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Nonsurgical spine pain management


Back and neck pain is a common problem, affecting approximately 80% of adults at some point in their life.

Pain in the neck can travel down into your arm or hand(s). Back pain can travel down your leg and sometimes down into your foot. Some episodes improve quickly, some can take months or even years to improve.

Here at the Salem Health Spine Center, we understand that managing your pain can be confusing, frustrating, and downright worrisome. While it can be scary to go through episodes of pain in and around your spine, there is very rarely a serious medical condition causing your symptoms. 


A man supporting his back with both of his hands.



We work to get you in touch with specialists who can help manage your symptoms and improve your quality of life.




Five people with hands clasped and elbows in the air, following an instructor.

Our goal is to screen out the worrisome issues, or, if they are present, get you in quickly to see a neurosurgeon.

Once those worrisome issues are ruled out, we will work to help you get in touch with a specialist who can help you manage your symptoms and improve your quality of life. These providers may be physical therapist, interventional pain specialist, physiatrist or other spine specialists within our community.

If worrisome symptoms are not present, we advise against advanced imaging in the early stages of your pain. If you have new pain that has just begun, we advise:

  • Have an evaluation/physical exam with your regular health care provider
  • Take medications, and follow up with physical therapy, massage, and chiropractic if prescribed
  • Stay mobile, but listen to your body
  • If symptoms do not improve or worsen in 6 weeks, consider advanced imaging such as MRI or CT scan




Worrisome issues

A triangular yellow street sign with an exclamation mark, indication caution.

Call your provider right away if you have...

  • New numbness and tingling in the groin region (can’t feel your sitting area)
  • Progressing weakness in an arm or a leg (dropping things, or tripping over your feet)
  • Loss of bowel/bladder control (often retention, inability to go)
  • Sexual dysfunction 



Empower yourself


There are many conservative options to help manage your symptoms and improve your quality of life.

While these will be discussed with your primary provider or specialist, we also emphasize the importance of understanding your condition and things you can do to help manage your symptoms and improve your quality of life.


Body and lifestyle

Emotional health

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Treatments and therapies

Massage and manual therapy

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Videos on specific back issues

To visually understand a specific back issue, select a topic to watch a video:




If you have a question that isn't covered on this page, we'd be happy to help.

Call us: 503-814-BACK (2225)