Low back pain

The lumbar area carries much of the body's weight. Pain can come from the disc, nerve, muscle, or how you move day to day. Some common causes:

• Muscle tension from stress or overload.
• Disc herniation or protrusion that irritates a nearby nerve.
• Sedentary work or long sitting or desk postures.
• Repetitive movement that loads the low back, hip, or abdomen.
• Prior injuries that change how you stand or turn.

Active people can also have sciatica when there is nerve compression or imbalance in muscles that support the spine. Cause matters, not only quieting today's pain.

Not all low back pain is an emergency. These signs often mean a clinical evaluation is warranted:

• Recurrent pain in the lower back.
• Episodes that run through buttock or leg.
• Stiffness that limits work, sleep, or daily tasks.
• Pain that does not ease with brief rest or over-the-counter analgesics.
• Constant pain when hunched or when sitting.

Confirmed in evaluation. Rest and analgesics may ease an episode but do not always address the cause.

Do not book here for loss of bladder or bowel control, numbness in the genital or anal area, leg weakness that is getting worse, or pain after a major injury. That is an emergency.

The clinical lead is Dr. Cary H. Rothenberg. The first visit is spine evaluation ($1,300 MXN, about 1.5 h): history, exam, and review of studies you bring. Cause is named before decompression or another step is recommended.

Depending on the case, the plan may include:

• Adjustments and mobilization per clinical criterion.
• Lumbar table decompression. Not surgery.
• Physiotherapy for muscles that support the spine.
• Nerve conduction study or biomechanical evaluation when a record is needed.
• Exercise and posture guidance to sustain the plan at home.

Evaluation, table traction, then physiotherapy. Order and number of visits are defined in consultation.

• Not a substitute for a surgical indication you already received.
• Not a plan without prior evaluation.
• Not a promise of cure or results from the first session.
• Not surgery and not a substitute for hospital emergencies.

Bring recent imaging if you have it (MRI, CT, or X-rays). Tell us when booking if there is fracture, infection, recent surgery, pregnancy, an implant in the area, or a pacemaker.

What the team indicates after evaluation: exercise, posture at work or sleep, and follow-up visits per the plan set in consultation. There is no single recipe for every case of low back pain.