Back Pain Specialists
In Maryland, Pennsylvania, Florida and Virginia
Our back pain specialists understand how debilitating back pain can be, and are committed to providing personalized care that is tailored to your unique needs. By utilizing a range of techniques, including injections, medications, and minimally invasive procedures, we address the root causes of back pain, such as herniated discs, spinal stenosis, and degenerative disc disease.
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Why Choose a Back Pain Specialist?
Individuals experiencing chronic back pain typically require a pain specialist who can manage their care. A back pain specialist is a medical professional with expertise in diagnosing and treating various conditions affecting the upper back, middle back, lower back, and surrounding structures.
At Pain and Spine Specialists, we conduct a comprehensive evaluation at our back pain centers that includes a review of your medical history, a physical examination, and requests for advanced imaging if necessary. This approach allows us to create an individualized health plan that can safely and responsibly address your back pain care, helping you regain a fully functional and enjoyable life.
For additional information about our back pain specialists, including details about back pain classifications, diagnosis, and treatments, please explore the resource buttons below. If you're ready to speak with one of our board-certified pain and back specialists, use our contact form or give us a call to schedule your new patient consultation.
What Patients Are Saying
Great office, good people. Been there quite a few years. Never a problem. Leave them a message, they always respond. I've had six back surgeries 2knees and right shoulder. Gregg keeps my chronic debilitating pain managed well so I can still live my life best I can. Im so grateful.
Jenny Martins / google review
Dr. Rao. I can't find the words to tell you how much he has meant to me. I followed him from an old practice to his very new high tech office. They offer so many different areas of assistance to those with issues from nutrition to spinal surgery... and much more. His office is professional.
Mom To2 / vitals
Dr. Rao is such an amazing doctor! During my first visit, he never tried to rush through my appt.; he genuinely listened to all my concerns and then took his time to explain to me in detail all his recommendations and how they would help me.
Nikki / healthgrades
Back Pain Treatment Guide
Digital Guide
Our board-certified back pain specialist doctors specialize in minimally invasive treatments for back pain and other chronic pain conditions. We are committed to alleviating your pain and restoring your well-being.
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Access to our Back Pain guide, pain quiz, FAQ's, and patient reviews.
We Accept All Insurances
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Board Certified Doctors
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What Is A Back Pain Specialist?
Throughout your life, you might experience back pain that comes and goes for a few days or weeks. However, when this pain persists for longer than six months, it's considered chronic back pain. This type of discomfort can occur as a symptom of an underlying condition or result from a personal injury.
The crucial first step is to accurately determine the cause of your back pain, allowing for the development of an effective treatment plan. A back pain specialist has the expertise needed to pinpoint the cause and create a tailored treatment plan for your needs.
Back pain can significantly impact your quality of life, often affecting your mobility and functionality. Whether you're experiencing lower, middle, or upper back pain, a specialist can precisely identify the location and type of symptoms you're dealing with, and develop a treatment plan to manage your symptoms effectively. At Pain and Spine Specialists, we're here to help you find relief and improve your well-being.
Americans report a recent episode of back pain according to the Health Policy Institute.
Of US Adults had back pain in 2019 according to Center of Disease Control (CDC).
Currently suffer from chronic severe back pain. -NCCIH
Back Pain Regions
Back pain isn't limited to just one location or spinal region; it can be experienced in three distinct areas, which are the upper, middle, and lower back. Your upper back, also known as the thoracic spine, provides stability for your body and assists the rib cage in protecting your internal organs.
The middle back, part of the lower thoracic spine, also supports your torso and the organs situated below the rib cage. Meanwhile, your lower back, or lumbar spine, supports both the middle and upper back, with a complex network of ligaments and nerves allowing for flexibility in twisting and bending movements. It's important to note that pain symptoms aren't confined to just one region of the spine, which underscores the need for personalized care when addressing your specific back pain concerns.
Understanding Upper Back Pain
Although the upper back is generally resistant to injury, it's not immune to pain. Upper back pain can occur due to poor posture over an extended period or an injury.
The pain symptoms you experience might result from muscular irritation or joint dysfunction. Constant straining, tightened muscles that can't relax, and repetitive motions can lead to painful muscular irritation, while joint dysfunction can stem from natural degeneration, such as age or health conditions, or a sudden injury.
Symptoms of upper back pain include:
- Sharp Pain
- Stiffness
- An Achy Discomfort Felt in the Upper Back
- Radiating Pain
Upper back pain symptoms may start slowly and gradually before worsening. Sometimes pain in the upper back can have a sudden onset or may even be delayed. Each patient is different, and their pain history may determine their pain experience.
Understanding Middle Back Pain
Similar to upper back pain, when the middle back starts experiencing pain symptoms, it can have several causes. Arthritis, muscle strain, or even injury can bring the onset of pain symptoms. Some other common causes of middle back pain are a result of obesity or herniated discs.
The lower thoracic spine, which is the middle back, does not move as much as the lumbar spine or lower back, thus making middle back pain less common. Pain experienced in this region can also result from pain radiating from another location in the body.
Symptoms of middle back pain include:
- Burning Sensation
- Redness or Swelling in the Back
- Sharp Pain
- Muscle Aches
- Muscle Stiffness
Understanding Lower Back Pain
The most common location of back pain, the lower back or lumbar spine region of your body, is an intricate network of interconnecting bones, ligaments, joints, and nerves. The muscles in the lower back are responsible for rotating hips while walking and supporting the spinal column.
Lower back pain can result from soft-tissue injury or a mechanical issue with the body. The soft-tissue injury can become very painful if a muscle becomes overstrained or even pulled. Sometimes the discs can start degenerating, or the joints can lose function.
Lower back pain can develop suddenly and with no underlying condition or mechanical issue with the body. If there is no definitive cause for pain in the lumbar spine, treatment may focus on mitigating the pain symptoms instead of “healing” the cause.
Symptoms of lower back pain include:
- Muscle Spasms
- Difficulty Standing Straight
- Stinging Pain
- Difficulty Walking
- Dull Aching Pain
Beyond the specific region that causes pain, establishing the type of back pain is critical for treatment. Identifying the type of pain experienced, your skilled back pain specialist will establish a back pain treatment plan based on your symptoms.
Lower Back Pain
Middle Back
Upper Back Pain
Identifying Types of Back Pain
Back pain comes in many forms, and recognizing the different types can help you and your healthcare provider develop the most effective treatment plan tailored to your specific needs. As the duration and cause of back pain can vary, so too can the approach and treatment. There are six common types of back pain, and our Pain and Spine Specialists team wants to help you better understand your symptoms and guide you towards personalized care.
- Acute Back Pain
- Chronic Back Pain
- Inflammatory Back Pain
- Neurogenic Pain
- Extension Dominant Pain
- Flexion Dominant Pain
Based on duration and cause, these types of back pain can vary in approach and treatment.
Acute Pain
Acute back pain is described as pain that does not last longer than six months and can come on suddenly. Typically this pain is a direct result of an event, such as surgery, dental work, or a burn. The pain will subside when the underlying cause is removed, typically with time, usually a few hours or days.
Chronic Back Pain
Pain experienced longer than six months can be characterized as chronic back pain. The pain can be experienced even after the injury or illness has healed. The pain is ongoing and consistently felt. The nervous system remains active, sending pain signals to the brain.
Chronic pain can be linked to arthritis, fibromyalgia, back injuries, and never pain. A difficult ramification of chronic pain is the toll it can take on your emotional and mental health. The negative impact can also increase anxiety and depression, compounding the pain sensations.
Inflammatory Back Pain
The body’s immune system will react to injury or infection with inflammation. The pain signals encourage the natural healing mechanisms of the body to relieve the symptoms. However, excessive inflammation can be painful in itself.
The immune system attacks the joints of the spine, which cause the pain symptoms. An effective method to diagnose inflammatory back pain is if you receive relief from NSAIDs (non-steroidal anti-inflammatory drugs). Some common causes of inflammatory conditions that lead to inflammation pain are multiple sclerosis or rheumatoid arthritis.
Neurogenic Back Pain
Neurogenic back pain occurs when nerves in the spinal column become compressed or irritated. This can lead to discomfort, numbness, or weakness in the lower back or extremities. Unlike other types of back pain, which might be caused by muscle strains or joint inflammation, neurogenic pain is directly related to nerve involvement in the spine.
Extension Dominant Pain
Extension-dominant pain is a result of prolonged pressure on the spine when it is extended. This pain is primarily felt in the lower back, which is the lumbar spine, with the back feeling stiff the same way each time. You may experience pain after high-impact activities or even leg pain.
Flexion Dominant Pain
More often than not, this type of pain is related to injury to the discs. Pain and symptoms develop in a trackable pattern, such as when sitting, bending, or lifting. This type of spinal pain can also lead to a loss of range of motion.
The Importance of Finding a Back Specialist
Regardless of the type of chronic back pain you are experiencing, skilled back specialists need to examine and diagnose your condition correctly. With an accurate diagnosis, a back pain specialist will be able to establish the type of back pain and its classification.
Types of spine conditions are:

Back Pain Classifications
Back pain classifications can be identified as axial, referred, and radicular. How you describe your pain and the pain distribution determines back pain classifications.
Axial Pain
This type of pain is confined to a specific region or a particular spot where the pain originates. This type of pain is mechanical and is experienced as sharp, dull, or throbbing.
Referred Pain
This type of pain is characterized as achy that moves around to other areas. The intensity can vary and can affect other parts of your body. At Pain and Spine Specialists, our referred back pain specialists can help pinpoint the cause of your discomfort, ensuring that you receive personalized care tailored to your specific needs.
Radicular Pain
This type of pain is felt as a searing sensation because the pain follows the path of the spinal nerve sending the pain signal. Typically caused by compression or inflammation on the spinal nerve root, the pain can travel down specific spinal canals.
If you're experiencing radicular back pain, it's essential to remember that your needs for pain management will be unique. To ensure the best possible care, we recommend finding a skilled back pain management clinic like ours that can accurately diagnose and treat your chronic back pain with personalized attention tailored to your specific situation.

Back Pain Treatments at Pain and Spine Specialists
When your day-to-day life is physically limited due to chronic back pain, you may become frustrated when trying to find relief. Living with chronic back pain can be challenging, but finding the right treatment combination can significantly improve the quality of your life.
You can rely on Pain and Spine Specialists to find the right pain management doctor for back pain. We offer various in the back pain treatment that can significantly improve the quality of your life.
These treatments include:
- Medication Management
- Advanced Interventional Procedures
- Injection Therapies
- Alternative or Holistic Therapy
A skilled pain management specialist will be able to determine which combination of therapy is appropriate for you.
Medication Management Programs
Many patients suffering from chronic back pain may not find relief from over-the-counter medicines and may require a prescription for something different. The types of medications that a physician may prescribe are non-steroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, and opioids. A skilled back and pain specialist will decide which approach is best if prescription medication is prescribed.
Intrathecal Pain Pump
In some cases, an intrathecal pain pump may be recommended to help improve medication delivery, reduced side-effects, and increase dosage control. It works by delivering pain medication directly to the spinal cord through an implanted device.
Advanced Interventional Procedures
Our back pain doctors use state-of-the-art technology and techniques to address the underlying causes of pain with precision and minimal disruption to surrounding tissues.
These advanced interventional procedures often serve as an alternative to more invasive surgical options, offering quicker recovery times and reduced risk of complications. By focusing on the source of pain and employing innovative approaches to alleviate discomfort, these treatments can significantly improve your quality of life and promote long-term pain management solutions.
The procedures we offer include:
Targeted Injection Therapies
As you seek relief from your back pain, consider the benefits of medicated injections tailored to your specific needs. Injection therapy offers an ideal alternative if you prefer not to rely on prescription medications. By targeting the exact location of your pain, these injections deliver medication precisely where it's needed, providing effective and long-lasting relief. With the potential for months or even years of comfort, you can confidently return to enjoying your day-to-day activities without the limitations imposed by back pain.
Frequently Asked Questions
Common causes of back pain include muscle strains, ligament sprains, herniated discs, degenerative disc disease, spinal stenosis, and poor posture.
Acute back pain is typically sudden and lasts for a short duration (less than six weeks), while chronic back pain persists for more than three months.
Lifestyle modifications to reduce back pain include maintaining a healthy weight, practicing good posture, exercising regularly, avoiding prolonged sitting, and using ergonomically designed furniture.
For back pain, consider seeing a primary care physician, orthopedist, or a back pain specialist like a physiatrist, chiropractor, or physical therapist.
Treatments for managing back pain range from conservative methods like physical therapy, chiropractic care, and medications to more invasive options such as injections or surgery, depending on the cause and severity.
Yes, sitting at a desk for long periods can lead to chronic back pain due to muscle imbalances, poor posture, and decreased circulation.
Proper posture plays a crucial role in preventing and managing back pain by maintaining correct spinal alignment and minimizing stress on muscles and ligaments.
While not all back pain can be prevented, adopting a healthy lifestyle, practicing good posture, and staying active can help reduce the risk of developing back pain.
Activities that can worsen existing back pain symptoms include heavy lifting, repetitive bending and twisting, and sitting or standing for prolonged periods.
Exercise can help with reducing or eliminating back pain symptoms by strengthening muscles, improving flexibility, and promoting better posture. Always consult a healthcare professional before starting a new exercise routine.
Finding a back pain specialist near you is simpler than you might think. Start by asking your primary care doctor for a referral, they often have a network of specialists they trust and recommend.
Alternative Therapy for Chronic Pain
Exploring alternative pain management therapies can offer a holistic approach to your well-being, whether used independently or in conjunction with conventional treatments. By incorporating options such as acupuncture, infrared light, and lymphatic enhancement into your treatment plan, you can benefit from diverse methods of relief. These alternative therapies offer a non-opioid and non-pharmacological options to ensure a comprehensive approach to managing your chronic back pain.
- Acupuncture: A traditional Chinese medicine practice, acupuncture involves inserting thin needles into specific points on the body to alleviate pain.
- Infrared Sauna: An infrared sauna is a therapy that uses infrared light to penetrate the body and promote relaxation, detoxification, and pain relief.
- Amethyst BioMat: A therapeutic BioMat combines far-infrared rays, negative ions, and amethyst crystals to promote relaxation and healing.
- Lymphatic Enhancement: Lymphatic enhancement is a gentle treatment that stimulates the lymphatic system to reduce inflammation and promote overall wellness.
- Photobiomodulation: Photobiomodulation is a low level laser therapy that reduces inflammation and promotes healing.
Find the Right Treatment for You
As you seek the most effective relief for your back pain, it's essential to explore the latest and most innovative therapy options. Finding a comprehensive pain management practice with treatments tailored to your needs is crucial in restoring functionality and achieving a better quality of life.
To learn more about how our chronic back pain treatments can enhance your mobility, please call Pain and Spine Specialists. Our dedicated team is here to guide you on your journey toward lasting comfort and well-being.

About Us
We are a comprehensive pain management practice with board-certified back pain doctors in Maryland, Pennsylvania, and Virginia that specialize in innovative treatments for Back Pain

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View our providers, locations, services, and patient reviews.
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Back Pain Treatments
Patients diagnosed with back pain may be good candidates for the following treatments.
Common Causes
Back pain is often caused by the following conditions.
Related Pain Conditions
Back pain is often caused by the following conditions.
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If you would like more information about our chronic back pain treatments, please call Pain and Spine Specialists and speak to our dedicated team to improve the quality of your life.
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*We accept workers' comp and personal injury claim patients
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Appointment FAQ's
We Accept All Insurances!
That includes Medicare and state Medicaid.
Usually within one week of the initial call.
Appointments can be schedule by phone or through our contact form here.
At Pain and Spine Specialists we provide comprehensive pain care while offering the most up-to-date minimally invasive techniques. Our ethos is to treat each patient (and potential patient) as if they were a family member.
At Pain and Spine Specialists we want to provide the most efficient and pleasurable experience possible. As in all medical facilities, we have certain policies in place to ensure that you receive the time you require to address your needs as well as enhance your experience while in our care.
We encourage patient feedback to better improve your experience. We strive to create a friendly and warm environment where patients feel their voices are heard and validated.
Meet Our Team
Back Pain Doctors in Maryland, Pennsylvania, Florida and Virginia
Our doctors at Pain and Spine Specialists can determine the type of back pain you are experiencing and its severity. Our lower and upper back pain specialists have experience treating complex back pain conditions safely and effectively. PASS provides patients access to interventional and alternative pain management treatments in order to provide superior treatment for chronic back pain symptoms.








