Las Vegas Pain & Wellness Center

CONDITION GUIDE / BACK PAIN

Back Pain

Back pain is common, but common does not mean one-size-fits-all. Evaluation helps connect symptoms with your history, function, goals, and the findings that matter.

Dr. Kaldy in clinical attire

What this can look like

Common symptoms or presentations

People may describe localized pain, stiffness, pain with bending or lifting, leg symptoms, reduced tolerance for sitting or walking, or difficulty with daily activities. Symptoms vary widely.

Potential contributing factors

Potential contributors include changes in activity or load, injury, sleep, stress, deconditioning, joint or soft-tissue irritation, neurological involvement, or other medical conditions. Spinal alignment is not a universal explanation.

How evaluation guides care

A focused history and examination can help distinguish patterns that may respond to conservative care from patterns that need further evaluation. We consider movement, strength, neurological signs, and function.

Recommendations may include education, activity modification, exercise, rehabilitation, and manual care where appropriate. The goal is a practical plan that can be reassessed as your response becomes clearer.

Movement, exercise, and rehabilitation

Gradual exposure to meaningful movement can build capacity and confidence. Exercise selection and progression should fit the person, the presentation, and current tolerance.

Imaging or medical evaluation may be appropriate for significant trauma, progressive neurological findings, systemic concerns, or symptoms that do not follow an expected course.

Frequently asked questions

Does back pain always need imaging?

Is bed rest the best response?

Can manual care be part of treatment?

Let’s talk through your next step.

A request for an appointment starts a conversation. It does not assume a diagnosis or promise a particular treatment.

REQUEST AN APPOINTMENT

CONDITION GUIDE / BACK PAIN

Back Pain

Back pain is common, but common does not mean one-size-fits-all. Evaluation helps connect symptoms with your history, function, goals, and the findings that matter.

Dr. Kaldy in clinical attire

What this can look like

Common symptoms or presentations

People may describe localized pain, stiffness, pain with bending or lifting, leg symptoms, reduced tolerance for sitting or walking, or difficulty with daily activities. Symptoms vary widely.

Potential contributing factors

Potential contributors include changes in activity or load, injury, sleep, stress, deconditioning, joint or soft-tissue irritation, neurological involvement, or other medical conditions. Spinal alignment is not a universal explanation.

How evaluation guides care

A focused history and examination can help distinguish patterns that may respond to conservative care from patterns that need further evaluation. We consider movement, strength, neurological signs, and function.

Recommendations may include education, activity modification, exercise, rehabilitation, and manual care where appropriate. The goal is a practical plan that can be reassessed as your response becomes clearer.

Movement, exercise, and rehabilitation

Gradual exposure to meaningful movement can build capacity and confidence. Exercise selection and progression should fit the person, the presentation, and current tolerance.

Imaging or medical evaluation may be appropriate for significant trauma, progressive neurological findings, systemic concerns, or symptoms that do not follow an expected course.

Frequently asked questions

Does back pain always need imaging?

Is bed rest the best response?

Can manual care be part of treatment?

Let’s talk through your next step.

A request for an appointment starts a conversation. It does not assume a diagnosis or promise a particular treatment.

REQUEST AN APPOINTMENT

CONDITION GUIDE / BACK PAIN

Back Pain

Back pain is common, but common does not mean one-size-fits-all. Evaluation helps connect symptoms with your history, function, goals, and the findings that matter.

Dr. Kaldy in clinical attire

What this can look like

Common symptoms or presentations

People may describe localized pain, stiffness, pain with bending or lifting, leg symptoms, reduced tolerance for sitting or walking, or difficulty with daily activities. Symptoms vary widely.

Potential contributing factors

Potential contributors include changes in activity or load, injury, sleep, stress, deconditioning, joint or soft-tissue irritation, neurological involvement, or other medical conditions. Spinal alignment is not a universal explanation.

How evaluation guides care

A focused history and examination can help distinguish patterns that may respond to conservative care from patterns that need further evaluation. We consider movement, strength, neurological signs, and function.

Recommendations may include education, activity modification, exercise, rehabilitation, and manual care where appropriate. The goal is a practical plan that can be reassessed as your response becomes clearer.

Movement, exercise, and rehabilitation

Gradual exposure to meaningful movement can build capacity and confidence. Exercise selection and progression should fit the person, the presentation, and current tolerance.

Imaging or medical evaluation may be appropriate for significant trauma, progressive neurological findings, systemic concerns, or symptoms that do not follow an expected course.

Frequently asked questions

Does back pain always need imaging?

Is bed rest the best response?

Can manual care be part of treatment?

Let’s talk through your next step.

A request for an appointment starts a conversation. It does not assume a diagnosis or promise a particular treatment.

REQUEST AN APPOINTMENT

Practical questions about back pain

Does back pain always need an MRI?

No. Most people do not need additional testing at the first evaluation. Your history and examination help determine whether imaging could change the next step or whether further medical evaluation is needed.

Should I stay in bed until back pain stops?

Prolonged bed rest is generally discouraged. Adjust activities that aggravate pain and gradually increase movement as tolerated, with guidance matched to your symptoms and examination.

Source: NIAMS: back pain diagnosis, treatment and activity.

Sources behind our approach

Clinical guidelines and research help inform care. Recommendations also depend on your examination, preferences and response. These sources do not establish that any one treatment is appropriate for every patient.

Clinical content by , founder of Las Vegas Pain & Wellness Center, with more than two decades of clinical practice. How evidence guides our care.