Dr. Koppel has developed a systematic approach to low back pain. Many interventional physicians perform epidural steroid injections, which may or may not be the right treatment option. All patients undergo a comprehensive evaluation to make sure that the right treatment is performed which will diagnose and treat the condition.

The treatment of low back pain must be individualized per each patient’s distinctive condition. Epidural Steroid Injections are the most common treatment performed for low back pain. It may, however, be overutilized. Our approach is to perform an individualized diagnostic and therapeutic workup of the pain condition.

A vast number of treatments exist, including Trigger points, Facet and Sacroiliac Joint Injections, Selective Nerve Blocks, Radiofrequency Ablation, Diskography and Percutaneous Disk Decompression. These must be used appropriately and selectively to achieve the best outcome in the soonest time possible.

Epidural Steroid Injections
Undergoing an epidural injection: What you should know

The lumbar facets are the joints which run throughout the spine. Low back pain arising from facet conditions are as, if not more common than disk disease.
Read More: Treating Vertebrogenic Neck & Low-Back Pain

The Sacroiliac joints are the lowest joint in the spine, and commonly missed as a cause of low back pain.
Read More: Sacroiliac Joint Injection for Chronic Low Back and Buttock Pain

Disk herniations causing pinched nerves will cause sciatica. There are many nonsurgical options to treat this condition.
Read More: Treatment of Sciatica

Muscle pain is extremely common and can be very painful as well. Only with a thorough examination can this be differentiated from other causes of back pain.
Read More: Chronic Muscle Pain Syndrome