Spine Symptom neck midback back

Symptoms

Point to the area where it hurts to learn about possible causes, what you can do, and how to know if you should see a doctor.

 

Neck pain and Upper back pain

Possible causes

  • Muscle strain/ over use
  • Cervical spine degeneration (spondylosis)
  • Cervical disc herniation

What you can do

Try sitting more erect. Read the article to see an exercise that might help

When you should see a doctor

If the pain doesn't go away in a few days, or if it becomes hard to bear, have a spine specialist evaluate you to see if there are more serious causes. Make an appointment

  • The pain is unbearable.
  • The pain persists more than 3 months.
  • There are arm symptoms with neck symptoms (pain, numbness, weakness).
  • There are walking problems (imbalance, gait stiffness, wide-based gait).
  • There are bowel and bladder control problems.
*The symptoms in bold point to a serious underlying cause and immediate medical treatment is required.

Treatment

Your doctor will evaluate your movement and may order detailed imaging of your lumbar vertebrae. This will help determine the best course of treatment, which could include:

Mid back pain (with leg symptoms)

Possible causes

  • Muscle strain / over use
  • Thoracic spine degeneration (spondylosis)
  • Thoracic disc herniation
  • Thoracic myelopathy (stenosis)
  • Trauma
  • Tumor
  • Infection
  • Deformity

What you can do

Try sitting more erect. Read the article to see an exercise that might help

When you should see a doctor

If the pain doesn't go away in a few days, or if it becomes hard to bear, have a spine specialist evaluate you to see if there are more serious causes. Make an appointment

  • The pain is unbearable.
  • The pain persists more than 3 weeks.
  • There are arm symptoms with neck symptoms (pain, numbness, weakness).
  • There are walking problems (imbalance, gait stiffness, wide-based gait).
  • There are bowel and bladder control problems.
*The symptoms in bold point to a serious underlying cause and immediate medical treatment is required.

Treatment

Your doctor will evaluate your movement and may order detailed imaging of your thoracic vertebrae. This will help determine the best course of treatment, which could include:

  • Muscle stretching exercise
  • Thoracic muscle strengthening
  • Thoracic epidural steroid injection
  • Thoracic spine surgery
  • Posterior approach (Minimally invasive)
    • Laminectomy (decompression)
    • Laminectomy (decompression) and spinal instrumentation (fusion)
    • Microscopic surgery
    • Three dimension (3D) navigation O-Arm surgery
  • Anterior approach
    • Thoracoscopic surgery (Video-Assisted Thoracic Spine Surgery, VATS) (minimally invasive)
    • Anterior thoracic spine fusion

Back pain with or without leg pain

Possible causes

  • Muscle or ligament strain such as repeated heavy lifting or a sudden awkward movement
  • Bulging or ruptured discs
  • Arthritis
  • Skeletal deformity (scoliosis)
  • Osteoporosis (compression fracture)
  • Fracture (trauma)
  • Infection
  • Tumor

What you can do

Try sitting more erect. Read the article to see an exercise that might help

  • Bed rest
  • Over-the-counter pain relievers
  • Exercise

When you should see a doctor

If the pain doesn't go away in a few days, or if it becomes hard to bear, have a spine specialist evaluate you to see if there are more serious causes. Make an appointment

  • Chronic back pain more than three consecutive months.
  • Sciatica or radicular pain (the pain that radiates into the hip, legs, and foot).
  • A severe pain that does not improve with rest.
  • Pain after an injury or a fall.
  • Pain plus any of these problems.
    • Trouble urinating
    • Leg weakness
    • Numbness in the leg, foot, or rectal area
    • Nausea, vomiting, or fever
    • Unexplained weight loss
*The symptoms in bold point to a serious underlying cause and immediate medical treatment is required.

Treatment

Your doctor will evaluate your movement and may order detailed imaging of your lumbar vertebrae. This will help determine the best course of treatment, which could include:

  • Nonsurgical such as medication, core muscle exercise, physiotherapy and spinal injection etc.
  • Types of lumbar spinal surgery
  • Fusion surgery
    • Anterior lumbar interbody fusion (ALIF)
    • Oblique lumbar interbody fusion (OLIF)
    • Direct lateral lumbar interbody fusion (DLIF)
    • Tranforaminal lumbar interbody fusion (TLIF)
    • Posterolateral lumbar fusion (PL Fusion)
  • Nonfusion surgery