4 Types of Pain and How They Are Managed

Pain takes many forms depending on the source, the tissues involved, and how long it has been present. There isn’t one universal solution; each case requires a targeted plan that matches the underlying issue. St. Louis Pain Consultants takes a condition-based approach to pain management, using diagnosis-specific treatments that align with real-world function. Here are four conditions they treat and how those treatments help:

1. Annular Tear

Annular tears involve small breaks in the outer wall of a spinal disc. These breaks can allow chemical irritants to escape and inflame nearby tissue, even if the disc itself stays mostly in place. The result is localized pain, though in some cases, it may radiate if nearby nerve roots are affected. Non-surgical care often begins with physical therapy to build strength around the spine. Reducing mechanical stress helps slow further tearing and supports disc healing. Injections may also be used to reduce inflammation around the site and improve sleep or daily movement. The outcome depends on both the size of the tear and how early it’s addressed, but many cases respond well to a conservative plan.

2. Herniated Disc

A herniated disc occurs when the soft inner portion of a spinal disc moves through a weak spot in its outer layer. This movement can put pressure on spinal nerves and disrupt nearby function. Depending on the disc’s location, symptoms might show up in the back, limbs, or both. 

Treatment often begins with physical therapy focused on core strength and posture correction. If nerve irritation continues, imaging might guide the use of anti-inflammatory injections to relieve pressure. At St. Louis Pain Consultants, these pain management interventions are selected based on the severity of the herniation and the degree of nerve involvement.

3. Facet Joint Syndrome

Facet joints are the small joints located between each pair of vertebrae. As they age or become inflamed, these joints can cause pain with movement, especially bending or twisting. The discomfort tends to stay localized, although it can spread slightly depending on joint position and use. Diagnosis often involves short-term nerve blocks to identify the source. If these bring relief, longer-lasting options like radiofrequency ablation can be used to interrupt pain signals. St. Louis Pain Consultants includes these techniques as part of a broader plan that may also involve mobility work and strengthening exercises.

4. Spondylitis

Spondylitis refers to a group of inflammatory spine disorders that could limit flexibility and cause stiffness after rest. Ankylosing spondylitis is one of the better-known forms. As inflammation progresses, it can lead to structural changes in the spine that reduce range of motion.

Early treatment typically involves anti-inflammatory medication and physical therapy to keep joints moving. In some cases, long-term control may require immune-modifying treatments and collaboration with a rheumatologist. St. Louis Pain Consultants helps tailor these strategies based on disease stage, spinal mobility, and daily activity levels.

Pain Management Built Around Specific Diagnoses

Pain tied to spinal or joint conditions needs solutions that address more than symptoms. Matching treatment to the underlying diagnosis often leads to better long-term outcomes. St. Louis Pain Consultants uses this approach to reduce disruption to your daily routine and help you stay active. Reach out to explore clinical support options tailored to your diagnosis.