Lumbar Spine

The back pain specialists at Performance Rehabilitation & Regenerative Medicine are recognized leaders in the diagnosis and non-surgical treatment of Lumbar Spine Injuries

Whether you are suffering from a recent or chronic lumbar spine condition that is adversely affecting your ability to live life under your terms we may be able to help.

The lumbar spine or lower back contains five vertebrae with different nerves, ligaments, muscles and tendons. Exiting out of each lumbar vertebrae is a nerve root that travels into our legs and feet. The lumbar spine is designed to bear weight and plays a major role in the movement of our spines. The lumbar vertebrae are the largest of all of our vertebrae, which is important for support. The lumbar spine is also has many muscles that are used to strengthen and maintain movement of our spine. Due to the complexity of the lumbar spine it is often prone to many different injuries.

When Should You Seek Lower Back Pain Treatment?

  • Pain and tenderness throughout the muscles of the low back
  • Muscle tension and stiffness
  • Pain or numbness and tingling into the low back, buttock, and lower extremity
  • Muscular weakness and/or atrophy of the lower extremity



Lumbar sprain / strain is an injury that occurs in the muscles, tendons and ligaments of the lumbar spine. The most common mechanism with these types of injuries are due to repetitive stress and strain throughout our daily lives. The lumbar spine is prone to many overuse injuries due to improper posture and poor body mechanics. Symptoms of lumbar sprain/strain can include pain, tenderness, tightness and decreased range of motion.



Degenerative disc disease (DDD) is a condition in the lumbar spine that is an arthritic process that occurs in the discs of the spine, as we age. The discs act as shock absorbers and bear weight, when they begin to degenerate, this can result in many different problems, including pain and stiffness in the lumbar spine. As we age the discs in our low back have a tendency to lose their hydration and flatten which predisposes us to chronic conditions.



Osteoarthritis or degenerative joint disease (DJD) is the most common form of arthritis that affects the joints in our body. In the lumbar spine DJD will affect the vertebrae, facet joints and intervertebral discs. In between our joints we have a substance known as articular cartilage that aids in protecting our bones. Over time the cartilage will wear away resulting in pain and stiffness in the joints and muscles of the mid back.



In between each vertebrae there are soft cartilage based pads known as intervertebral discs (IVD). These discs aid as shock absorbers and help bear weight. There are two layers that make up the IVDs. The outer layer (annulus fibrosis) and the inner layer (nucleus pulpous). The inner layer is a soft gel center that often migrates to the outside when there is an injury in the annulus fibrosis layer of the disc. In between each vertebrae is an exiting nerve root. When a disc herniates it often will put pressure on these nerve roots leading to pain and altered sensation into the low back, buttocks, legs and feet.



Lumbar spine radiculopathy occurs when there is compression on the nerve roots that exit between each of the vertebrae which travel to different areas into our low back, buttock, and lower extremity. Herniated discs and/or arthritic bone spurs are often responsible for the compression on a nerve. Patients will typically experience severe pain in the low back, buttocks, and legs which often results in numbness and tingling into these areas.



This is a condition that occurs in the muscles and fascia (outer layer of connective tissue) of the lumbar spine, which can lead to areas of tension in the muscles which are known as trigger points. Trigger points when stimulated or compressed can refer pain into the neck and shoulders. The most common area for trigger points to build up in the mid back is the lumbar paraspinal muscles, middle trapezius, and rhomboids muscle groups. When trigger points exist in these locations they can produce pain that will refer in a specific type of pattern throughout the low back.



The facet joints in the lumbar spine are small joints in the low back that are surrounded by a joint capsule, that aid in movement of our spine. As a major contributor to pain in the spine these joints often break down and become arthritic over time. When inflammatory changes occur in these joints, pain is produced during extension (arching) of the spine. Often times individuals with facet joint problems will demonstrate a forward flexed posture to relieve the stress on the facet joints.


Why Choose Performance Rehabilitation & Regenerative Medicine?

Whether you are suffering from a recent or chronic lumbar spine condition that is adversely affecting your ability to live life under your terms, we may be able to help.

To have a consultation with one of our doctors, please contact one of our Patient Care Coordinators at 908-754-1960 or you may contact us online.