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Back Pain Management Specialist

Advanced Pain Management

Ravi Panjabi, MD

Interventional Pain Management & Regenerative Medicine located in Castro Valley, CA, Fremont, CA & San Ramon, CA

If you suffer from the debilitating effects of chronic back pain, surgery isn’t the only solution. Board-certified anesthesiologist and pain management physician Ravi Panjabi, MD, provides nonsurgical and minimally invasive back pain management at Advanced Pain Management, with three convenient locations in Castro Valley, San Ramon, and Fremont, California. For safe and effective back pain management, call the nearest office or request an appointment online today.

Back Pain Management

What are common causes of back pain?

Most acute back pain is due to muscle strains or ligament sprains in the soft tissues surrounding your spine. 


Common causes of chronic back pain include:


  • Herniated or ruptured discs
  • Arthritis of the spine
  • Compression fractures due to osteoporosis
  • Myofascial pain syndrome (unexplained muscle pain)
  • Spinal stenosis, which is narrowing of the space around the spinal cord


Sometimes, the underlying cause of back pain is difficult to identify. The specialists at Advanced Pain Management use state-of-the-art diagnostic and therapeutic techniques to pinpoint the root cause of your back pain so they can develop an effective treatment plan.

What does back pain management entail?

First, your physician listens carefully as you describe your specific back pain, including when it began and other symptoms you’re experiencing. Then, they create an individualized treatment plan. 


The initial approach to back pain management often entails conservative treatments, such as:


  • Physical therapy
  • Medication management
  • Steroid injections
  • Nerve blocks
  • Epidural injections
  • Facet joint injections
  • Trigger point injections
  • Acupuncture
  • Chiropractic care


If your pain persists, your physician may order advanced diagnostic tests like discography, an invasive imaging test that shows abnormalities in your spinal discs.

What are some advanced back pain management techniques?

The experts at Advanced Pain Management specialize in minimally invasive outpatient procedures focused on relieving back pain.

Radiofrequency rhizotomy

Radiofrequency rhizotomy uses heat from radio waves to ablate targeted nerves. Also called radiofrequency ablation, this procedure temporarily prevents the nerve from sending pain signals.

Disc decompression

Also known as percutaneous discectomy, disc decompression is a minimally invasive procedure that treats pain related to intervertebral discs.

Intradiscal electrothermal therapy (IDET)

IDET uses an electrothermal catheter, a heating wire, to treat pain related to small tears or herniations in the discs of your lumbar spine.

Spinal cord stimulator

A spinal cord stimulator is an implanted device that uses a mild electrical current to mask pain signals. You control the electrical stimulation through an external remote.

Intrathecal pumps

An intrathecal pump is a device that automatically administers pain-relieving medication directly into the space around your spinal cord through a small catheter. Because the medication goes straight into your spinal fluid, you need smaller amounts.

Vertebroplasty and kyphoplasty

Vertebroplasty and kyphoplasty are minimally invasive spine procedures that involve repairing compression fractures with cement. Kyphoplasty involves a balloon-like device, so it’s sometimes called balloon vertebroplasty.

To learn more about minimally invasive options for back pain management, call Advanced Pain Management or book an appointment online today.