Is chronic lower back pain really chronic?


When we speak of “chronic lower back pains”, we must remember that chronic pains were always once acute or smaller than they now appear. It is more likely that a small injury was not given attention to, or was not treated correctly, which lead to increase in its intensity and effect over you. When an injury is not treated properly, the nerves in that particular become hyper sensitized.

There are two types of back pains:

Radicular: this kind of pain is directly connected to the spinal nerve.
Mechanical: results from abnormal and unusual amount of stress and movement laid upon the back muscles. This is also referred to as induced pain or relief in the back. Many people argue that the term is vague and is not scientifically correct. Mechanical pain is just musculoskeletal and should called that only.

Chronic lower back pains can be explained with a different perspective. Some doctor’s ague that chronic pain is a psychological effect caused when there is actual damage to a tissue and the nerves start sending continuous signals to the brain that there has been some sort of damage. These signals do not entirely stop even after the tissue damage has actually been healed.

Doctors also suggest that these chronic lower back pains management becomes impossible with some patients because of this unstoppable firing of nerve signals sent to the brain. Because these signals are continued, the sense of pain in the lower back area remains even after multiple sessions of therapy and other methods of lower back pain treatment. There are certain characteristic associated with such patients, including the following:

Unhealthy diet: The most important reason believed to be is the unhealthy diet. This mostly includes diet that consists of high amounts of junk food, bad carbs and fattening food.
Unhealthy, irregular sleeping pattern: People with irregular sleeping patterns or those who sleep too little or too much are more prone to developing chronic lower back pain. They are also more likely to be the “non-responders”, meaning that they have no effect of the treatment and care they get from their doctor.
Inactive physically: Physical inactivity, or a lifestyle where you spend most of your time seated in one place is again a major cause behind chronic lower back pains. Our lifestyle nowadays has mostly become this, where even our jobs and studies require us to sit in front of a computer seat for hours.

Even for experts and doctors, it can be a challenge to identify a patient’s conditions truly chronic or just effected by the mental processes. However, doctors highly suggest that as soon as you identify any symptoms of tissue damage in your lower back, or get in any injury, you should not wait to consult a specialist. As mentioned earlier, the biggest reason behind “chronic” lower back pain is that patients do not take care or notice their injuries, and never really report to the doctors.

You should not identify yourself as the “non-responder” patient by yourself, and rather consult a doctor and let them come up with a conclusion about your condition.

How can NYDNRehab help?

At NYDNRehab, we have specialized, experienced doctors and therapists that can easily identify the underlying causes of your lower back pain, and then come up with the most appropriate and advanced low back pain management. We are equipped with highly advanced technology, and only use scientifically proven, reliable treatments for your lower back pains.

We also do not believe in prescribing drugs as the sole solution to all your problems. Drugs are effective for a very short time and do not fully treat the underlying causes. We recommend the following things to our patients and people who are in search for a good lower back pain treatment:

The internet: free access to the internet is everywhere, and the internet is filled with valuable information even regarding health care. We recommend you to get on the internet, search about your symptoms, search about the treatments your doctor has recommended, and also search the drugs that you have been prescribed. Chronic back pains are more complex than mere inflammation, and you cannot possibly treat them effectively unless you are really sure about what has happened to you.

Consult with people who have had similar issues in the past: this can be a good way of gathering honest feedback from people that you can trust. However, you should keep in mind that every person’s condition is different and never the same. Gather information, empower yourself with knowledge and then make sure that you have an equal role to play in the final decision you make about your low back pain management.


Follow the steps that your doctor has recommended: one way in which NYDNRehab ensures quick recovery for their patients is by giving them tips and remedies to do at home. These steps plus the actual medical treatment together can do wonders for you back pain. Do not ignore or underestimate the recommendations made by your doctor.


In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)


Complete tear of rectus femoris
with large hematoma (blood)


Separation of muscle ends due to tear elicited
on dynamic sonography examination

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