Leg Pain

Injectable Corticosteroids


Corticosteroid injections are powerful drugs used to decrease inflammation in the body’s tissues.  Corticosteroid injections can treat a range of muscular, skeletal, and spinal conditions.  This article from KRAMES STAYWELL shows us the most common uses of corticosteroid injections:

  • Lower back pain – Lower back pain from strains, spinal stenosis, ruptured disks, and other common conditions may be treated with injectable corticosteroids to provide some reprieve from pain. Lumbar radiculopathy is pain in the buttocks, hips, or legs that stems from a pinched nerve in the lower back.  This kind of pain can usually be treated with corticosteroid injections near the pinched nerve.  If a patient is having excruciating pain, the injection may target the spinal cord area through a catheter.  Sometimes other drugs such as local anesthetics or narcotics are given in conjunction with the corticosteroid.
  • Osteoarthritis – Osteoarthritis suffers often develop inflammation and pain in their joints. An injection of corticosteroids into the affected joint can provide temporary pain relief for several weeks or even months.  After the treatment, you will need to rest the joint for at least 24 hours for the best results.
  • Carpal tunnel syndrome – Carpal tunnel syndrome may occur when a nerve in the wrist becomes compressed or pinched, causing pain and weakness in the hand. Infecting a corticosteroid in the wrist can provide immediate relief.
  • Cervical radiculopathy – This is neck pain that radiates to the shoulder and arm. It occurs when the vertebrae in the spine moves closer together, pinching a nerve in the neck.  Injecting corticosteroids near the pinched nerve may reduce pain and swelling allowing for time to heal .

Blue Ridge Orthopaedic & Spine Center has two convenient office locations in Warrenton (540) 347.9220 & Gainesville (703) 743.2814 to serve all of your Orthopaedic needs. Call us today to schedule an appointment. Same day/next day appointments are available. For more information on all comprehensive orthopaedic services we offer visit www.broava.com.

Herniated Disc



A herniated disc in most cases is the culprit that causes lower back pain and is often referred to as a slipped or ruptured disc.

According to the American Academy of Orthopaedic Surgeons sixty to eighty percent of people will have back pain at some point in their life and a high percentage of lower back/leg pain is caused by a herniated disc.


  • Aging/Wear and tear
  • Sedentary Lifestyle – Consistent exercise is critical as it helps to prevent several medical conditions from developing.
  • Gender – Men between 30 and 50 are more susceptible to herniated discs.
  • Repetitive actions – Constant lifting, pulling, bending, or twisting can cause a herniated disc.  It’s important to use safe lifting and movement techniques to protect your back.
  • Weight – When a body is overweight it causes extra stress on the discs in the lower back.
  • Smoking – Smoking is believed to lessen oxygen supply to the disc and causes more rapid degeneration.


  • Back Pain
  • Deep Muscle Pain
  • Spasms
  • Tingling or numbness in the leg or foot
  • Weakness in the legs and loss of bladder or bowel control (extremely rare) might indicate a more serious problem known as cauda equine syndrome, which develops when spinal nerve roots are being compressed.  Immediate medical attention is required.


There are several non-surgical solutions available to improve symptoms of a herniated disc.

  • Rest – If you are experiencing severe back pain, 1-2 days of rest will calm the pain.  Don’t stay off your feet any longer than your initial rest period.  Take several breaks throughout the day and avoid sitting for long periods of time.  Use controlled and slow movements and change your daily activities to avoid further pain.
  • Anti-inflammatory medications – Ibuprofen or naproxen may temporarily relieve back pain.
  • Physical Therapy – Trained specialists with experience in specific exercises can strengthen your muscles.
  • Epidural steroid injection – Steroids are injected into your back to minimize inflammation.

Whether you suffer from wear-and-tear or a spinal injury, Blue Ridge Orthopaedic & Spine Center offers the best care available for a wide variety of spine/neck related ailments.   Blue Ridge Orthopaedic & Spine Center’s physicians have extensive experience treating nearly every kind of condition, including spinal trauma of the neck and back, tumors and infections, spinal stenosis, degenerative disc disease, herniated discs, and adult degenerative conditions of the next and back.

To schedule an appointment with our spine specialists please call 540.347.9220 (Warrenton office) or 703.743.2814 (Gainesville office) and don’t forget to visit us @ www.broava.com for all comprehensive services offered by Blue Ridge Orthopaedic & Spine Center.

Can Surgery Help your Lower Back Pain?



Surgery to treat lower back pain can be extensive. Usually, patients are given six to 12 months of more conservative treatment, such as physical therapy, before surgery is recommended for lower back pain.

Recovery is also extensive, taking anywhere from three to 12 months to return to routine daily activity. As with any surgery, success rates vary—in the case of lower back pain, a success rate of between 70 percent and 90 percent is expected, with the main variable being the specific condition being treated.

Osteoarthritis and more

Lower back pain is caused by several factors. In patients 55 and older, it is often caused by degenerative arthritis (osteoarthritis) that might result in a narrowing of the canal (spinal stenosis) and/or instability of one vertebral segment, as this Spine-Health article explains. The article continues:

Generally, the low back pain and/or leg pain created by these back conditions will get worse with walking and will improve with sitting. Often, the symptoms will have been present for years, and may get worse at a very slow rate. Once a patient gets to the point that he or she can no longer adequately function because of the low back pain, lumbar decompression with or without spine fusion may be recommended to help increase the individual’s activity tolerance and quality of life.

Spine surgery is usually elective and follows many months of alternative treatment. However there are two scenarios that may require emergency back surgery. As Spine-Health explains:

  • Sudden bowel and/or bladder incontinence (either the inability to retain or hold waste) or progressive weakness in the legs. Either of these symptoms could indicate nerve damage or cauda equina syndrome.
  • Severe, continuous abdominal and back pain, which could indicate an abdominal aortic aneurysm.

Our Spine Center experts handle all types of back pain, and provide a range of appropriate treatments, from physical therapy through surgery. If you’re suffering from back pain that is getting worse or won’t go away, contact us @ 540.347.9220 (Warrenton location) or 703.743.2814 (Gainesville location) and let’s talk.  Visit www.broava.com to learn more about the comprehensive services offered at Blue Ridge Orthopaedic and Spine Center.


It Just Can’t Get Any Better! Thank you Bill Walton!


The physicians and staff members of Blue Ridge Orthopaedic & Spine Center  would like to thank not only “Big Red” (Bill Walton) but also colleagues and new friends met at our open house event to celebrate the opening of our new Gainesville location last evening.

Bill Walton gave an amazing presentation and you can certainly understand how Bill (who has lived with debilitating back and leg pain) has gotten himself back into the game of life after undergoing the minimally disruptive XLIF procedure.  Visit http://www.nuvasive.com/about-us/our-story/ for more information on the XLIF procedure.  Jeffrey Wise, MD and Charles Seal, MD of Blue Ridge Orthopaedic & Spine Center currently perform the XLIF procedure and consistently deliver top notch results.  If you are considering surgery please speak with your doctor about the XLIF procedure and the exciting innovation of MIS (minimally invasive surgery.)  Learn more and speak to other patients who have undergone the XLIF procedure @ http://www.thebetterwayback.org/.

2 More Days = Bill Walton!!!

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Bill Walton Need to Know Essentials

William Theodore “Bill” Walton III, was born November 5th, 1952 and is a retired basketball player and television sportscaster.  Did you know he was referred to as “The Big Red Head” and achieved superstardom playing for John Wooden’s powerhouse UCLA Bruins in the early 70’s, and then furthered his career with the NBA (National Basketball Association) and the Portland Trailblazers causing “Blazermania” for the city of Portland?  Another fun fact on Bill Walton – His listed adult playing height was 6 feet 11 inches; it has been reported that Walton was actually taller (7 feet 2 inches, or more), but did not like being categorized as a seven-footer!  For more information on Bill Walton visit http://www.nba.com/history/players/walton_bio.html.

Mark the Calendar!  You’re Invited!

Wednesday, November 13th, 2013 from 6 p.m. – 8 p.m.  Join the Blue Ridge Orthopaedic & Spine Center team for a celebration commemorating the grand opening of our Gainesville location.  Festivities will include meet & greet/autograph signing with Bill Walton, delicious food, refreshments, and great giveaways including chances to win an autographed basketball with accolades of Bill Walton’s legendary career.  Most importantly, Bill Walton will give a discussion about treatment options for back and leg pain.  Hear Bill’s story of living with debilitating back pain and learn how he got back into the game of life!  Visit www.Broava.com/BillWalton for more details.

Blue Ridge Open House Event Time and Location

Wednesday, November 13th, 2013 from 6 p.m. – 8 p.m.

Blue Ridge Orthopaedic & Spine Center

14370 Lee Highway, Suite 102

Gainesville, VA 20155