Chronic Back Pain
Persistent back pain evaluation to identify surgical vs non-surgical causes.
- Specialty
- Nerve
- Urgency
- Specialist evaluation
- Evaluation
- Imaging + examination
- Focus
- Chronic
- Dr. Nikhil Bhamare · Reviewed by
- 15+ years · Experience
- Medinova Super Speciality Hospital · Hospital
Overview
What is Chronic Back Pain?
Persistent back pain evaluation to identify surgical vs non-surgical causes.
Early recognition and accurate diagnosis are essential to prevent permanent neurological damage and guide the right treatment pathway — whether medical management, emergency surgery, or intensive care.
Dr. Nikhil Bhamare provides comprehensive evaluation using advanced diagnostic imaging and evidence-based treatment planning at Medinova Super Speciality Hospital, Nashik.
Recognise the signs
Symptoms
Understanding how chronic back pain presents helps you seek evaluation before irreversible damage occurs.
Daily back pain
Pain may radiate along nerve roots and worsen with movement or coughing.
Reduced activity
A clinically significant symptom that should be evaluated by a neurosurgeon.
Leg pain
Pain may radiate along nerve roots and worsen with movement or coughing.
Stiffness
A clinically significant symptom that should be evaluated by a neurosurgeon.
Clinical pathway
How diagnosis works
A structured evaluation from first symptoms to treatment decision — the standard of care in neurosurgery.
- Step 1
Symptoms
Recognition of sudden or progressive neurological warning signs.
- Step 2
Neurological examination
Focused assessment of strength, sensation, speech, and reflexes.
- Step 3
CT scan
Emergency imaging to detect bleeding, fracture, or mass effect.
- Step 4
MRI
Detailed evaluation when soft-tissue or spinal pathology is suspected.
- Step 5
Diagnosis
Correlation of imaging, examination, and clinical history.
- Step 6
Treatment decision
Medical, surgical, or ICU-based plan tailored to urgency and anatomy.
Causes & risk factors
Treatment options
Evidence-based management
Treatment is tailored to urgency, imaging findings, and neurological status — from emergency intervention to rehabilitation.
MRI
Detailed soft-tissue imaging to localise the source and extent of disease.
Physiotherapy
Targeted exercises and mobility work to support nerve recovery.
Pain management referral
Personalised neurosurgical evaluation and evidence-based management.
Targeted decompression or fusion
Relief of nerve or spinal cord compression to prevent permanent deficit.
Recovery & rehabilitation
Long-term outcomes depend on early treatment, structured rehabilitation, and specialist follow-up.
- Neurological monitoring during the acute phase
- Physiotherapy and mobility rehabilitation
- Speech or occupational therapy when needed
- Gradual return to daily activities with specialist follow-up
Related procedures
Surgical and interventional options commonly used in the management of chronic back pain.
ProcedureEndoscopic Spine Surgery (RIWO)
Minimally invasive endoscopic spine surgery through very small incisions using advanced RIWO technology.
- Recovery
- Rehabilitation
- Duration
- 3 phase pathway
ProcedureMinimally Invasive Spine Surgery
Less invasive approaches for disc disease, stenosis, and selected spinal instability.
- Recovery
- Procedure
- Duration
- 2 phase pathway
Next step
Concerned about symptoms?
Early diagnosis can prevent permanent neurological damage. Dr. Nikhil Bhamare provides comprehensive evaluation for brain, spine, and nerve conditions using advanced diagnostic imaging and evidence-based treatment planning.
- · Urgent and elective consultations
- · Second opinions with imaging review
- · Emergency neurosurgical pathways at Medinova Super Speciality Hospital
Dr. Nikhil Bhamare
Neurosurgeon & Spine Surgeon
15+ years experience