DR. BABARIA IS A TOP 20 INTERNATIONALLY RECOGNIZED SPINE CARE PHYSICIAN. READ ABOUT HIS AWARD HERE 
 
Skip to main content

“Why Your Back Still Hurts: 5 Hidden Causes Most Doctors Miss”

Back pain

Why Your Back Still Hurts: 5 Hidden Causes Most Doctors Miss

If you’ve tried everything for your back pain—chiropractors, pain meds, injections, maybe even surgery—but you’re still hurting… you're not alone. Millions of people are stuck in the frustrating cycle of “treatment after treatment” with no real relief. The problem? Most doctors are looking at your MRI, not your whole story.

At OC Spine & Sports, we look deeper.

1. Poor Core Activation, Not Weakness

Your core might be strong—but if it's not firing properly, it can't stabilize your spine. This is common post-injury and after spine surgery.

2. Hip Dysfunction Masquerading as Back Pain

Limited hip mobility throws off your gait, forcing your low back to work overtime. That “back pain” may actually be a compensation pattern.

3. Unrecognized Nerve Entrapments

Not all nerve pain comes from a herniated disc. The pudendal, femoral, or lateral femoral cutaneous nerves can get compressed—and no one’s looking for them.

4. Failed Back Surgery Syndrome

Roughly 20-40% of spine surgeries don’t provide lasting relief. Scar tissue, adjacent level issues, or incomplete diagnosis can all contribute.

5. Inflammatory Drivers and Gut-Spine Axis

If your gut microbiome is inflamed, your spine might be too. Fascial inflammation and autoimmunity are emerging culprits in chronic pain.

 


What You Can Do Next

Whether you’re in Newport Beach or New York City, our team specializes in uncovering and treating the root cause of complex back pain. Request a second-opinion consult today—in-person or virtual.

Author
Dr. Vivek Babaria, DO Dr. Vivek Babaria, DO, FAAPMR is a double board-certified specialist in Interventional Spine, Sports, and Regenerative Medicine. Known for his precision diagnostics and minimally invasive approach, Dr. Babaria integrates cutting-edge technologies like musculoskeletal ultrasound, biologic therapies, and image-guided interventions to restore function and relieve pain. He trained at top institutions and brings a high-touch, patient-first philosophy to every consultation. Whether you're a high-performance athlete, weekend warrior, or navigating chronic pain, Dr. Babaria is committed to personalized, evidence-based care that helps you move, feel, and live better. His practice blends modern medicine with a holistic understanding of the body, making him a leader in the future of non-surgical musculoskeletal care.

You Might Also Enjoy...

MSK ULTRASOUND

MSK ULTRASOUND IS A NECESSARY TOOL TO DELIVER THE MOST ELITE-LEVEL SPORTS MEDICINE CARE. FIND OUT WHY

The FITT Plan (VBfitt)

"Motion is lotion" FITT (frequency, intensity, time, and type) is one way to remember the general guidelines for what should be included in a functional exercise and rehab plan. Remember, it’s important to keep in mind that each family member’s goals...