The risk factors for low back pain can be:

• Aging: As a part of the normal age-related degenerative process.
• Life style: Stress and emotional tension, poor posture -standing for long periods of time or sitting incorrectly—can cause back pain, heavy physical work, lifting or forceful movement, bending, or awkward positions can really hurt your back.
• Injuries and Accidents: Injury to muscle, ligaments, or soft tissue can lead to back pain. Fracture in spinal bone in a fall or a car accident also is a common cause. If you have osteoporosis, a condition that weakens your bones, you’re much more prone to fracturing a bone.
• Obesity: Being overweight puts pressure and stress on the back, especially the low back. Carrying excess weight aggravates other health conditions such as osteoporosis (weak bones), osteoarthritis (joint pain), rheumatoid arthritis (an autoimmune disease), degenerative disc disease (described above in the aging section), spinal stenosis, and spondylolisthesis.

Back pain is also caused by a specific spinal conditions like:

• Slip disc / Disc Bulge / Bulged Disc.
• Spinal Stenosis /Lumbar Spinal Stenosis.
• Facet Arthritis /Arthritis in spine.
• Spondylosis.
• Primary spinal tumours.
• Spinal Metastatic tumours.
• Spine Infections.
• Spine Tuberculosis / SPINE TB.
• Spinal Fracture.
• Metabolic causes- Otseomalacia – Vitamin D deifciency.

Back pain / Pain in neck – type character, duration, recovery, and natural course depend on what is causing pain and where it is affecting your spine. The common complaints as-sociated with back pain are –

• Stiff neck, Stiffness in neck, Stiffness in Neck, Stiff neck.
• Morning stiffness.
• Muscle Spasms.
• Leg pain.
• Difficulty in moving back, forward bending.
• Back pain with prolonged sitting or constant working.
• Back pain with moving neck.
• Back pain with bending.
• Back pain with Difficulty in walking.
• Back pain in lying down.
• Associated symptoms with back pain-
  Leg pain.
  Hip pain.
  Numbness in leg,numbness in leg/Tingling in leg/weakness in leg.
  Difficulty in passing urine or motion and difficulty in walking.

If Back pain is associated with Arm pain, shoulder pain, arm numbness or arm weakness one should meet a spine specialist or nearest spine doctor for spine consultation. Dr. Vishal Kundnani is one of the best spine specialists in Mumbai and one of the best spine surgeon in India.

Most of the back pain patients shall improve with simple pain management measures. However, one should meet a spine doctor and a spine specialist for spine consultation if your back pain persists for more than 3 weeks and seek immediate attention if you have back pain with any of the following emergency signs (RED FLAGS)-

• Pain is getting significantly worse.
• Pain affects every day activities.
• Severe symptoms.
• Associated Fever or constitutional symptoms.
• Shoulder pain or arm pain and weakness or numbness.
• Arm or hand weakness, tingling, or numbness.
• Loss of bowel or bladder control.

If Back pain is associated with RED FLAG SIGNS – Shoulder pain, arm numbness or arm weakness one should meet a spine specilaist or nearest spine doctor for sppine consultation. Dr. Vishal Kundnani is one of the best Spine Specialist in Mumbai and one of the best Spine Surgeon in India.

There are different options to treat back pain depending on the severity and duration of symptoms.

They may comprise one or many:-

• Drugs & Medications.
• Physical Therapy.
• Spinal Bracing.
• Spinal Injections.
• Spine surgery.
• Physiotherapy and exercises for back pain are helpful often.

For planing a suitable and most optimal treatment option for self one should meet spine doctor for spine consultation and a spine specialist for exact diagnosis. One should meet a spine specilaist for investigation or nearest spine doctor for spine consultation. Dr. Vishal Kundnani is one of the best Spine Specialist in Mumbai and one of the best spine surgeon in India.

• Acetaminophen: Your doctor may call this an analgesic, but most of us refer to acetaminophen me-dications as painkillers.
• NSAIDs (non-steroidal anti-inflammatory drugs): Reduce swelling (or inflammation) while relieving your pain.
• Muscle Relaxants: If you have chronic back pain caused by muscle spasms, you may need a muscle relaxant, which will help stop the spasms.
• Anti-depressants: As surprising as it may seem, anti-depressants can be effective drugs for treating pain because they block pain messages on their way to the brain. They can also help increase your body’s production of endorphins, a natural pain killer.
• Opioids: In the most extreme cases, and only under careful supervision, you doctor may also prescribe an opioid, such as morphine or codeine.

Medication Warning:-

• As with all medications, you must follow your doctor’s advice precisely. Never mix over-the-counter and prescribed drugs without consulting your doctor.
• No Medication shall be consumed without consultation of your spine doctor, spinal surgeon or spine specialist. Dr. Vishal Kundnani is one of the best spine specialists in Mumbai and one of the best spine surgeon in India.

Most patients with Back pain respond well to non-surgical treatments (such as medication) –

• Indications for spinal surgery in Back pain are :
  No response / partial response to non-surgical treatments after having diagnosed with a specific cause
  Progressive radiculopathy, arm pain, shoulder pain , numbness, and tingling in the arms or legs.
  Loss of power sensation in your arms or legs or loss of bowel or bladder control.

Physiotherapy has a major role in spinal back pain/slip disc treatment. It teaches how to condition your body to prevent further injury and help in the recovery of the painful episode. There are a variety of physical therapy techniques. Passive and active treatments.

Passive treatments relax your body and include deep tissue massage, hot and cold therapy, electrical stimulation (TENS), and hydrotherapy. Active treatment involves active stretching and strengthening exercises trunk stability, core strengthening.

Passive Treatments:-

• Deep Tissue Massage: Deep tissue massage relieves deep muscle tension and spasms, which develop to prevent muscle motion at the affected area.
• Hot and Cold Therapy: Both hot and cold therapies offer their own set of benefits, and your physical therapist may alternate between them to get the best results. This reduces inflammation, muscle spasms, and pain.
• Hydrotherapy: gently relieves pain and relaxes muscles.
• TENS (transcutaneous electrical nerve stimulation): uses electrical current to stimulate your muscles and reduces muscle spasms and is generally believed to trigger the release of endorphins, which are your body’s natural pain killers. TENS machine stimulates your muscles through variable (but safe) intensities of electrical current. TENS may increase your body’s production of endorphins, your natural pain killers. The TENS equipment your physical therapist uses is larger than the “at home” use machine.
• Ultrasound: By increasing blood circulation, an ultrasound helps reduce muscle cramping, swelling, stiffness, and pain. It does this by sending sound waves deep into your muscle tissues, creating a gentle heat that enhances circulation and healing.
• Traction: reduce the effects of gravity on the spine. the intent is to reduce the disc herniation and is usually performed in the cervical or lumbar spine.

ActiveTreatments:-

• Help to reduce recurrent pain but will also benefit your overall health.
• Core stability: Many people don’t realize how important a strong core is to their spinal health. Your core (abdominal) muscles help your back muscles support your spine. When your core muscles are weak, it puts extra pressure on your back muscles. Your physical therapist may teach you to core stabilizing exercises to strengthen your back.
• Flexibility: Learning proper stretching and flexibility techniques will prepare you for aerobic and strength exercises. Flexibility helps your body move easier by warding off stiffness.
• Muscle-strengthening: Strong muscles are a great support system for your spine and better handle pain. and strengthening of muscles which can cause your back stretches and strengthen along with pelvic tilt, which helps you find a neutral spine position.

These options of nonsurgical management of back pain are available at Spine Clinic Mumbai – Best Spine Clinic in Mumbai for treatment of slip disc. Dr. Vishal Kundnani is the best spine consultant in Mumbai and is available on appointment in Mumbai on appointment for spine specialist. Dr. Vishal Kundnani is the best spine specialist in Mumbai and best spinal consultant in Goregaon, Kandivali and Malad.

Dr. Vishal Kundnani is the best spine surgeon for Back pain surgery and is available in Spine clinic Mumbai and other various hospitals for consultation and for surgery. Dr. Vishal Kundnani is the best spine specialist with a considerate approach to patients with an honest opinion and ethical spine practice.

• Neck and shoulder pain can be classified in many different ways. Some people experience only back pain or only shoulder pain, while others experience pain in both areas.

Causes of back pain include:

• Abnormalities in the bone or joints.
• Slip disc /Disc bulge /Herniated disc.
• Trauma.
• Poor posture.
• Degenerative diseases.
• Tumors.
• Muscle strain.

To determine exact cause of your problem you should meet a nearest spine doctor or a spine specialist. Dr. Vishal Kundnani is one of the best spine specialist in mumbai and one of the best spine surgeon in India.

Leg pain can stem from one or more of the following causes:

• Pinched nerves (also called radiculopathy)
• Slip disc in BACK
• Strains from overexertion
• Tendonitis from overuse
• Dislocation

To determine exact cause of your problem you should meet a nearest spine doctor or a spine specialist. Dr. Vishal Kundnani is one of the best Spine Specialist in mumbai and one of the best spine surgeon in India

• X-rays: Plain X-rays can reveal narrowing of the space between two spinal bones, arthritis-like diseases, tumors, slipped discs, narrowing of the spinal canal, fractures, and instability of the spinal column.
• MRI: Magnetic resonance imaging is a noninvasive procedure that can reveal the detail of neural (nerve-related) elements, as well as problems with the tendons and ligaments.
• Myelography/CT scanning: This is sometimes used as an alternative to MRI.
• Electrodiagnostic studies: Electromyography (EMG) and nerve conduction velocity (NCV) are sometimes used to diagnose Back and leg pain, arm pain, numbness and tingling.

To determine which investigation is needed for you meet a nearest Spine doctor or a Spine Specialist. Dr. Vishal Kundnani is one of the Best Spine Specialist in mumbai and one of the best spine surgeon in India.

• The treatment of soft tissue back pain often Depends on the source of pain. Pain also may be treated with a local application of moist heat or ice. Drugs like muscle relaxers and even antidepressants might be helpful.Local corticosteroid injections are often helpful. For both neck and shoulder pain movement, exercises may help. For cases in which nerve roots or the spinal cord are involved, surgical procedures may be necessary. To plan the best treatment option for yourself one shall meet a spinal doctor or a spine specialist in Mumbai. Dr. Vishal Kundnani is the best spine specialist in india.