A Guide to Axial Back Pain: Symptoms, Causes, and Treatment

Axial back pain, also known as mechanical back pain, is one of the most common ailments affecting adults, significantly impacting quality of life and daily activities. This type of pain is localized in one area or region and does not radiate to other parts of the body. In this comprehensive guide, we will explore the symptoms, causes, and effective treatments for axial back pain, focusing on how Texas Spine & Pain approaches this widespread issue.

Understanding Axial Back Pain

Axial back pain manifests as a sharp, dull, or constant pain confined to the lower back. Unlike radicular pain, which can travel to other parts of the body such as the legs, axial pain is specific to the spine’s lumbar (lower) region.

Symptoms of Axial Back Pain

Patients typically describe axial back pain as:

  • Persistent or intermittent
  • Aching or stabbing
  • Confined to the lower back without radiating beyond

The pain may intensify with certain activities or positions, such as sitting for long periods, standing up from a seated position, or during physical activity.

Causes of Axial Back Pain

Axial back pain can result from various factors:

  • Muscle Strain: Overuse or improper use, such as heavy lifting or sudden, awkward movements.
  • Degenerative Disc Disease: The discs in the spine may deteriorate with age, losing hydration and elasticity.
  • Lumbar Herniated Disc: Although more commonly associated with radicular pain, it can also contribute to localized pain.
  • Facet Joint Dysfunction: Wear and tear or injury to the facet joints can cause discomfort.
  • Spinal Stenosis: Narrowing of the spinal canal can lead to localized pain, particularly in older adults.

Diagnosing Axial Back Pain

At Texas Spine & Pain, diagnosis begins with a thorough medical history and physical examination. Imaging tests such as X-rays, MRI, or CT scans may be recommended to confirm the diagnosis and rule out other conditions.

Treatment Options for Axial Back Pain

Effective treatment of axial back pain involves a combination of medical interventions and lifestyle adjustments:

Non-Surgical Treatments

  1. Physical Therapy: Customized exercises to strengthen back muscles and improve posture.
  2. Medications: NSAIDs or acetaminophen to reduce inflammation and relieve pain.
  3. Injections: Corticosteroid or facet joint injections can provide temporary relief.

Advanced Treatments

  1. Radiofrequency Ablation: A minimally invasive procedure that uses heat to disable nerve fibers carrying pain signals.
  2. Spinal Cord Stimulation: Implantable device that sends electrical signals to the spinal cord to control pain.
  3. Regenerative Medicine: Techniques like PRP (Platelet-Rich Plasma) therapy to promote natural healing.

Lifestyle Modifications

  • Ergonomic Adjustments: Proper seating and workplace ergonomics to support the lower back.
  • Weight Management: Maintaining a healthy weight to reduce stress on the spine.
  • Regular Exercise: Low-impact activities such as walking or swimming to keep the back muscles active without straining them.

Prevention Tips

Preventing axial back pain involves regular physical activity, proper lifting techniques, maintaining good posture, and regular stretching. Lifestyle changes, including a balanced diet and quitting smoking, also play a crucial role in maintaining spinal health.


Axial back pain, while common, is not something you have to live with. At Texas Spine & Pain, we are dedicated to diagnosing and effectively treating back pain with personalized care plans. If you are experiencing symptoms of axial back pain, it’s important to seek professional medical advice. For specialized services and a comprehensive evaluation, contact Texas Spine & Pain. Our team is ready to help you regain a pain-free life and improve your overall health and well-being.

Disclaimer : The information provided in this blog is for educational purposes only and does not substitute for professional medical advice. For specialized services, contact Texas Spine & Pain or other related doctors.

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