Step 1: Accurate Diagnosis
Effective back pain treatment starts with understanding what's causing the pain. At MAIC, every back pain patient receives:
- Physical examination — range of motion, neurological testing, palpation, and provocative maneuvers
- MRI imaging — on-site 1.5T and 3T MRI to identify disc herniations, ligament tears, fractures, and stenosis
- NCV/EMG testing — when radiculopathy or nerve damage is suspected, electrodiagnostic testing objectively measures nerve function
Conservative Treatment
Medication Management
First-line treatment typically includes anti-inflammatory medications (NSAIDs), muscle relaxants for spasm, and neuropathic pain agents for nerve-related pain. Our pain management doctors create medication protocols that control pain while avoiding dependency risks.
Physical Therapy
MAIC's on-site physical therapy program focuses on core stabilization, flexibility, functional restoration, and return-to-activity conditioning. PT works best when coordinated with pain management — reducing pain first allows patients to participate fully in rehabilitation.
Chiropractic Care
For mechanical back pain from spinal misalignment and joint dysfunction, our on-site chiropractors provide spinal manipulation, mobilization, and manual therapy.
Injection Therapy
When conservative treatment isn't enough, targeted injections can provide significant relief:
- Epidural Steroid Injections (ESI): Corticosteroid medication delivered directly to the epidural space around compressed nerve roots. The gold standard for disc herniation pain and radiculopathy.
- Facet Joint Injections: For pain originating from the small joints connecting vertebrae — common after rear-end collisions.
- Trigger Point Injections: For myofascial pain and muscle spasm that doesn't respond to oral medication.
- Sacroiliac Joint Injections: For SI joint dysfunction causing lower back and buttock pain.
All injections at MAIC are performed under fluoroscopic guidance for precision and safety. Every procedure is documented with MTG-compliant reports.
Surgical Consultation
When imaging reveals significant structural damage — large disc herniations with persistent neurological deficits, spinal instability, or fractures — our board-certified orthopedic surgeons provide surgical consultation. Common procedures include:
- Microdiscectomy: Minimally invasive removal of herniated disc material pressing on a nerve root
- Laminectomy: Decompression surgery for spinal stenosis
- Spinal Fusion: Stabilization surgery for unstable fractures or severe degenerative changes
Why MAIC for Back Pain Treatment
The key advantage of treating at MAIC is having everything under one roof. Your pain management doctor, physical therapist, chiropractor, and surgeon all practice at the same facility, share the same records, and coordinate your care. No outside referrals, no lost records, no delays.
For accident and workplace injury patients, this means a single, cohesive medical record that tells your complete story — which is exactly what attorneys, judges, and insurance adjusters need to see.
Schedule a Back Pain Evaluation
Call MAIC at (888) 991-5290 for a same-day back pain evaluation. We accept No-Fault and Workers' Compensation — zero out-of-pocket cost. Located at 2522 Hughes Ave, Bronx, near Fordham Road.