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Centers for Advanced Orthopaedics - Maryland
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    • John Christoforetti, MD, FAAOS
    • Gary Feldman, DPM, FACFAS
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    • James S. Gardiner, MD
    • Wayne J. Olan, MD
    • Christopher S. Raffo, MD
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Conditions Treated Spine Lower Back Pain

Lower Back Pain

Lower back pain, or lumbago, occurs when structures in the lumbar spine region, including muscles, ligaments, nerves, or intervertebral discs, are strained, injured, or irritated. This can happen due to various factors such as poor posture, sudden movements, heavy lifting, repetitive activities, or degenerative changes in the spine over time. The pain may be localized or radiate to the buttocks and legs, and it can range from mild discomfort to severe, debilitating pain. Understanding the underlying cause with our team is crucial for effective treatment and management of your lower back pain in Maryland.

Most Common Causes of Lower Back Pain

Muscle Strain

Muscle strain in the lower back often occurs due to overuse, sudden movements, or improper lifting techniques. This can lead to micro-tears in the muscles and ligaments supporting the lower back, resulting in pain, stiffness, and reduced mobility. The discomfort can range from mild to severe, depending on the extent of the strain. Individuals may also experience localized tenderness, swelling, and muscle spasms in the affected area.

Treatment typically involves a combination of rest, ice therapy, gentle stretching exercises, and over-the-counter pain medication to alleviate symptoms and promote healing. Physical therapy may be recommended to strengthen the muscles and improve flexibility, reducing the risk of future strain.

Herniated Disc

A herniated disc occurs when the soft inner core of a spinal disc protrudes through a tear in the tough outer layer, irritating nearby nerves. This can result in localized lower back pain, as well as radiating symptoms, such as pain, numbness, or weakness, that travel down one or both legs, a condition known as sciatica. Individuals may also experience tingling sensations or muscle weakness in the affected leg.

Treatment options vary depending on the severity of symptoms but may include conservative measures such as rest, physical therapy, and pain management to alleviate discomfort and improve function. In cases of persistent or severe symptoms, surgical intervention, such as discectomy or spinal fusion, may be necessary to relieve nerve compression and stabilize the spine.

Degenerative Disc Disease

Degenerative disc disease is a common age-related condition characterized by the gradual deterioration of the discs between the vertebrae. Over time, the discs lose hydration and elasticity, becoming thinner and less able to cushion the vertebrae during movement. This can result in chronic lower back pain, stiffness, and reduced flexibility. Individuals with degenerative disc disease may experience worsening pain with prolonged sitting or standing and may have difficulty with activities that require bending or twisting of the spine.

Treatment options aim to manage symptoms and improve function through a combination of physical therapy, lifestyle modifications, and medications such as anti-inflammatories or muscle relaxants. In severe cases, surgical procedures such as artificial disc replacement or spinal fusion may be considered to alleviate pain and stabilize the spine.

  • Christopher S. Raffo, MDChristopher S. Raffo, MD
    Board-Certified Surgeon & Orthopedic & Sports Medicine Specialist
  • James s. Gardiner, MDJames S. Gardiner, MD
    Board-Certified Surgeon & Orthopedic & Sports Medicine Specialist
  • John Christoforetti, MD, FAAOSJohn Christoforetti, MD, FAAOS
    Board-Certified Surgeon & Orthopedic & Sports Medicine Specialist
  • Peter G. Fitzgibbons, MDPeter G. Fitzgibbons, MD
    Board-Certified Surgeon & Orthopedic & Sports Medicine Specialist

Advanced Treatment for Lower Back Pain in Montgomery County, Maryland

Discover advanced care for lower back pain at The Centers for Advanced Orthopaedics: Maryland Orthopedic Specialists Division. Our experienced team of spine specialists is dedicated to providing personalized treatment plans tailored to patients’ specific needs. Whether you're experiencing acute or chronic lower back pain, we're here to help you find relief and regain mobility. Contact us at (301) 515-0900 or schedule your appointment online to take the first step towards a pain-free life.

Orthopedic doctor performing spine surgery on patient.

Other Spine Conditions

  • Lower Back Pain
  • Neck Pain
  • Degenerative Disc Disease
  • Spondylosis
  • Sciatica
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Explore Other Conditions We Treat

  • Hand & Wrist

    Hand & Wrist

  • Elbow

    Elbow

  • Shoulder

    Shoulder

  • Spine

    Spine

  • Hip

    Hip

  • Knee

    Knee

  • Foot & Ankle

    Foot & Ankle

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Locations

Bethesda Office
6710 A Rockledge Dr., Suite 130
Bethesda, MD 20817

Germantown Office
19847 Century Boulevard, Suite 205
Germantown, MD 20874

Rockville Office
1071 Seven Locks Rd.
Rockville, MD 20854

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The Centers for Advanced Orthopaedics: Maryland Orthopedic Specialists Division is your premier orthopedic clinic located in Germantown, Bethesda, and Rockville, MD, offering comprehensive care for a wide range of orthopedic conditions through PRP Therapy, Orthopedic Surgery, X-Ray, Acute Injury Management, Osteoarthritis Treatment, Dupuytren’s Contracture Management, Custom Durable Medical Equipment, Hand/Occupational Therapy, Ultrasound, Joint Injections, Physical Therapy, and Epidural Steroid Injections.