If you experience pain in the neck, arm, or leg region, followed by a burning sensation, you may be experiencing what is called dorsalgia. This medical term refers to pain in an individual’s spine in the upper and lower extremities. Depending on the dorsal region affected, the treatment option may vary from one person to another. The same should be said for the severity of an individual’s sharp or stinging pain, muscle spasms, and other medical conditions that stem from a patient having Dorsalgia.

What is Dorsalgia?

Dorsalgia causes severe and shooting pain in different portions of an individual’s spine. The specific section of the spine where pain emerges can help a healthcare professional determine the course of a patient’s treatment. Related conditions include osteoporosis and sciatica.

Types of Dorsalgia

The severe back pain dorsalgia causes can be categorized into one of six sections of a patient’s spine:

  1. Thoracolumbar dorsalgia
  2. Thoracic region of dorsalgia
  3. Cervical spine dorsalgia
  4. Cervicothoracic dorsalgia
  5. Lumbosacral dorsalgia
  6. Lumbar region of dorsalgia

Many patients describe thoracolumbar dorsalgia as having both upper and lower back pain. It affects the lumbar spine region and thoracic spine region of a patient’s back. Dr. Rodriguez may recommend imaging tests like a CT scan to rule out any differential diagnosis in the initial stages.

The thoracic region of the body does not typically get as much use in everyday activities compared to other lower and upper back portions. For this reason, the root cause of pain comes solemnly from thoracic vertebral segments. Thoracic spine dorsalgia’s chances are generally rare among most patients with dorsalgia symptoms.

An individual suffering from cervical spine dorsalgia likely experiences extreme back pain, followed by severe pain in the neck region. Cervical dorsalgia is one of the most common of the six sections to become injured.  This excruciating pain is commonly brought on by car accidents causing cervical spinal injuries.

Cervicothoracic dorsalgia focuses on the region of thoracic and cervical spinal areas. Pain generally originates from the topmost portion of the vertebrae surrounding the neck. This type of dorsalgia is also commonly associated with DSN neuropathy. The thoracic spine region happens to be a part of the overall spinal column as the second section of the spine, between the lumbar spine and cervical spine. 

The lumbar and sacral spinal cord regions are affected during lumbosacral dorsalgia. Pain initiates this dorsal region in the backbone area, causing shooting pain, irritation, & sensitivity to the vertebral column. This pain combination with lumbosacral dorsalgia symptoms is commonly referred to as pseudoclaudication.

Lumbar dorsalgia happens to commonly appear among a fair number of people, according to the average individual’s medical history report. The common appearance among individuals with severe back pain often relates to the lumbar region being a popular area of the spine. This particular lumbar section of the spine gets its fair share of daily movements.

Dorsalgia Causes

  • Vehicle accidents causing spinal injuries
  • Bulging/herniated discs.
  • Overuse of the back in manual labor
  • Stress-related disorders
  • Pregnancy

Dorsalgia Symptoms

The most common symptoms of dorsalgia are spinal and back pain, mid-back pain, and sciatica pain. Depending on which dorsal region is affected, back pain, shooting pain, and stinging sensation may vary for a patient with dorsalgia symptoms.

Patients who endure spinal pain from dorsalgia suffer significantly. Treating dorsalgia or finding the best treatment option for eliminating the root cause of the pain can take time, even in the initial stages.

Dorsalgia Treatments

When it comes to dorsalgia treatments, Dr. Rodriguez will evaluate your condition and the severity of your dorsalgia to determine the best treatment option. Our physicians will likely avoid invasive surgeries and stick to nonsurgical treatment options, trying conservative therapy in the initial stages.

However, once dorsalgia presents certain risk factors that become alarming, treating dorsalgia requires us to take extra measures with our patients, including the possibility of surgical treatment options.

Nonsurgical Treatment Options

Conservative treatments for dorsalgia are preferred in the beginning stages. These nonsurgical treatment options include physical therapy, dry needling, medications, facet injections, and electrical stimulation to treat dorsalgia. If you have questions about your options and where to begin, our physicians will run a diagnosis report to determine the proper conservative therapy that will provide you with the best treatment option for the pain you’re experiencing.

Physical Therapy

Physical therapy may be an initial recommended treatment option for dorsalgia. A chiropractic therapy doctor at Pain Relief Center may hold multiple sessions of physical therapy as a recommended treatment plan for your dorsalgia. Generally, your doctor will make follow-up routine checks to determine how your body reacts to the chiropractic therapy to make adequate adjustments. Should this type of therapy fail to resolve your pain, a doctor may then recommend dry needling.

Dry Needling

Dry needling treatment is often used to relieve back pain. For this reason, doctors commonly use the method of treatment for dorsalgia. This emerging treatment method places thin filiform needles into the targeted pain area. Patients can expect occasional soreness or possible bleeding around the injection locations.

The primary purpose of using this treatment method is to eliminate the pain located in the muscle and nerves. This pain reliever often has no complications; however, a doctor’s recommendation for a patient often is the best treatment option to abide by. Our experienced physicians may try medications to resolve the problem if this type of treatment fails to resolve your pain.


Medications could be a treatment recommended to you in addition to exercise and physical therapy for dorsalgia. When a patient has back pain that becomes difficult to continue their everyday activities, a doctor may encourage taking over-the-counter medications like ibuprofen, acetaminophen, and NSAIDs. In severe back pain cases, a doctor may prescribe muscle relaxants to ease your level of pain and discomfort as a conservative therapy treatment method.

It is essential to always consult with your doctor before taking medications with a combination of another pill. Use any unfamiliar drug with caution and ensure to read the instructions prior to taking the medication. In some cases, medicines can cause a potential risk of a side effect or even multiple. For instance, NSAIDs have been linked in relation to causing heart problems as a possible side effect. A doctor will provide proper instructions to follow to ensure your medications are taken on a routine basis. However, should medications and other means of treatment fail to resolve your pain of dorsalgia, a doctor may resort to facet injections.

Facet Injections

Facet injections, including lidocaine, and steroids which all fall into a recommended treatment for dorsalgia, give fast and long-lasting treatment options for patients needing relief from their back pain. Depending on the particular treatment approach out of the three, all provide a temporary resolution to the pain, taking a more integrated approach to the problem related to the spine.

Electrical Stimulation

Transcutaneous electrical nerve stimulation, commonly referred to as TENS, provides mid-back pain therapy and massage therapy to help where pain emerges on the spine. This over-the-counter battery-operated pain reliever blocks nerve impulses while providing massage therapy. Thus, making this an ideal conservative therapy option that is more affordable in an attempt to relieve pain.

Surgical Treatment Options

To treat dorsalgia, at times, a process of elimination of a differential diagnosis report can lead a doctor to the best treatment option. However, sometimes the best option to treat the symptoms and pain is a surgical treatment option. When conservative therapy fails to relieve pain, doctors may have to demonstrate non-invasive surgeries as a treatment option for dorsalgia to provide you with more comfort.

Dorsalgia surgeries and surgical treatment options can range with various risk factors, which is the case with anyone who undergoes any surgical operation. Many doctors will try to avoid invasive surgeries when trying to treat dorsalgia. These dorsal surgeries include microdiscectomy, artificial disc replacement, spinal fusion, and vertebroplasty.


Microdiscectomy helps when the back pain relates to a herniated disc. In this particular treatment, electrical stimulation is used to block pain signals from reaching your brain. A herniated disc that compresses the spinal nerve can cause a patient significant pain and muscle weakness.

Artificial Disc Replacement

In this procedure, the symptomatic lumbar disc is removed then a backbone fusion merges the vertebral discs to replace the disc causing pain in the spinal column and relieve pain by providing a synthetic artificial disc replacement. This method of an integrated approach to treating dorsalgia should only be performed by an experienced specialist who seeks to minimize your pain.

Spinal Fusion

Doctors commonly treat patients with severe signs of dorsalgia with a spinal fusion when dealing with degenerative disc disease. This surgical treatment removes the disc from the spine, and the lumbar region becomes immobilized. After this, tools like rods, screws, or plates are fused for the two adjacent vertebrae using a biological and structural implant.


Osteoporosis that develops in the spine can cause bone loss and severe back pain for patients. When the vertebral column has a significant amount of bone loss, the vertebrate can become weak and brittle. When this happens, a doctor may recommend a vertebroplasty procedure.

A vertebroplasty is a procedure that often provides a patient with immediate relief for their back pain. The stabilization and new structure reinforcement for the fractured spine can significantly alleviate a patient’s back pain.

Dorsalgia Treatment in Plano, Texas

The Pain Relief Center understands the pain and harsh symptoms that follow when a patient suffers from dorsalgia. If you need dorsalgia treatments in Plano, Texas, our physician’s group will fight endlessly to provide the best treatment options for your back pain and suffering. If you are ready to take back your life and treat your back pain, simplified in two words, call now!

The physicians with The Pain Relief Center focus on treating the symptoms’ underlying cause to try and eliminate the back pain and discomfort you feel. Surgery depends on the dorsal region affected and a patient’s medical conservative therapy failure to treat dorsalgia pain. Call our pain management doctors to schedule a consultation today if you have back pain dorsalgia symptoms.

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The most critical step on the path to recovery is finding a pain management doctor who can address your pain management needs successfully. The Pain Relief Center and its five specialized institutes are dedicated to meeting any and all of a patient’s needs. Located in the Dallas-Fort Worth area, Dr. Rodriguez and his friendly staff will help you along the path to recovery.

Our new center in Dallas is part of a nationwide development by Pain Relief Centers, geared to providing individualized and comprehensive healing and pain management services with unprecedented levels of compassion, care, and comfort for each patient.

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