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Unlocking the Mystery: Why Back Pain is Challenging to Treat?

Writer's picture: Brian Lai, M.D.Brian Lai, M.D.

Updated: Oct 29, 2024

Back pain is a prevalent issue that many individuals face, impacting daily activities and overall quality of life. Whether you experience occasional discomfort or chronic pain, finding effective strategies to manage back pain is crucial for long-term well-being. In this blog post, I will delve into why back pain can be hard to treat.


To understand back pain, it is essential to know the common causes of back pain. Factors such as poor posture, muscle strain, injury, and underlying medical conditions can contribute to discomfort in the back area. Identifying the root cause of your back pain is key to selecting the best and most effective treatment approach. However, I often say, "sometimes back pain does not come from the back."



Person holding onto lower back with red shading showing the part of their body with pain.


What is the Back?


Defining what the back is, is difficult. Most people agree that, when they refer to the back, they are talking about the part of their body that is not where the face is located. Beyond that, there is often a misunderstanding between patients and other healthcare professionals as to what is the back.


When a patient tells me he or she or they suffer with back pain, I ask them to point to the location of the pain so I know what they mean. From a doctor's standpoint, we refer to the middle of the back as the thoracic spine and the lower back as the lumbar spine. This is a preview of some of the questions I ask as part of my Pain Unlayering Protocol to get to the root cause as to why you have back pain.



X-ray image of lower back
Fluoroscopy Image of Lumbar Spine (Lower Back)


If you need help with your back pain, request an appointment on my contact page and see how I can help you get back to doing the things you love.



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