Overview

Back pain can make even routine movements — like standing, sitting, or turning — uncomfortable and unpredictable. It may come on suddenly after an injury or develop gradually over time, with symptoms ranging from persistent aches to sharp or radiating pain.
Left untreated, back pain can begin to limit your activity level and overall quality of life. Taking action early can help you stay active and avoid worsening symptoms.
At Gardner Orthopedics in Fort Myers, Florida, the goal is to understand what’s actually causing your pain and guide you toward the most effective treatment, often starting with non-surgical options. Call 239-277-7070 or schedule an appointment online with Gardner today.
Back pain is common, but it doesn’t feel the same for everyone. Some people experience ongoing stiffness or aching, while others deal with sharp or radiating pain that interferes with daily activities.
At Gardner Orthopedics, we help Fort Myers patients understand the source of their back pain and explore personalized treatment options — often starting with conservative, non-surgical approaches. Below, we’ll walk through common symptoms, causes, and how our orthopedic specialists approach back pain treatment.
Understanding Back Pain
How back pain affects daily life
Back pain affects everyone differently. Some may find their pain is uncomfortable but manageable, showing up during activity (such as golf or pickleball). Others may experience more consistent and debilitating pain, keeping them from working, exercising, and other elements of their daily routine.
If back pain is ongoing, getting worse, or interfering with daily life, it’s worth being evaluated. During your visit, your practitioner will assess your symptoms and discuss treatment options tailored to your specific medical needs and preferences.
Common types of back pain
There are many different types of back pain. Understanding which type you’re experiencing is the first step to finding effective forms of treatment.
- Acute: This form of back pain is short-term and typically lasts up to six weeks.
- Subacute: Pain lasting between six and 12 weeks.
- Chronic: Chronic back pain lasts longer than three months and may continue or recur over time, sometimes with periods of relief.
- Mechanical: Mechanical back pain is generally caused from musculoskeletal injury, strain, or use, and may worsen with movement.
- Nerve-related: This type of pain typically results from pressure on spinal nerves and may cause pain that spreads into other areas of the body, such as the hips, legs, or arms, along with tingling or numbness.
Symptoms and Common Causes of Back Pain
Common back pain symptoms
The most common symptoms of generalized back pain include:
- Radiating pain: Pain that radiates starts in one area of your back, traveling to other parts of your back or to your arms or legs. You may feel stinging, stabbing, aching, or burning sensations with this type of pain.
- Localized pain: Unlike radiating pain, localized pain is, as the name suggests, confined to one area of your back. Like radiating pain, this type may cause stinging, stabbing, aching, or burning sensations in the affected area.
- Back stiffness: Stiffness often accompanies back pain and may feel like minor muscular tension or extreme tightness.
- Weakness: Back pain could also be accompanied by a feeling of weakness, such as difficulty standing or walking, depending on the underlying cause.
- Numbness: Some people with back pain experience numbness or tingling, which may be mild or more noticeable and can sometimes be related to pressure on nearby nerves.
Symptoms associated with back pain can vary over time. Keeping a symptom journal is helpful, especially in cases of chronic pain. These details can help your doctor better understand patterns in your symptoms and guide more informed treatment decisions.
What causes back pain
Back pain can develop for many reasons, but the most common causes include muscle or ligament strain from injury or overuse, as well as disc-related issues within the spine. Over time, age-related changes such as arthritis or other degenerative conditions can also contribute, particularly in cases of ongoing or recurrent pain.
If the cause of your back pain isn’t clear, one of our Fort Myers orthopedic specialists can evaluate your symptoms and help guide next steps in your care.
Non-spinal causes of back pain
In some cases, back or leg pain may not originate from the spine itself. Physicians sometimes refer to this as “pseudospine pain,” where symptoms that feel like spinal pain are actually caused by other medical conditions. A careful evaluation helps rule out non-spinal causes of pain before attributing symptoms to the spine.
| Category | Examples of Conditions |
|---|---|
| Gynecologic | Endometriosis, pelvic inflammatory disease, ectopic (tubal) pregnancy |
| Genitourinary | Prostatitis, kidney stones |
| Gastrointestinal | Pancreatitis, duodenal ulcer |
| Rheumatologic / Musculoskeletal | Trochanteric bursitis, piriformis syndrome, fibromyalgia, polymyalgia rheumatica |
| Metabolic | Osteoporosis |
| Vascular | Abdominal aortic aneurysm |
When to See a Back Pain Specialist in Fort Myers
Signs your back pain may need medical evaluation
While many cases of back pain can be successfully managed at home, there are circumstances that warrant medical evaluation.
You should consider being seen if your back pain becomes chronic, interferes with daily activities, or does not improve with rest and other basic at-home care. We also recommend medical care if you experience radiating numbness or weakness, or if severe back pain develops following an injury.
Your practitioner can evaluate your condition during an office visit and determine whether imaging, further testing, or treatment is appropriate based on your symptoms.
Non-Surgical Back Pain Treatment Options
Conservative care is often the first step
Back pain often improves with conservative care, and many cases can be managed without surgery or long-term reliance on strong pain medications. At Gardner Orthopedics, we take a root-cause-first approach that supports your body’s natural ability to heal.
Our practitioners are committed to your long- and short-term health success, providing tailored, contextual treatment plans based on your symptoms, goals, and formal diagnosis. We work with you to heal in a way that’s attainable and as low-impact as possible.
Physical therapy and guided rehabilitation
Physical therapy is a powerful, non-invasive treatment method that helps you preserve and improve your body’s strength, flexibility, and movement patterns. Studies suggest that physical therapy, particularly when it includes a personalized exercise program, can help reduce pain and improve everyday movement and function for people with chronic low back pain.
Interventional and regenerative treatments
There are many other non-surgical treatment types to consider in addition to physical therapy or oral pain medication. Some of the most common treatments that have helped our patients include:
- Injections: Targeted injections can help reduce inflammation that contributes to lower back pain. At Gardner Orthopedics, epidural steroid injection (ESIs) may be used to manage symptoms, often in combination with physical therapy or regenerative treatments.
- Regenerative medicine: Commonly seen in other pain management contexts, regenerative medicine is a collection of treatments that support your body’s natural healing process. Examples include platelet-rich plasma (PRP) treatments, extracellular vesicle therapy, and GOZone injections—a Gardner-exclusive formulation designed to help reduce inflammation and support tissue health as part of a personalized treatment plan.
- Radiofrequency ablation: Radiofrequency ablation (RFA) is a minimally invasive, non-surgical procedure that uses focused heat to interrupt pain signals from specific nerves that contribute to chronic back pain. At Gardner Orthopedics, RFA may be considered for patients whose pain has not responded to more conservative treatments and who have experienced temporary relief from diagnostic nerve blocks. RFA is performed in an outpatient setting and can provide meaningful pain relief lasting several months for many patients. The procedure can be repeated if symptoms recur.
When Surgery May Be Considered
Situations where surgical treatment may be appropriate
At times, non-surgical methods may not be enough to resolve your chronic or acute back pain. In these cases, our team might recommend surgery. Specific cases where surgery might be considered include:
- Nerve compression: Surgery may be considered as a treatment for nerve compression, specifically in severe or otherwise non-responsive cases.
- Severe joint degeneration: If severe joint degeneration is causing persistent pain and inflammation, surgery may be considered to address the root cause of your pain.
While there may be other cases that require surgical intervention, Gardner Orthopedics maintains a commitment to conservative treatment approaches — treating the patient, rather than the X-ray films. Your doctor will work directly with you to determine the best course of action for your care in the context of your symptoms.
What to Expect at Gardner Orthopedics
Evaluation and diagnosis
New patients at Gardner Orthopedics are asked to complete a medical history as part of their intake process before the physical exam. On the day of your appointment, your doctor will review your medical history and current condition, working with you to identify possible causes and solutions for your back pain. You may be asked to undergo medical imaging to confirm your diagnosis or to determine next treatment steps.
Personalized treatment planning
At Gardner Orthopedics, we believe in patient empowerment, partnership, and autonomy. This philosophy guides every part of the patient experience, including your treatment plan.
Once a diagnosis is confirmed, your care team will review appropriate treatment options with you, helping you make informed decisions about your care. From there, they’ll guide you through next steps and support you throughout your back pain treatment.
FAQ | Back Pain Treatment in Fort Myers
Do I need a referral to see an orthopedic specialist?
A referral requirement depends on your insurance plan. Many HMO plans require a referral from your primary care physician (PCP), while PPO plans typically do not. If you’re unsure, call our Fort Myers team at (239) 277-7070 and we can help you understand your coverage before your appointment.
Can back pain be treated without surgery?
Yes, back pain can often be treated without surgery using options such as targeted injections, regenerative therapies, and radiofrequency ablation. Many Gardner Orthopedics patients experience meaningful pain relief with these approaches. However, in certain cases, such as advanced structural damage or persistent symptoms that do not improve with conservative care, surgery may be recommended as part of a comprehensive treatment plan.
What should I bring to my appointment?
Please submit the New Patient Orthopedic forms packet prior to your appointment. You will also be asked for a copy of your insurance card (if you are using insurance for the visit). If you have questions about our new patient paperwork or pre-appointment processes, please reach out to us directly at (239) 277-7070 or info@gardnerorthopedics.com. It’s our pleasure to assist you.













