During the last 15 years he has personally seen over 100,000 patients and performed over 50,000 different Interventional Pain procedures without complication and with good outcomes.
Please call (863) 682 – PAIN to schedule your appointment today! (863-682-7246)
Pain Medicine Incorporated
541 S. Florida Ave.
Lakeland, FL 33801
Phone: (863) 682 – PAIN
Fax: (863) 682 – 5566