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The 5 Most Common Causes of Back Pain - With Treatment Options

The 5 Most Common Causes of Back Pain - With Treatment Options

From minor aches to debilitating pain, back problems are incredibly common. But understanding the source of your pain is crucial for effective treatment. This comprehensive guide covers the five most common causes of back pain – muscle strains, herniated discs, osteoarthritis, spinal stenosis, and facet syndrome – and explores the range of treatment options available, including how the right back brace can provide crucial support and pain relief.


Quick Guide: 5 Most Common Causes of Back Pain

Use these quick links to jump to each section and learn about each condition and the treatments.

1. Muscle Strains and Ligament Sprains

Muscle strains and ligament sprains are injuries to the muscles and ligaments in your back. A strain occurs when muscle fibers are overstretched or torn, while a sprain happens when ligaments (the tissues that connect bones) are overstretched or torn. These injuries can result from activities like lifting, twisting, or sudden movements.

Leading Causes

  • Improper lifting techniques: Using your back instead of your legs to lift heavy objects.
  • Sudden awkward movements: Twisting or jerking your back unexpectedly.
  • Overexertion: Pushing your back muscles beyond their limits during physical activities.
  • Poor posture: Maintaining poor posture over time weakens back muscles and ligaments.

Treatment Options

  • Rest: Reduce physical activity and avoid movements that aggravate the pain.
  • Hot/cold therapy: Applying ice packs or heat to reduce inflammation and pain.
  • Pain relievers: Over-the-counter medications like ibuprofen or naproxen.
  • Physical therapy: Exercises to strengthen back muscles and improve flexibility.
  • Back braces: Provide support and stabilization to the injured area.
Brace Direct Cold Compression Wrap Back Brace

Brace Direct Cold Compression Wrap Back Brace

Support and Cold Therapy in One

This brace combines the benefits of compression and support with integrated cold therapy to reduce pain and inflammation from strains and sprains.

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2. Herniated and Bulging Discs

Spinal discs act like cushions between the vertebrae in your spine. A herniated disc occurs when the soft, jelly-like center of a disc pushes through a tear in the tougher outer layer. A bulging disc is when the disc extends beyond its normal space, but the inner material hasn't broken through. Both can irritate nearby nerves, causing pain, numbness, or weakness, often in the lower back or legs (sciatica). Learn more about herniated discs.

Leading Causes

  • Aging: Discs naturally lose water content and become less flexible with age.
  • Excessive weight: Increases stress on the spinal discs.
  • Repetitive motions: Repeated bending, lifting, or twisting can strain the spine.
  • Traumatic injury: A sudden impact or injury can damage a disc.

Treatment Options

  • Pain management: Medications to relieve pain and inflammation.
  • Physical therapy: Exercises to strengthen core muscles and improve flexibility.
  • Hot/cold therapy: For temporary pain relief.
  • Back braces: Provide support and stabilization to the spine.
  • Epidural injections: Corticosteroid injections to reduce inflammation around the nerve.
  • Surgery: In severe cases, surgery may be necessary to remove or repair the damaged disc.
Brace Align TLSO Thoracic Back Support Brace

Brace Align TLSO Thoracic Back Support Brace

Comprehensive Support for Spinal Stability

This TLSO brace provides extensive support for the thoracic and lumbar spine, helping to stabilize the back and reduce pain associated with herniated discs.

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3. Spinal Osteoarthritis

Spinal osteoarthritis is a condition that involves the breakdown of cartilage in the joints and discs in your back and neck. It's a common cause of back pain, especially in older adults, due to the cartilage breaking down, leading to pain and stiffness.

Leading Causes

  • Aging: Natural wear-and-tear on joints over time.
  • Obesity: Excess weight puts extra stress on the joints.
  • Injury/trauma: Previous injury to the spine.
  • Genetic predisposition: Family history of osteoarthritis.

Treatment Options

  • Medications: Over-the-counter or prescription pain relievers.
  • Hot/cold therapy: For pain relief.
  • Physical therapy: Exercises to improve strength and flexibility.
  • Weight loss: To reduce stress on joints.
  • Back braces: For support and stabilization.
  • Surgery: In severe cases, joint replacement or other procedures.
Brace Direct Rehabilitator LSO Back Brace

Brace Direct Rehabilitator LSO Back Brace

Support and Stability for Arthritic Spines

Provides firm support and helps stabilize the spine, making it a good option for those with spinal osteoarthritis.

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4. Spinal Stenosis

Spinal stenosis is a condition where the spaces within the spine become narrowed, putting pressure on the nerves that travel through the spine. This can result in pain, numbness, or weakness.

Leading Causes

  • Aging: Degenerative changes in the spine are the most common cause.
  • Herniated discs/bone spurs: These can intrude on the spinal canal.
  • Congenital spinal narrowing: Some people are born with a narrower spinal canal.
  • Injury/trauma: Damage to the spine can lead to stenosis.

Treatment Options

  • Medications: Pain relievers and anti-inflammatory drugs.
  • Hot/cold therapy: For pain relief.
  • Physical therapy: Exercises to improve flexibility and strength.
  • Back braces: For support and stabilization.
  • Epidural steroid injections: To reduce inflammation.
  • Surgery: In severe cases, to create more space in the spine.
Brace Align Postural Correcting TLSO Back Brace

Brace Align Postural Correcting TLSO Back Brace

Posture Correction and Support

This TLSO brace helps correct posture and provides support for individuals with spinal stenosis, promoting better alignment and reducing nerve compression.

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5. Facet Syndrome

Facet syndrome, also referred to as facet joint syndrome or facet arthropathy, is a condition that affects the facet joints of the spine, causing pain and stiffness. These small joints are located in pairs at the back of each vertebra, providing stability and enabling movement. When the cartilage in these joints deteriorates or the joints become inflamed, it can lead to significant discomfort, especially during activities that involve bending or twisting.

Facet syndrome, where facet joints cause pain and stiffness, can significantly restrict mobility and daily activities.

Leading Causes of Facet Syndrome:

  • Aging: Natural wear and tear over time, causing cartilage breakdown and joint spaces to narrow.
  • Injury: Trauma to the back or neck can cause facet joint damage, inflammation, and pain.
  • Repetitive motions: Repeatedly putting stress on the spine can cause joint problems.
  • Obesity: Being overweight puts extra pressure on the facet joints, causing more wear.
  • Poor Posture: Incorrect posture strains the spine, leading to facet joint issues.

Treatment Options:

  • Medications: NSAIDs for pain and inflammation.
  • Hot/Cold Therapy: For temporary relief.
  • Physical Therapy: Exercises to strengthen muscles and improve flexibility.
  • Injections: Corticosteroid injections to reduce inflammation and pain.
  • Braces: Back braces to provide support and stabilization.
  • Surgery: In severe cases, surgery to fuse the joints or relieve nerve pressure.
Aspen Vista 637 LSO Back Brace

Aspen Vista 637 LSO Back Brace

Targeted Support for Facet Joint Pain

The Aspen Vista 637 LSO Back Brace is designed to offer adjustable support and stabilization, perfect for individuals recovering from facet syndrome. It helps manage pain by restricting movement and promoting proper spinal alignment.

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Find Relief from Back Pain

While back pain can be frustrating and debilitating, understanding the underlying cause is the first step towards finding effective relief.  By identifying the root issue and exploring appropriate treatment options, including back braces for support and stabilization, you can take control of your back health and regain the freedom to move without discomfort.

Let Us Help You Find The Perfect Brace
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Frequently Asked Questions

What is the difference between an LSO and TLSO back brace? +

An LSO (Lumbar Sacral Orthosis) back brace supports the lower back and sacral area, primarily addressing issues in the lumbar spine. A TLSO (Thoraco-Lumbar Sacral Orthosis) brace provides support from the thoracic (mid-back) to the sacral region, offering a broader range of support for conditions affecting both the mid and lower back.
Back Braces: LSO vs TLSO - Targeted Support for Different Back Pains

Are back braces covered by insurance? +

All of our back braces are FSA/HSA eligible, making it simple and convenient to use those funds for your purchase. Additionally, braces with a PDAC code (e.g., L0450) may qualify for coverage under Medicare or other insurance plans. At Brace Direct, we choose not to bill insurance companies directly, allowing us to keep our prices lower and provide a more straightforward purchasing experience. Dealing with insurance providers can often be a frustrating and time-consuming process, involving claims, denials, and delays. Many customers also find that insurance copays for the same brace are significantly higher than purchasing it outright from us. By buying directly through Brace Direct, you not only avoid these hassles but also enjoy substantial savings and a seamless shopping experience.