Chronic back pain clinic in Mohali: physio, injections or surgery – what you need

Chronic back pain affects daily life, work and emotional wellbeing for millions of people around the world. If you live in Mohali or nearby areas (Chandigarh, Zirakpur, Kharar) and are searching for answers — whether that means physiotherapy, injections or surgery — this guide from Livasa Hospitals, Livasa Mohali explains the causes, diagnosis, treatment options, comparisons, costs and how to choose the best back pain clinic in Punjab. For appointments call +91 80788 80788 or book online: Book an appointment.

Introduction

Chronic back pain is generally defined as back pain lasting more than 12 weeks despite initial treatment. It can be constant or intermittent, localized or radiating (for example, sciatica). Globally, low back pain is the leading cause of disability: large epidemiological studies such as the Global Burden of Disease report estimate that over 540 million people have low back pain at a given time, while lifetime prevalence estimates commonly range from 60–80%. In India, lifetime prevalence estimates are similar, and urban centres like Mohali see rising referrals to specialized spine clinics as sedentary lifestyles, ageing population and higher expectations for function drive demand.

This article is intended for patients and families who are evaluating treatment pathways — from conservative physiotherapy to targeted injections and surgery. We focus on practical information you need to make an informed decision: what each option does, expected benefits, risks, recovery times and realistic local cost ranges for chronic back pain treatment in Punjab, including Mohali. We also compare the roles of a spine specialist and a physiotherapist so you know who to approach first and when to escalate care.

What causes chronic back pain?

Chronic back pain has many causes; sometimes more than one factor contributes. Identifying the likely cause or combination of causes is the first step in planning effective treatment. Common causes include:

• Degenerative disc disease: age-related wear of the intervertebral discs causing pain from disc collapse, bulging or annular tears.
• Disc herniation: a slipped or ruptured disc that compresses a nerve root, often producing radiating leg pain (sciatica).
• Facet joint osteoarthritis: wearing of the small joints between vertebrae causing local back pain and stiffness.
• Spinal stenosis: narrowing of the spinal canal compressing nerves, common in older people and causing leg pain on walking (neurogenic claudication).
• Spondylolisthesis: forward slippage of one vertebra over another that can produce instability and chronic pain.
• Muscle and ligament strains: chronic pain from repeated overload, poor posture or deconditioning.
• Inflammatory conditions: ankylosing spondylitis and related disorders often cause chronic axial pain with morning stiffness.
• Post-surgical pain: persistent pain following prior spine surgery (failed back surgery syndrome).
• Other causes: infections, tumours or metabolic bone disease (rare but important to rule out).

Risk factors include age, obesity, sedentary lifestyle, poor ergonomics, smoking and certain occupations involving heavy lifting or repeated bending. Psychological factors — anxiety, depression and catastrophizing — influence pain perception and recovery. In Mohali and Punjab, changes in work patterns (more sitting, long commutes) and lifestyle changes have increased the number of patients seeking chronic back pain treatment in local clinics.

How is chronic back pain diagnosed?

Accurate diagnosis combines a detailed history, clinical examination and targeted investigations. At a dedicated chronic back pain clinic in Mohali, such as Livasa Mohali spine clinic, a standard diagnostic pathway includes:

• Clinical history: onset, duration, pain pattern, aggravating/relieving factors, previous treatments, neurological symptoms (numbness, weakness), red flags (fever, unexplained weight loss, history of cancer).
• Physical examination: range of motion, neurological testing (reflexes, strength, sensation), special tests for nerve root tension (straight leg raise), gait and posture assessment.
• Imaging: plain X-rays for alignment and degenerative changes; MRI is the gold standard for evaluating discs, nerve compression and soft tissue pathology. For Mohali patients searching “back pain diagnosis Mohali MRI,” Livasa Mohali coordinates imaging and interpretation by a multidisciplinary team.
• Electrodiagnostics: EMG/NCS if nerve damage or plexopathy is suspected.
• Diagnostic injections: selective nerve root blocks or facet joint injections can confirm the pain source before definitive treatment.

Red flags that require urgent evaluation include progressive neurological deficit (foot drop), bowel or bladder dysfunction, fever with back pain, or a history of cancer. If any of these are present, immediate referral to a spine specialist in Mohali is essential. For most chronic back pain, diagnosis is multi-factorial and a team approach—spine surgeon, pain specialist, physiotherapist, psychologist—provides the best plan.

Non-surgical treatments: physiotherapy and conservative care

The majority of chronic back pain patients benefit from a structured conservative program before considering invasive treatments. Physiotherapy forms the backbone of conservative care in a top chronic back pain clinic in Mohali. Evidence-based physiotherapy approaches include:

• Exercise therapy: graded activity, core stabilization, flexibility and progressive strengthening tailored to the diagnosis and fitness level. Regular, supervised exercise reduces pain and improves function long-term.
• Manual therapy: mobilization, manipulation (if indicated) and soft tissue techniques to reduce stiffness and improve movement.
• Pain education and cognitive strategies: explaining pain, addressing fear-avoidance, pacing activities and graded exposure to movement.
• Electrotherapy and modalities: TENS, ultrasound or laser therapy as adjuncts for short-term symptom relief.
• Ergonomic and lifestyle modification: workplace advice, posture correction, weight management and smoking cessation.
• Multidisciplinary rehabilitation: combining physiotherapy with psychological support (CBT) and vocational rehabilitation when pain affects work or mood.

In Mohali, physiotherapy for chronic back pain at specialised centers like Livasa Hospitals often includes individualized programs delivered by experienced physiotherapists for back pain Mohali patients. Typical course durations vary from 6–12 weeks, with home exercise plans to maintain gains. Physiotherapist-led care is cost-effective, non-invasive and should be the first-line choice for most chronic lower back pain treatment Mohali residents, especially when red flags are absent.

When to escalate: if persistent radicular pain (sciatica) with progressive neurological deficit, significant functional impairment despite optimized physiotherapy, or if diagnostic tests identify a structural lesion amenable to intervention, consider injections or surgical consultation.

Injections and interventional pain management

Spinal injections are minimally invasive procedures used for both diagnostic and therapeutic purposes. They can be particularly helpful for radicular pain from disc herniation, inflammatory pain from nerve root irritation and facet-mediated pain. Common injections offered at a chronic back pain clinic in Punjab include:

• Epidural steroid injection (ESI): steroid and local anaesthetic delivered into the epidural space to reduce nerve inflammation. Commonly used for sciatica and radicular pain.
• Selective nerve root block: precise injection around a single nerve root both to diagnose and to reduce inflammation.
• Facet joint injection and medial branch block: used when facet arthropathy is the pain source.
• Sacroiliac joint injection: for pain originating from the SI joint.
• Radiofrequency ablation (RFA): thermal lesioning of pain-carrying nerves for longer-term relief (often after a successful diagnostic block).
• Regenerative injections: platelet-rich plasma (PRP) or prolotherapy in selected patients (evidence is evolving).

Effectiveness: Many patients achieve significant temporary or medium-term pain relief with injections, improving their ability to participate in physiotherapy and daily activities. ESIs often provide relief for weeks to months; in some patients they may delay or prevent the need for surgery. Risks are low but include local soreness, transient headache, infection (rare), bleeding and very rarely nerve injury.

Local context and cost: For patients searching “epidural steroid injection Mohali” or “where to get steroid injections for back pain in Mohali,” Livasa Mohali offers image-guided injections under fluoroscopy or ultrasound for precision and safety. Typical back pain injection cost Mohali ranges depending on procedure complexity and whether imaging guidance is used. As an approximate range:

• Epidural steroid injection: INR 5,000–20,000 per injection
• Facet joint or SI joint injections: INR 6,000–18,000 per joint
• RFA (per level): INR 20,000–60,000

These ranges are indicative. At Livasa Hospitals Mohali, detailed cost estimates are provided during consultation based on the chosen procedure and clinical needs.

When is surgery recommended? surgical options and innovations

Surgery is recommended when conservative treatments (physiotherapy, medications, injections) fail to relieve pain or when there are progressive neurological deficits, severe instability, deformity or cauda equina syndrome. The goal of spine surgery is to decompress neural elements, stabilise the spine if needed, and restore function.

Common surgical procedures include:

• Microdiscectomy: minimally invasive removal of herniated disc material compressing a nerve root — excellent outcomes for radicular leg pain.
• Laminectomy and decompression: widening the spinal canal to relieve pressure in spinal stenosis.
• Spinal fusion: stabilising two or more vertebrae using bone grafts and implants; used for spondylolisthesis, instability or deformity.
• Minimally invasive spine surgery (MISS): smaller incisions, muscle-sparing approaches, and tubular retractors reduce blood loss and speed recovery.
• Interbody fusion and navigation-guided surgery: modern techniques that improve implant placement and alignment.

Surgical outcomes are generally best when the anatomical problem correlates with symptoms and imaging, and when patients are medically optimised. Minimally invasive spine surgery Mohali centres (including Livasa Mohali) offer procedures that reduce hospital stay and speed return to activity. Recovery depends on the procedure: a microdiscectomy may allow discharge within 24–48 hours and return to light work in 2–4 weeks, while complex fusion may require several weeks of limited activity and months for full recovery.

Cost considerations: For Mohali patients comparing “back pain surgery in Mohali” or “spinal fusion surgery cost Mohali,” ranges vary:

• Minimally invasive decompression/discectomy: INR 80,000–3,00,000 depending on implants and hospital stay
• Single-level fusion: INR 1,50,000–4,50,000
• Multi-level fusion or complex reconstruction: INR 3,00,000–8,00,000+

These are approximate ranges; a personalised quote from Livasa Mohali will consider implants, duration, comorbidities and rehabilitation needs. When to choose surgery in Mohali: persistent severe pain limiting function despite optimized conservative care, progressive neurological deficits or structural causes with poor prognosis without surgical correction.

Comparing physiotherapy, injections and surgery

Choosing between physiotherapy, injections and surgery depends on the diagnosis, severity, patient goals and response to prior treatment. The table below summarises typical benefits, indications and expected recovery to help patients decide or discuss options with their spine specialist in Punjab.

Another important comparison is spine specialist vs physiotherapist. Both are essential but play different roles. See the comparison table below:

In practice, an integrated approach at a comprehensive back pain hospital Punjab is ideal: the physiotherapist manages rehabilitation while working closely with the spine specialist to time injections or surgery when needed.

Costs and planning for back pain treatment in Mohali

Understanding costs helps patients plan and choose treatments sensibly. Costs at Livasa Mohali reflect procedure complexity, length of stay, implant use and any post-operative rehabilitation. Below are general cost ranges relevant to patients searching “cost of back pain treatment in Mohali” or “cost of back pain surgery in Mohali”:

• Consultation and diagnostic imaging (X-ray, MRI): INR 1,500–10,000 depending on sequences and reporting
• Physiotherapy course: INR 3,000–25,000 depending on number of sessions and specialised therapies
• Injections (ESI / facet / nerve root): INR 5,000–25,000 per procedure
• Minimally invasive surgery: INR 80,000–3,00,000
• Spinal fusion (single level): INR 1,50,000–4,50,000 (higher with navigation/implants)
• Complex reconstructive surgery: INR 3,00,000–8,00,000+

Many patients worry about finances. Livasa Hospitals Mohali provides transparent quotes and can guide insurance pre-authorization where applicable. Remember: lower upfront cost is not always better — value includes the experience of the surgical team, infection rates, rehabilitation support and long-term outcomes.

Practical tips when planning treatment in Mohali:

• Get a second opinion for major surgery and compare expected outcomes.
• Ask for a written cost estimate that includes implants, consumables and rehabilitation.
• Discuss conservative alternatives like extended physiotherapy or targeted injections when appropriate.
• Confirm post-procedural follow-up plan and who will guide rehabilitation (physiotherapist or clinic team).

Choosing the right clinic or specialist in Mohali

Choosing the best back pain clinic in Punjab or the best back pain clinic in Mohali means looking beyond advertising. Key attributes of a high-quality chronic back pain clinic include:

• Multidisciplinary team: spine surgeons, pain physicians, physiotherapists, radiologists and psychologists working together.
• Evidence-based pathways: clear protocols for conservative care, interventional procedures and surgical indications.
• Imaging and image-guided procedures: MRI, CT and fluoroscopy/ultrasound-guided injections for safety and accuracy.
• Patient education and shared decision-making: clear explanations of risks, benefits and realistic outcomes.
• Rehabilitation support: on-site physiotherapy and a plan for returning to work and daily activities.

Why consider Livasa Mohali?

• Comprehensive spine clinic: Livasa Hospitals offers an integrated approach to chronic back pain treatment Mohali residents trust — from conservative care to minimally invasive spine surgery Mohali patients need.
• Experienced team: spine specialists and physiotherapists experienced in managing disc herniation treatment Mohali and complex spinal disorders.
• Patient-centred care: personalised treatment plans and transparent cost discussions for back pain hospital Mohali patients.
• Easy access: Located in Mohali with referrals from Chandigarh, Zirakpur and surrounding areas; appointment booking is available at Livasa Hospitals appointment or via phone at +91 80788 80788.

When searching online, local phrases like “back pain clinic Mohali Punjab”, “best physiotherapist in Mohali for back pain” or “spine specialist Punjab” will return several options — prioritise clinics that show outcome data, multidisciplinary services and clear pathways from diagnosis through rehabilitation.

Frequently asked questions and next steps

Below are practical answers to common questions from patients seeking chronic lower back pain treatment Mohali:

• How long should I try physiotherapy before injections or surgery? Most guidelines recommend 6–12 weeks of structured physiotherapy with activity modification. If severe radicular pain, neurological deficit or structural lesions are present, earlier interventional or surgical consultation may be needed.
• Are epidural steroid injections safe? When performed under image guidance by experienced teams they are generally safe. Discuss benefits and risks with your pain specialist at a chronic back pain clinic in Mohali.
• Will surgery completely cure my back pain? Surgery targets anatomical causes and often relieves radicular leg pain and improves function. However, persistent axial back pain may require ongoing rehabilitation and lifestyle changes. Realistic expectations set by your spine specialist improve satisfaction.
• How do I find the best spine surgeon in Mohali? Look for experience, peer recommendations, outcome transparency and a multidisciplinary clinic. Livasa Mohali provides consultation with qualified spine specialists and coordinated physiotherapy.

Summary and final considerations

Chronic back pain is a common, often multi-factorial problem. For residents of Mohali and Punjab, the pathway from conservative care to injections to surgery should be personalised, evidence-based and coordinated by a multidisciplinary team. Start with a careful diagnosis and a structured physiotherapy program; use targeted injections when nerve inflammation limits rehabilitation; and reserve surgery for clear structural indications or failure of less invasive measures.

Key takeaways:

• Seek a clear diagnosis — imaging and clinical correlation are essential.
• Start with physiotherapy for most chronic lower back pain treatment Mohali patients unless red flags exist.
• Consider injections as diagnostic and therapeutic tools to reduce pain and enable rehab.
• Choose surgery when indicated, ideally at a centre offering minimally invasive techniques and comprehensive rehabilitation.

For compassionate, expert care from diagnosis through recovery, contact Livasa Hospitals — Livasa Mohali at +91 80788 80788 or book your visit. Whether you search “back pain clinic near me Mohali”, “best back pain clinic in Punjab” or “chronic back pain treatment Mohali”, our team is ready to help you return to function with a clear, evidence-based plan.

Disclaimer: This article provides general information and is not a substitute for personalised medical advice. Costs and outcomes vary by individual case. Please consult your healthcare provider for decisions about diagnosis and treatment.