In this episode, interventional spine physician Dr. Abhishek Gupta and spine surgeon Dr. Matthew Cunningham team up to tackle the tricky diagnosis and management of axial low back pain. They break down how to spot the differences between muscle issues, disc problems, and facet joint pain, using simple clues like whether a patient hurts more while standing or sitting. The duo also chats about why MRIs don't always tell the whole story and why diagnostic blocks can be a game-changer for pinpointing the source of pain. From conservative rehab and radiofrequency ablation to surgery, they outline a collaborative approach to finding patients lasting relief.