Lower back pain is one of the most common clinical complaints, but not every case requires immediate imaging or aggressive intervention. A careful history and physical examination are essential to identify red flags such as neurological deficits, trauma, infection, malignancy, or symptoms suggestive of cauda equina syndrome. In the absence of warning signs, conservative management with analgesia, activity modification, and physiotherapy is often appropriate for the first few weeks. Imaging should be reserved for persistent pain beyond 4–6 weeks or when serious pathology is suspected. Timely referral and targeted intervention can prevent chronicity while avoiding unnecessary investigations.
Head, Pain and Palliative Care L.N Medical, Bhopal
Dr. Roopesh Jain is a highly experienced Interventional Pain Physician and academic leader with over 16 years of dedicated expertise in comprehensive pain management. He currently serves as Faculty in Palliative Care with the Lien Foundation, Singapore, and is the Course Director for the Fellowship in Pain Medicine at Global Pain School. Based in Bhopal, he practices at Care and Cure Hospital and leads ‘PANACEA’ – a Total Pain Relief Clinic, where he specializes in managing chronic pain conditions including back pain, spondylosis, slipped disc, trigeminal neuralgia, post-herpetic neuralgia, knee pain, and cancer-related pain. Dr. Jain also serves as Head of Critical Care and Consultant Pain Physician at LN Medical College and JK Hospital, Bhopal. He previously worked at AIIMS, New Delhi, where he gained extensive expertise in advanced interventional procedures such as ultrasound-guided nerve blocks, celiac and hypogastric plexus blocks, ganglion impar block, intrathecal morphine pump implantation, and spinal cord stimulation. His clinical acumen, procedural excellence, and academic contributions position him as a respected leader in the field of pain medicine and palliative care.