Understanding chronic neck and low back pain
Chronic pain is pain that lasts longer than three months. Neck and low back pain are two of the most common types. It can affect every part of life, from work to relationships, and finding the right doctor to manage it can make a real difference.
The neck is made up of seven vertebrae and the spine as a whole has 33. Between them, discs act as shock absorbers, and the spinal cord runs through the centre, protected by the bones. Problems with any of these structures, or the muscles and ligaments around them, can cause long-lasting pain.
Dr. Arun Dev takes the time to listen, examines you carefully and orders X-rays or an MRI when needed. He then builds a personal plan that may include posture correction, physiotherapy, medicines and injections, and refers you to a spine surgeon when surgery is needed. Patients come from across Secunderabad and Hyderabad.
Causes and symptoms
Common causes of chronic neck and back pain:
Symptoms vary from person to person and can include:
- Stiffness in the neck or lower back
- A constant ache
- Sharp pain with certain movements
- A burning sensation
- Numbness or tingling in the arms or legs
- Pain spreading into the shoulder, buttock or leg
Treatment options
Most chronic neck and back pain improves without surgery. Treatment is matched to the cause.
How Dr. Arun assesses and plans your care
A clear diagnosis is the first step to lasting relief:
- Listening to your story. When the pain started, what makes it better or worse, and how it affects your life.
- Physical examination. Checking posture, movement, strength, reflexes and sensation.
- Imaging and tests. X-rays or an MRI when needed, and blood tests if an underlying condition, such as inflammatory arthritis, is suspected.
- Personal treatment plan. A combination of posture advice, exercises, medicines and, where helpful, injections.
- Review and adjust. Follow-up visits check progress, with referral to a spine surgeon if surgery is needed.
Benefits of a planned approach
What to expect
Chronic pain usually improves gradually. Sticking with your exercises and posture changes is the key to lasting relief.
- First visit Diagnosis and plan Examination, tests if needed and your personal treatment plan.
- [First 2 to 4 weeks] Early relief Medicines and exercises begin to ease pain.
- [Weeks 4 to 12] Building strength Physiotherapy strengthens the muscles that support your spine.
- Long term Staying well Good posture and regular exercise help keep pain away.
Tips for a healthier back and neck
- Check your screen posture. Keep screens at eye level and take regular breaks from phones and laptops.
- Keep moving. Gentle, regular activity is better for back pain than long rest.
- Lift safely. Bend your knees and keep loads close to your body.




