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Back Pain Specialist

Sastry K. Topalli, MD -  - Interventional Pain Management

Atlantic Pain Interventions & Rehabilitation

Sastry K. Topalli, MD

Interventional Pain Management & Rehabilitation located in Chesapeake, VA

About 16 million Americans experience chronic or persistent back pain at any given time. When left untreated, back pain can negatively affect your ability to work, exercise, or participate in other routine activities. At Atlantic Pain Interventions & Rehabilitation in Chesapeake, Virginia, interventional pain management specialist Sastry K. Topalli, MD, uses safe, effective interventions to manage back pain. To schedule an appointment, book online, or call the office today.

Back Pain Q & A


What is back pain?

Back pain is characterized by any swelling, stiffness, or discomfort that affects any region of the spine, including the thoracic or lumbar area, as well as the sacrum. 

Most back pain responds to conservative treatments like rest and over-the-counter pain medication. If your symptoms persist or get worse, it may point to a more serious underlying health problem that requires care from Atlantic Pain Interventions & Rehabilitation.

What are the common back pain symptoms?

Back pain affects everyone differently. Some people experience a dull ache; others experience shooting, stabbing, or burning sensations. Depending on the underlying cause, back pain may spread to your buttocks, legs, or feet.

Most cases of back pain resolve on their own, but if a fever or weakness in your legs accompanies it, contact Dr. Topalli at Atlantic Pain Interventions & Rehabilitation right away. You should also make an appointment if your pain persists even with self-care.

What are some common causes of back pain?

Back pain occurs for a variety of reasons. At Atlantic Pain Interventions & Rehabilitation, Dr. Topalli often treats back pain caused by:

You might also experience back pain due to neuropathy or permanent nerve damage.

Who is at risk of back pain?

Back pain affects all types of people. Some of the factors that may increase your risk include being overweight, smoking, and living a primarily sedentary lifestyle.

You’re also more likely to experience back pain if you work a physically demanding job that requires you to lift heavy objects regularly.

How is the cause of back pain diagnosed?

To diagnose the cause of your back pain, Dr. Topalli reviews your medical history and asks about your symptoms and lifestyle. He assesses your ability to stand, walk, and lift your legs and has you rate your pain on a scale of one to 10.

If Dr. Topalli suspects your back pain is due to an underlying health problem, he might order additional tests, including X-rays, discography, an MRI, CT scan, or blood work. X-rays, discography, MRIs, and CT scans provide detailed images of your bones and soft tissues, while blood work can determine if you have an infection.

How is back pain treated?

Treatment for back pain at Atlantic Pain Interventions & Rehabilitation depends on the intensity of your symptoms and the underlying cause. Usually, Dr. Topalli recommends conservative, integrative treatments such as losing weight if needed, eating a balanced diet, or physical therapy.

If your symptoms persist or get worse, Dr. Topalli might recommend:

  • Caudal steroid injection
  • Epidural steroid injection
  • Trigger point injections
  • Sympathetic nerve block
  • Medial branch block
  • Facet joint injection
  • Regenerative medicine
  • Laser therapy
  • Radiofrequency ablation
  • Spinal cord stimulation
  • Vertebroplasty

To schedule a back pain appointment at Atlantic Pain Interventions & Rehabilitation, book a consultation online, or call the office today.