Back pain is one of the most common reasons people stop doing the things they love. What may begin as stiffness or soreness can gradually develop into chronic back pain that affects walking, sleep, work, and independence.
Back pain rarely improves on its own when it becomes chronic. Without proper diagnosis, symptoms often worsen over time, limiting mobility and reducing quality of life. At Well&You, our interventional back and spine team focuses on identifying the true cause of your pain and offering targeted, minimally invasive treatments designed to restore mobility and improve your quality of life.
What Causes Chronic Back Pain?
Back pain can come from many structures in the spine, including bones, discs, joints, ligaments, nerves, or muscles. Because different problems can cause similar symptoms, effective treatment starts with you telling us where it hurts and us understanding where the pain is coming from.
Common causes of chronic back pain include:
Each cause requires a different approach, which is why careful diagnosis matters.
You may benefit from evaluation by a specialist if you experience:
If back pain has lasted more than a few weeks or continues to worsen, it’s time to look deeper.
At Well&You, our spine specialists use a structured, diagnosis-first approach that includes symptom review, physical exam, and imaging when needed. This ensures personalized treatment and helps avoid unnecessary procedures.
| Finding | What It Suggests | Possible Treatment |
| Compression fracture | Collapse of a spinal bone, often from osteoporosis | Kyphoplasty |
| Herniated disc | Disc material pressing on a nerve causing leg or arm pain | Epidural injection or microdiscectomy |
| Bulging or inflamed disc | Disc irritation causing back or leg pain | Epidural steroid injection |
| Spinal stenosis | Narrowing of the spinal canal compressing nerves | MILD procedure or lumbar decompression |
| Facet joint arthritis | Arthritis of the small joints in the spine causing back pain | Facet injections or radiofrequency ablation |
| Nerve root irritation (sciatica) | Inflamed spinal nerve causing shooting leg or arm pain | Selective nerve root injection |
| SI joint dysfunction | Pain coming from the joint connecting the spine to the pelvis | SI joint injection or SI joint fusion |
| Modic changes(on MRI) | Vertebral bone inflammation causing chronic low back pain | Basivertebral nerve ablation |
| Chronic nerve pain after surgery | Persistent nerve pain after spine surgery | Spinal cord stimulation |
| Severe chronic spine pain | Pain that does not respond to injections or therapy | Intrathecal pain pump |
Well&You specializes in outpatient, minimally invasive treatments that relieve pain while preserving spinal structure.
Kyphoplasty
Stabilizes spinal fractures, reduces pain, and restores alignment. Watch Patient Journey Video here.
Epidural/Sacroiliac (SI) Joint Injections
Injections of anti-inflammatory medication to relieve pain.
Microdiscectomy
Minimally invasive procedure removing portion of herniated disc to relieve pain.
MILD® (Minimally Invasive Lumbar Decompression)
Relieves nerve pressure caused by spinal stenosis. Watch Patient Journey Video here.
Radiofrequency Ablation of Facet Joints
Radiofrequency energy that interrupts pain signals from targeted spinal nerves.
Peripheral Nerve Stimulator
Small implanted device delivering electrical pulses to nerves to reduce pain.
SI Joint Fusion
Stabilizes sacroiliac joint with implants to reduce pain caused by SI joint dysfunction. Watch Patient Journey Video here.
Basivertebral Nerve Radiofrequency Ablation (RFA)
Ablates basivertebral nerve inside vertebra to treat chronic low back pain. Watch Patient Journey Video here.
Spinal Cord Stimulation
Device sending electrical signals to spinal cord to block pain signals.
Intrathecal Pain Pump
Pump delivers low dose medication direct into spinal fluid, providing powerful pain relief.
Each treatment is selected based on your diagnosis, not a one-size-fits-all approach.
Most back pain evaluations and minimally invasive treatments are covered by insurance when medical criteria are met. Well&You works with most major insurance plans, including Medicare.
Our Patient Navigators help you:
You can learn more by visiting our Insurance & Coverage page.
Many patients assume surgery is the only option for mid and lower back pain, but interventional treatments can provide targeted relief, preserve spinal anatomy, and avoid hospital stays with shorter recovery times—especially if you:
Early evaluation often means more options and better outcomes.
Chronic back pain is rarely just “part of getting older.” Left untreated, it often leads to:
Patients receiving back pain care at Well&You often report:
While results vary, many patients are relieved to learn that effective options exist outside the hospital setting.
If back pain is limiting how you live, work, or move, waiting often means living with pain longer than necessary. Early evaluation can make a meaningful difference.
