Back & Spinal Pain
Physical Medicine & Rehabilitation approach to back and spinal pain, including herniated discs, spinal stenosis, and chronic lumbar conditions in Brooklyn, NY.
Common Symptoms
- Persistent aching or stiffness along the spine
- Sharp, localized pain in the lower or upper back
- Pain that radiates into the buttock, leg, or arm
- Numbness or tingling associated with back pain
- Difficulty standing, walking, or sitting for extended periods
About This Condition
Back and spinal pain is among the most common reasons patients seek care from a Physical Medicine and Rehabilitation specialist. Pain may originate from the muscles, ligaments, intervertebral discs, facet joints, or spinal nerves, and the clinical presentation can range from localized discomfort to radiating pain with neurological involvement.
Evaluation
Dr. Lemberikman conducts a comprehensive evaluation that includes a detailed history, physical and neurological examination, review of imaging studies, and, when indicated, electrodiagnostic testing. The goal is to identify the specific pain generator and any contributing factors such as deconditioning, postural imbalances, or degenerative changes.
Treatment
Treatment plans are tailored to the diagnosis and may include physical therapy focused on spinal stabilization and mobility, pharmacological management, interventional procedures such as epidural or facet joint injections, and ergonomic recommendations. For patients with radiculopathy or disc herniations, a conservative rehabilitation approach is typically pursued first, with surgical consultation arranged when clinically appropriate. The emphasis throughout is on improving function and reducing pain through a structured, evidence-based approach.
Frequently Asked Questions
- When should I see a PM&R specialist for back pain?
- A PM&R specialist can help when back pain is persistent, recurring, or accompanied by neurological symptoms such as numbness or weakness. PM&R physicians are trained to diagnose the source of pain and develop comprehensive, non-surgical treatment plans.
- Do I need an MRI for my back pain?
- Not all back pain requires imaging. Dr. Lemberikman will determine whether an MRI or other diagnostic studies are necessary based on your clinical presentation, symptom duration, and response to initial treatment.
- Can electrodiagnostic testing help with back pain?
- When back pain is accompanied by radiating symptoms such as numbness, tingling, or weakness in the legs, EMG and nerve conduction studies can help determine whether a nerve root is involved and guide treatment decisions.
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Dr. Lemberikman is ready to help you get back to the activities you love.
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