Back Pain Specialist

Ihab Labatia, MD -  - Board Certified Pain Management Physician

Hillcrest Pain and Spine

Ihab Labatia, MD

Board Certified Pain Management Physician & Physical Medicine and Rehabilitation located in Lexington, KY

Back pain is a leading source of lost workdays and a reduced quality of life. If you suffer from acute or chronic pain, Ihab Labatia, MD, and the team at Hillcrest Pain and Spine can help. The team offers a variety of safe and effective treatments so you can live pain-free and get back to doing your favorite activities. Call the office in Middletown, Kentucky, today to schedule a consultation or request an appointment online.

Back Pain Q & A

What are the leading causes of back pain?

The leading causes of back pain are acute damage and progressive deterioration of the vertebrae, discs, and other tissues.

Acute back injuries could arise from overexerting yourself when you aren’t fit enough for the activity you’re doing, overstretching, falls, making sudden, awkward, or twisting movements, and using a poor lifting technique.

Back pain can also develop more slowly if you have conditions such as:

  • Osteoarthritis
  • Osteoporosis
  • Spinal stenosis
  • Spondylolysis
  • Degenerative disc disease
  • Herniated or bulging disc


Sometimes, acute back pain happens because of a degenerative problem. For example, herniated discs can develop as a result of the deterioration in the spinal discs that happens when you have degenerative disc disease.

How is back pain diagnosed?

To diagnose your back pain, the team at Hillcrest Pain and Spine perform a comprehensive exam. They look at your medical history, find out about your current symptoms, and discuss other aspects of your health and lifestyle.

After a thorough physical examination, your provider might want you to have diagnostic imaging tests like X-rays, a CT scan, or an MRI. These tests show your provider what’s going on inside your spine to help them make an accurate diagnosis and evaluate the degree of damage.

How is back pain treated?

The team at conservative approaches always begins with conservative approaches to treat your pain. Your treatments for back pain may include:

  • Activity modification
  • Physical therapy
  • Osteopathic manipulative treatment (OMT)
  • Trigger point injections
  • Medication management 


If your pain doesn’t improve or for more severe cases of back pain, the team may recommend other treatments to help ease the pain. 

One approach they use is regenerative medicine techniques like platelet-rich plasma (PRP). PRP contains growth factors that the team extracts from your blood. They concentrate the growth factors and inject them into the damaged areas of your spine to promote faster, stronger tissue growth.

Another approach to treating persistent back pain is spinal injections. These contain steroid medications to reduce inflammation and a local anesthetic to switch off the constant pain temporarily. 

There are various types of spinal injections, including transforaminal and interlaminar epidural injections and facet joint injections. 

To find out more about innovative treatments for back pain, call Hillcrest Pain and Spine today, or request an appointment online.