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Back Pain Care in North Carolina

The Neuroscience and Spine Center provides specialized care for individuals with back pain, tailoring treatment solutions to suit each patient’s unique needs. Our dedicated team prioritizes a conservative approach, refraining from rushing into surgical recommendations.

We are committed to exploring all available avenues of treatment, collaborating with a range of experts (including pain management specialists and physical therapists) to devise a comprehensive care strategy that delivers optimal outcomes.

In instances where surgery emerges as the most viable course of action, our team of skilled neurosurgeons adeptly performs procedures with a focus on minimizing invasiveness. Guiding you seamlessly from your initial consultation through treatment and onto the path of recovery is our patient navigator. This resourceful professional is dedicated to facilitating your journey to receive necessary care with utmost ease.

How North Carolina Neurosciences & Spine Center Does It Differently

Back pain is rarely a one-size-fits-all problem. Rather than defaulting to a single course of action, our North Carolina specialists take the time to understand each patient’s history, lifestyle, and goals before recommending any treatment path. That thorough, individualized approach means you receive care that’s designed around your specific condition — not a generic protocol.

What truly distinguishes our center is the depth of collaboration behind every decision. Our spine specialists work in close coordination with pain management experts, physical therapists, and neurohospitalists, drawing on a wide range of disciplines to craft a comprehensive care strategy. When your treatment team communicates effectively and operates as a unified group, the results reflect that cohesion.

When Should I Seek Back Pain Care?

Not every ache requires an immediate specialist visit, but certain signs warrant professional attention sooner rather than later. If your pain has persisted for more than a few weeks, worsened over time, or failed to respond to rest and over-the-counter remedies, it’s worth having us take a closer look. The same applies if your discomfort is severe enough to interfere with sleep, work, or routine daily tasks; prolonged disruption to your quality of life is never something to push through without guidance.

Some symptoms call for prompt evaluation regardless of how long they’ve been present. Radiating pain that travels into your arms or legs, numbness or tingling in the extremities, unexplained muscle weakness, and any loss of bladder or bowel control are all signals that something beyond ordinary muscle strain may be at play. Catching these issues early gives our team the best opportunity to intervene effectively and prevent a manageable condition from worsening.

Our Back Pain Treatments

Chronic back pain could be caused by anything from a minor concern to a serious underlying condition. Regardless of the reason, it’s always important to have it checked out by one of our specialists.

Some (but not all) of the most common reasons for a back pain consultation include the following:

Bulging & Herniated Disc

Discs are the flat, rounded structures that act as protective cushions between the vertebrae in your spine. While bulging discs usually don’t result in any pain, a herniated disc can lead to:

  • Arm pain
  • Leg pain
  • Numbness
  • Tingling
  • Muscle weakness
  • Loss of balance
  • Lack of ability to lift heavy objects

Our non-invasive treatment options for a bulging or herniated disc include medications, cortisone injections, or physical therapy. If these fail, your doctor may recommend partial or complete surgical removal, among other strategies.

Cervical Disc Surgery

Cervical discs are located in the neck and can also experience bulging and herniation, as well as fluid loss and thinning. If surgery is necessary, your doctor could suggest a cervical disc fusion or replacement.

Degenerative Disc Disease

This condition can occur as the discs break down and compress during the aging process or because of certain biochemical changes. It typically presents as lower back or leg pain.

Disc Replacement

While every effort is made to save and repair a damaged disc, sometimes it must be replaced. In these instances, it may be replaced with an artificial disc to help patients return to a more routine lifestyle.

Lumbar Disc Surgery

The lumbar discs are located in the lower back and facilitate twisting and bending. These motions can be particularly painful and difficult to perform if the discs are degenerated or damaged. If the pain is constant and intense, movement is severely restricted, and other options aren’t working, your doctor could proceed with a lumbar disc fusion or lumbar discectomy.

Neck & Lower Back Pain

Lower back and neck pain aren’t always caused by an imperfect disc. There could be multiple reasons, each affecting the proper course of treatment. Your provider will perform a physical examination and diagnostic evaluation to decide the best care strategy to alleviate your pain.

After Your Initial Back Pain Treatment

Recovery from back pain treatment looks different for every patient, and our team remains actively involved well beyond your initial procedure or therapy session. Follow-up appointments allow us to monitor your progress, make any necessary adjustments to your care plan, and order additional imaging to confirm that healing is on track.

For many patients, physical therapy plays a central role in the recovery process — rebuilding the strength, flexibility, and postural habits that support long-term spinal health and reduce the likelihood of recurrence. Whether your path forward involves continued conservative care or rehabilitation following a surgical procedure, our goal is to help you return to the activities you value as fully and efficiently as possible.

Cost of Back Pain Treatments in North Carolina

Your back pain treatment plan will be individualized to your specific needs, so the price will depend on which tests and procedures are administered and other patient-specific factors. We work with many health insurance providers to help patients manage the cost of care, but you may want to contact your carrier for more details concerning back pain treatment coverage.

FAQs

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Is back pain more common in certain age groups?

While back pain can affect people of all ages, it becomes increasingly prevalent in adults aged 30 to 60 as spinal structures naturally begin to wear. That said, younger individuals in physically demanding jobs or with sedentary lifestyles are also frequently affected.

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Can stress and anxiety make back pain worse?

Yes, psychological stress triggers muscle tension throughout the body, including in the back, which can intensify existing pain or contribute to new discomfort. Patients who address both the physical and emotional components of their pain tend to achieve better long-term outcomes.

Relief in North Carolina

Whether you’re managing a recent injury or years of chronic discomfort, back pain care at North Carolina Neurosciences & Spine Center could be the path to lasting relief. Contact us today to take the first step toward the life you deserve.

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Patient Testimonials

Nat Lambeth
I am a former patient of Dr Koolevelt, hate he retired am of the opinion he is a great doctor. I had a very good result from my surgery last April. I have encountered a new problem. I called and got an appoint ment to see Daniel Ingram he to is great. He listen to my complaint(s), then examined me. He sent me for xrays, and gave me a recomended treatment plan. Within hours of having my xrays he called me back with the preliminary results. He said he would get me seen for an injection to rule out possible other issues. He is a warm friendly professional. Great bedside manner. You don't find medical professionals of his quality in every practice. UNCRex Neuroscience is lucky to have him.
Dennis Hlad
Everyone was pleasant & efficient. Daniel Ingram, PA went over the previous MRI showing me where the problem is. Then we discussed the options. He suggested if the symptoms changed to contact him.
Jill Schade
I have known Dr Koeleveld and his team over 19 years and due to the nature of my back history L5/S1. There is NO one else I would trust but Dr K, Dan, Judy and his wonderful team. I should have written this sooner as I am 2 years post fusion and doing wonderful. Their expertise, care and compassion is second to none.
Katy TwoJsMom
Amazing. Mom needed nerve ablation on the back. She has a pacemaker and these folks were wonderful.
Kristian Brock
Best experience I had even Surgery went great, Dr.Lacin knew exactly what needed to be done.
Catherine Raspet
When I had stenosis quite a while ago, he performed surgery,and I woke up with no pain. What an extreme relief.
Raymond Baule
Great job Dr. Buttram!
Whitney Moore
John A. Engler, MD was amazing! I've been having back pain for years (had surgery in 2011) and was good for awhile. However I started going to a pain management clinic 3 years ago when it started up again. After an incident that cause me to go the the ER I was referred to Dr. Engler. He was extremely nice and informative. He took the time to explain everything to me. Extremely satisfied with the care I received will update after everything is said and done.
Mary Roby
I am now pain free and well on my way to a full recovery thanks to Dr. Lacin. Both he and his staff are knowledgeable, compassionate, caring and professional. Dr. Lacin performed back surgery on me as well as my mom and we will both be forever grateful.
Jeff Wiblitzhouser
Dr. Lacin's skill and dedication gave me a new lease on life. As a designer and builder of custom homes and remodels, I depend on my ability to get in and out of houses, tight spaces, etc., and my back had gotten to the point where the pain was intolerable. I didn't hire Dr. Lacin to tell me what I wanted to hear, I hired him to help me regain functionality. Thank You Dr. Lacin and your staff!!
Joann
My primary care doctor referred me to Dr Engler for a second opinion. First, I would like to say I would highly recommend seeing Dr Engler. He was patient, very thorough, and really took the time listening to me when I explained the pain I been experiencing. I was so relieved when he immediately pinpointed the cause of my pain. Dr Engler not only told me my options, but he explained them in-dept to me, and answered all my questions. I was truly satisfied with my visit. I Couldn't have asked for a better doctor.
Sharon Greene
Superb care from Dr Lacin and staff. Dr Lacin repaired my cervical disc, and with each visit I felt as if my care was most important to him and he Treated me like I was his only patient. Great bedside manner and Excellent surgeon. Highly recommended!!!
Brooke Weisner
Dr. Buttram was amazing, he helped me recover from a severely herniated disc, which ultimately had to have surgery on. his staff is super sweet and friendly, I would recommend him to anyone who is having back pain.