
CASE DISCUSSION
Lower Back Pain: When to Investigate and Intervene
Presented from by Dr. Roopesh Jain
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Case Description
Lower back pain is one of the most common clinical complaints, but not every case requires immediate imaging or aggressive intervention. A careful history and physical examination are essential to identify red flags such as neurological deficits, trauma, infection, malignancy, or symptoms...
Case Summary
- The spine's structural components, including vertebral bodies, intervertebral discs, ligaments, facet joints, and the sacrum, are key pain generators in the lower back. The lumbar vertebrae (L1-L5) and the sacrum are crucial areas to consider when evaluating lower back pain. The intervertebral disc is a common source of pain, either directly or through nerve compression.
Speaker Profile

Dr. Roopesh Jain
Course Director Fellowship in Pain Medicine by Global Pain School, BhopalDr. Roopesh Jain is a highly experienced Interventional Pain Physician and academic leader with over 16 years of dedicated expertise in comprehensive pain management. He currently serves as Faculty in Palliative Care with the Lien Foundation, Singapore, and is the Course Director for the Fellowship in Pain Medicine at Global Pain School. Based in Bhopal, he practices at Care and Cure Hospital and leads ‘PANACEA’ – a Total Pain Relief Clinic, where he specializes in managing chronic pain conditions including back pain, spondylosis, slipped disc, trigeminal neuralgia, post-herpetic neuralgia, knee pain, and cancer-related pain. Dr. Jain also serves as Head of Critical Care and Consultant Pain Physician at LN Medical College and JK Hospital, Bhopal. He previously worked at AIIMS, New Delhi, where he gained extensive expertise in advanced interventional procedures such as ultrasound-guided nerve blocks, celiac and hypogastric plexus blocks, ganglion impar block, intrathecal morphine pump implantation, and spinal cord stimulation. His clinical acumen, procedural excellence, and academic contributions position him as a respected leader in the field of pain medicine and palliative care.