Neck & Back Pain

Neck Pain

Neck pain occurs within the neck’s cervical vertebrae. The neck is typically left unprotected and more vulnerable to injury due to a combination of its location and range of motion. Injuries to the neck and back area can be severe, which can lead to sudden intense pains that come without a warning. The pains can be chronic and last for weeks, months and even years.

Lower Back Pain

Lower back pain can range from a mild and irritating pain, to a severe one that can cripple the lower back. The pain varies per person, and the lower back pain can limit a mobility, and disrupt the ability to perform everyday functions. Lower back pain can severely reduce the overall quality of your life.


Despite the advancement of technology, it is still unclear what exactly causes neck and back pain. In numerous cases, neck and back pain are symptoms of a different causes, some of which may include:

  • Injury, trauma, or fractures
  • Strenuous activity like heavy or repetitive lifting
  • Muscle and ligament strain/sprain/spasm/tension/tears
  • Degeneration of the vertebrae that is caused by stresses in the muscles and ligaments that support the spine
  • Infections
  • Aging
  • Obesity which increases pressure on both the discs and spine
  • Abnormal growths such as bone spurs and tumors
  • Abdominal issues, such as an aortic aneurysm
  • Congenital irregularities within the bones and vertebrae
  • Compression fractures/osteoporosis
  • Join conditions like arthritis
  • Pinched nerves and herniated disc
  • Smoking

Are You Suffering?

If you suffer from lower back pain that lasts more than three months, or if you are an individual with predominant leg pain, a more identifiable and solution for the pain should ideally be pursued. There are many very common causes of leg pain and lower back pain:

If you are over 60 years of age, the back or leg pain is more likely to come from osteoarthritis or facet joints. Some back conditions may include:

  • Degenerative Spondylolisthesis
  • Facet Joint Osteoarthritis

For people between the ages of 20 and 60 year of age, the most likely cause of the pain is in the discs, and this may create certain conditions such as:

  • Isthmic Spondylolisthesis
  • Degenerative Disc Disease
  • Lumbar Disc Herniation


Dr. Puppala has offices in Carrollton and Douglasville, GA, and his patients come from all around Georgia. He treats his patients with compassion and respect, and his first priority is his patients general well-being. Dr. Puppala combines minimally invasive intervention with functional restoration and successful medication management to provide a multidisciplinary solution for his patients.