By Dr. Sarah Rosanel, MD FACC, Concierge Physician in Miami Florida – Internal Medicine Specialist/ Family Medicine and Cardiologist
When Alex, a 42-year-old entrepreneur, walked into my office, he was frustrated. He had been battling persistent lower back pain for months. Multiple doctors had prescribed muscle relaxants and painkillers, yet relief was temporary. “I just want my life back,” he sighed.
As a concierge and functional medicine physician, I believe in addressing both symptoms and root causes. Alex’s case wasn’t just about back pain—it was a puzzle. A detailed history and physical exam revealed a combination of muscle imbalance, inflammation, and an underlying vitamin D deficiency contributing to his discomfort.
The Medical Approach: A Differential Diagnosis
Lower back pain can stem from various causes, so a systematic evaluation is crucial:
🔹 Musculoskeletal – Strain, herniated disc, spinal stenosis
🔹 Neurological – Sciatica, nerve compression
🔹 Inflammatory – Autoimmune conditions (e.g., ankylosing spondylitis)
🔹 Metabolic/Nutritional – Vitamin D deficiency, osteoporosis
🔹 Referred Pain – Kidney stones, abdominal aneurysm, or prostate issues
For Alex, I ordered X-rays, blood work (including inflammatory markers and vitamin levels), and a lumbar MRI to rule out serious conditions.
A Comprehensive Treatment Plan
Rather than just masking symptoms, we combined medical treatment with a holistic approach:
✔️ Short-term pain relief: Anti-inflammatory medication and a short course of muscle relaxants
✔️ Targeted physical therapy: Strengthening core muscles and improving posture
✔️ Nutritional support: A Mediterranean-based anti-inflammatory diet
✔️ Vitamin & mineral optimization: High-dose vitamin D and magnesium
✔️ Stress management: Breathing techniques and mindfulness to reduce tension-related pain
Within four weeks, Alex noticed a dramatic improvement—not just in his back but in his energy, sleep, and mood.
Pain isn’t just a symptom; it’s a message. The key is listening, investigating, and treating the whole person—not just the discomfort. If you’re struggling with chronic pain, consider looking beyond temporary relief and toward true healing.
Dr. Sarah Rosanel is a dedicated concierge physician based in Miami, FL, specializing in personalized healthcare tailored to the unique needs of her patients. With a holistic approach that blends traditional medicine, lifestyle interventions, and functional medicine, she empowers individuals to achieve optimal health and well-being.
As an expert in Concierge Medicine & Cardiology, Dr. Rosanel integrates cutting-edge medical treatments with holistic methodologies, ensuring comprehensive care that goes beyond symptom management to address the root causes of health concerns.
Beyond her medical practice, Dr. Rosanel is a devoted mother to Ariel, Zev, and Shirley, balancing her passion for healing with the joys of family life.
Book your appointment today by texting or calling (646) 467 4368.
Miami, Florida. [email protected]
