Axia Interventional Spine & Pain

08/14/2026

Because neuropathic pain can have many causes and often looks different from other types of pain, understanding its symptoms and potential causes can help patients recognize when medical evaluation may be appropriate.

Neuropathic pain is a type of pain caused by damage, irritation, or dysfunction involving the nerves that carry signals between the body and the brain. Unlike pain caused directly by an injury to muscles, bones, or joints, neuropathic pain can continue even after an original injury has healed. It ma...

08/07/2026

Living with spinal stenosis does not mean accepting chronic pain or giving up the activities you enjoy. Today’s treatment options offer many patients effective relief without extensive surgery.

Spinal stenosis is one of the most common causes of chronic back and leg pain, particularly in adults over age 50. The condition develops gradually and often begins with mild discomfort that becomes increasingly disruptive over time. Many people assume back pain is simply part of getting older, but....

08/06/2026

Understanding how facet joint pain develops, how it is diagnosed, and what treatment options are available can help patients take the next step toward lasting relief.

Back and neck pain are among the most common reasons people seek medical care, yet identifying the exact source of pain is not always straightforward. While many people are familiar with herniated discs or pinched nerves, the small joints that connect the vertebrae, known as facet joints, are anothe...

08/06/2026

Understanding the symptoms of a pinched nerve empowers patients to seek care before nerve damage progresses, helping restore mobility, reduce pain, and improve overall quality of life.

Pain, numbness, tingling, or weakness that travels through an arm or leg is often blamed on a "pinched nerve." While the term is commonly used, many people are unsure what it actually means or why it occurs. A pinched nerve is not a diagnosis by itself but rather a sign that a nerve is being

08/05/2026

Advances in spine care and interventional pain management have made it possible to diagnose and treat many chronic spinal conditions without major surgery. Understanding why your back pain is not improving is the first step toward finding lasting relief.

Back pain is one of the leading reasons adults seek medical care, but not all back pain resolves with rest or over-the-counter medications. When discomfort continues for three months or longer, it is considered chronic spine pain. Persistent pain can interfere with work, exercise, sleep, and everyda...

07/31/2026

The truth is, pelvic floor pain is real, diagnosable, and very treatable when approached with the right expertise and a multidisciplinary mindset. Dr. Bindu Lewis explains:

By Dr. Bindu Lewis, MD – Interventional Pain & Spine Specialist Pelvic floor pain is one of the most under-recognized—and often misunderstood—sources of chronic discomfort I see in practice. Patients frequently arrive after months or even years of searching for answers, having been told their ...

06/01/2026

Pain doesn’t always match what appears on imaging.

Some people continue to experience persistent or recurring symptoms even when scans look normal or unchanged. This can be confusing—especially when there’s no clear structural explanation.

Pain is influenced by more than structure alone. Movement patterns, sensitivity, prior injury, and how the body responds over time can all play a role in how symptoms are experienced.

That’s why understanding function—and how pain behaves—often matters as much as what is visible on imaging.

At Axia Interventional Spine & Pain, Dr. Bindu Popat‑Lewis focuses on bringing these pieces together, so persistent symptoms are understood in context, not just defined by a scan.

Pain without a clear structural finding is still real.
Understanding the bigger picture matters.

05/21/2026

Pain doesn’t always behave in a straight line.
It can improve, shift, or flare up—even without a clear reason.

When symptoms change, it’s natural to worry that something new is wrong or that the condition is getting worse. In many cases, though, changes in pain reflect how the body responds to movement, activity, sensitivity, or temporary irritation—not new damage.

The way pain changes over time, and how it responds to daily activities, often provides more useful insight than a single moment or flare‑up.

At Axia Interventional Spine & Pain, Dr. Bindu Popat‑Lewis focuses on understanding those patterns so changes in pain are interpreted in context—not simply reacted to.

Pain can change without something new being wrong.
Understanding that difference matters.

05/11/2026

Pain doesn’t always behave in a straight line.
Sometimes it improves, then suddenly flares up again—often without a clear reason.

When that happens, it’s natural to wonder whether something new has been injured.

In many cases, flare‑ups are part of how the body responds to movement, activity, or temporary irritation. They don’t always indicate new damage—even though they can feel just as intense.
The way symptoms change over time, and how they respond to rest or activity, often provides important clues about what’s happening.

At Axia Interventional Spine & Pain, Dr. Bindu Popat‑Lewis helps patients understand these patterns so next steps are based on clarity, not fear.

Not every setback means something has gone wrong.
Understanding the difference matters.

05/08/2026

It’s common to wonder whether an X‑ray or MRI is the next step when pain persists. Imaging can be helpful—but it’s not always necessary, and it doesn’t always explain symptoms.

Many findings on imaging are common, even in people without pain. That’s why images are most useful when they’re ordered thoughtfully and interpreted in the context of how pain affects movement, function, and daily life.

At Axia Interventional Spine & Pain, Dr. Bindu Popat‑Lewis uses imaging as one part of a broader evaluation—not as a starting point or a standalone answer. The goal is to understand when imaging adds clarity, and when other information is more meaningful.

Understanding comes before escalation.
And not every answer lives on a scan.