Back pain is frustrating. But what’s worse?
Not knowing which doctor to consult for back pain.
Orthopedic? Neurologist? Spine surgeon?
Choosing the wrong one can delay diagnosis, prolong pain, and cost you precious time. Here’s the expert-backed clarity you need from Mumbai’s leading spine specialists.
Quick Answer: Which Doctor to Consult for Back Pain?
Here’s the simplified expert rule:
- Mild pain (few days to 2 weeks) → General Physician
- Pain after injury / bone-related issues → Orthopedic Doctor
- Radiating leg pain / numbness / weakness → Spine Specialist
- Chronic back pain (6+ weeks) → Spine Specialist
- Severe neurological symptoms → Urgent spine evaluation
Now let’s go deeper.
1️⃣ Orthopedic Doctor for Back Pain
An orthopedic surgeon specializes in bones, joints, ligaments, and discs. They treat:
- Slip disc (herniated disc)
- Degenerative disc disease
- Spondylosis
- Spinal arthritis
- Fractures
- Scoliosis
If your pain worsens with movement and improves with rest, it may be mechanical, often orthopedic in nature. However, not all orthopedic doctors specialize exclusively in spine conditions. That distinction matters.
2️⃣ Neurologist for Nerve-Related Back Pain
A neurologist treats nerve disorders. See a neurologist if you have:
- Numbness or tingling in legs
- Burning sensation
- Electric shock-like pain
- Leg weakness
- Bladder/bowel changes (emergency)
These symptoms suggest nerve compression — often caused by a disc pressing on spinal nerves. But in most structured spine centers, a spine specialist evaluates both bone and nerve causes together.
3️⃣ What Is a Spine Specialist?
A spine specialist is either:
An orthopedic spine surgeon OR a neurosurgeon specializing exclusively in spinal disorders
Unlike general orthopedics, spine specialists focus only on spinal pathology. They manage:
- Cervical spine disorders
- Lumbar disc herniation
- Sciatica
- Spinal stenosis
- Spinal deformities
- Spine trauma
- Spine tumors
- Minimally invasive spine surgery
4️⃣ Do You Need a Spine Surgeon?
This is the biggest fear patients have.
The truth: 90–95% of back pain cases do NOT require surgery.
Surgery is considered only when:
- Pain persists beyond 6–8 weeks
- There is progressive nerve weakness
- MRI shows severe compression
- Conservative treatment fails
- There is spinal instability
Modern minimally invasive spine surgery allows:
- Smaller incisions
- Faster recovery
- Reduced blood loss
- Early mobility
But Spine surgery is always the last option — not the first.
When Back Pain Is an Emergency
Seek urgent evaluation if you experience:
- Sudden leg weakness
- Loss of bladder/bowel control
- Severe trauma
- High fever with back pain
- History of cancer with new back pain
These may indicate:
- Cauda equina syndrome
- Spinal infection
- Tumor
- Fracture
Immediate spine specialist evaluation is critical.
Doctor Comparison Table
| Symptoms | Best Doctor to Consult |
|---|---|
| Mild muscle strain | General Physician |
| Injury-related back pain | Orthopedic Doctor |
| Radiating leg pain (Sciatica) | Spine Specialist |
| Chronic back pain (6+ weeks) | Spine Specialist |
| Numbness + weakness | Urgent Spine Evaluation |
| Structural deformity | Spine Specialist |
Why a Dedicated Spine Team Matters
Back pain is complex. It may involve:
- Bones
- Discs
- Ligaments
- Nerves
- Muscles
- Alignment
A multidisciplinary spine team ensures:
- Comprehensive diagnosis
- Non-surgical options explored first
- Minimally invasive expertise if needed
- Long-term rehabilitation planning
When choosing a spine doctor, look for:
At We Are Spine, our team is led by Dr. Shekhar Bhojraj India’s first dedicated spine surgeon, along with internationally fellowship-trained spine surgeons.
With over 40 years of collective expertise and 600,000+ patients treated, our focus remains:
- Patient-centered care
- Conservative-first approach
- Minimally invasive techniques
- Spine treatment at Mumbai’s premier hospitals including Lilavati, Breach Candy & P.D. Hinduja
Frequently Asked Questions
Which doctor is best for back pain?
A spine specialist is best for persistent or complex back pain. Orthopedic doctors handle general musculoskeletal causes.
Should I see an orthopedic or neurologist for back pain?
If pain radiates with numbness, see a spine specialist. For injury-related pain, an orthopedic may help.
When should I consult a spine surgeon?
Only if pain lasts beyond 6–8 weeks, worsens, or causes neurological symptoms.
What are 5 red flags of back pain?
Five red flags of back pain are: loss of bladder or bowel control, progressive leg weakness or numbness, history of cancer with new back pain, high fever with back pain, and severe pain after trauma. These symptoms may indicate serious spinal conditions and require urgent medical evaluation.
What tests are done for back pain?
Tests for back pain may include a physical examination, X-ray, MRI scan, CT scan, and nerve conduction studies (EMG). Imaging is usually recommended if pain persists beyond six weeks, neurological symptoms appear, or serious conditions are suspected.
Final Summary
If you’re wondering which doctor to consult for back pain:
- Start simple.
- Escalate based on symptoms.
- Choose specialization over generalization.
- Most back pain is treatable without surgery.