Back Pain


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Back pain is the leading contributor to missed work days. Up to 80% of adults in America experience low back point at some point in their lifetime. There are two main categories of lower back pain:

  • Mechanical pain is the most common cause of lower back pain, stemming primarily from muscles, ligaments, joints, and bones in and around the spine. This type of pain is usually localized in the lower back, hips, and the tops of the legs. Excess loading on the spine, in particular forward/backward/twisting motions and prolonged standing/sitting/walking can cause mechanical pain of the lower back.

  • Radicular pain occurs if a spinal nerve root is impinged or inflamed. This type of pain is usually sharp, burning, and tingling, occurring around the area of impingement/inflammation and may travel down the back of the buttocks and thighs.

Back pain can be caused by any of the following causes:

  • Herniated disc irritating nearby spinal nerve roots
  • Degenerative disc disease
  • Facet joint dysfunction
  • Sacroiliac joint dysfunction
  • Spinal stenosis
  • Osteoarthritis
  • Deformity
  • Compression fracture
  • Trauma

There are a variety of symptoms of lower back pain

  • Dull, achey pain localized in the lower back
  • Stinging, burning, tingling, and/or numbing pain that starts from the lower back to the back of the thighs, and sometimes even lower legs and feet
  • Muscle spasms and tightness in lower back, pelvis and hips
  • Pain that worsens after prolonged sitting or standing
  • Difficulty standing up straight, walking, or going from standing to sitting

Understanding the root cause of back pain is the most effective way to treat it. By targeting the immune system and knowing how to lessen the chronic inflammation, the pain can be resolved. 

Call our office today to find the right personalized treatment to address your back pain. Advanced Health specialists, acupuncturist Andrew Castellanos, manual osteopath Julie Duggan naturopathic doctor Leena Pandhya will work closely with you to understand the root cause of your pain and relieve you of chronic discomfort.


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Advanced Health Integrative Functional Medical Center
2201 Webster Street
Pacific Heights

San Francisco, CA 94115
Phone: 415-483-7080
Fax: 415-872-1140

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