Are you having back pain with any of the following?

  • Severe pain, weakness or tingling in your leg(s).
  • Difficulty stopping urination or loss of control of bladder or bowels.
  • Unexplained fever, nausea or vomiting.
  • A history of cancer or unexplained weight loss.

We understand that you are experiencing one or more of the health issues that might be impacting your back pain.

We recommend that you discuss these health issues with your doctor before proceeding with this program.

Once you are cleared by your doctor to do this program, we hope it helps you find relief from your back pain.


Domestic violence is abuse that happens between people in a close relationship that may be:

  • Physical
  • Sexual
  • Emotional
  • Psychological
  • Financial

It most commonly occurs between couples, either married or unmarried, or people who are dating. 

It affects all types of people, regardless of ethnicity, race, or religion. The abuse can happen in heterosexual or same-sex relationships. Men or women can be victims.

It is usually a way for abusers, sometimes called perpetrators, to try to exert power or control over their partners. 

If you think that you are an abuser or a victim, there is help. Call the National Domestic Violence Hotline at 1-800-799-7233. 

Additional References:

Types of Abuse

With domestic violence there are several types of abuse that may occur.  

Emotional abuse occurs when a partner humiliates you, or threatens you or loved ones.  Examples include: 

  • Name-calling
  • Bullying or intimidating 
  • Stalking 
  • Keeping you away from friends and family 
  • Taking or destroying your personal property

Physical abuse happens when you are attacked or physically injured on purpose. Examples include being hit, kicked, pushed, slapped, punched, or choked. 

Sexual abuse occurs when you are forced to have sex or perform sexual acts against your will. 

Facts About Abuse

With domestic violence, the abuse:

  • Is not always physical. 
  • Usually becomes a repeating pattern. 
  • Does not get better on its own.
  • Often gets worse over time.  
  • May involve more than one type of abuse occurring at the same time.

No one chooses to be in an abusive relationship. In the beginning, victims may be surprised by the abuse.

Often, the abuser is charming and well-liked. When friends and family find out about the abuse, they are usually shocked. 


We screen for domestic violence at routine appointments. Your doctor may ask questions about your home life. For example, does your partner:  

  • Hit, shove, slap, kick, or choke you? 
  • Threaten to hurt or kill you?
  • Call you names? 
  • Criticize you or how you look?
  • Hurt your pets or destroy special items?
  • Blame you for the abuse?

In addition, does your partner: 

  • Limit where you go, who you talk with, and what you do?
  • Unexpectedly check up on you at your job, home, school, or other places? 
  • Force you to have sex against your will? 
  • Pressure you to get pregnant, refuse to wear condoms, or interfere with your birth control?
  • Apologize and tell you it will never happen again, even though it has?

Based on the information you provide, we can help you recognize whether abuse is happening to you.

Additional References:


If you are in an abusive relationship, you may have one or more of the following symptoms: 

  • Difficulty sleeping (insomnia) 
  • Fatigue 
  • Headaches 
  • Long-term (chronic) pain 
  • Digestive problems 
  • Depression 
  • Anxiety 
  • Excessive alcohol or drug use 

You might also develop a mental health condition triggered by trauma that is called posttraumatic stress disorder. It causes nightmares, uncontrollable memories of traumatic events, and severe anxiety. 

Common Warning Signs

Know the common warning signs of domestic violence. You may be in an abusive relationship if your partner:

  • Calls you names.
  • Accuses you of being a bad parent.
  • Cuts you down with hurtful words.
  • Keeps you from your friends, family, or coworkers.
  • Controls your money and spending.
  • Controls your time.
  • Controls your birth control.
  • Breaks your things.
  • Acts jealous for no reason.
  • Threatens to hurt you.
  • Hits, kicks, or punches you.
  • Forces you to have sex.
  • Strangles or chokes you.
  • Throws objects at you.

Risks to Your Children’s Health

Most victims of domestic violence have children under the age of 18 living at home. Children are always affected by violence in the home, even if they are asleep or in another room when the fighting or abuse happens. 

When children are exposed to abuse, they may: 

  • Also become abused and neglected. 
  • Feel distress from witnessing the abuse. 
  • Develop posttraumatic stress disorder. 
  • Develop health and behavioral problems.

Common Warning Signs in Children

You may see changes in your children’s behavior when there is violence in the home.

Children 5 years old or younger may: 

  • Return to thumb sucking, bed wetting, or having fears of the dark.
  • Be extra clingy or withdraw from touch. 
  • Play violently with toys or friends. 
  • Have sleep problems, including nightmares.

Children 6 to 11 years old might also: 

  • Have problems at school and miss many days of school. 
  • Look sad, worried, or not want to do activities they once enjoyed.

Children 12 to 17 years old might also: 

  • Skip school or let grades slip. 
  • Use drugs or alcohol.  
  • Have unsafe sex. 
  • Drive recklessly.
Additional References:

Creating a Safety Plan

If you are in an abusive relationship, prepare a safety plan now in case you and your children need to leave in a hurry. 

  • Call 911 when you are in immediate danger.
  • Teach your children how to call 911 in an emergency.
  • Call the National Domestic Violence Hotline at 1-800-799-7233 for help in creating a safety plan, 
  • Protect yourself when you are researching resources online. Use a computer that the abuser cannot access.

In a Current Abusive Relationship

If you are currently in an abusive relationship: 

  • Tell someone you trust. 
  • Ask for help in case you need to leave. 
  • Identify a location for where you will go. 
  • Pack a bag that will not be missed. Hide it in a safe place or keep it with someone you trust. 

Pack your bag with:

  • Mobile Phone.
  • Cash (including coins for phone calls) and checks.
  • Clothes and personal items for you and your children (such as a special toy or book).
  • Medications.
  • House and car keys.
  • Important phone numbers.

In addition, be sure to pack copies of important papers, including:

  • Your driver's license or another picture ID.
  • Birth certificates.
  • Passports.
  • Health insurance information.
  • House and car titles.
  • Rent receipts.
  • Your marriage license.
  • Your children's immunization records.

After You Leave an Abusive Relationship

After you leave an abusive relationship: 

  • Change your home and/or mobile phone numbers, and screen calls.
  • Keep a record of all contacts, messages, injuries, and other incidents involving the abuser. 
  • Change the locks if the abuser has a key. 
  • Plan how to get away if confronted by the abuser. 
  • Notify school and work contacts so they can also protect you and your children. 
  • If you have to meet your abusive partner, do it in public. 

The National Domestic Violence Hotline has counselors who can provide help in 170 languages. They can give you information about local resources. If you need to talk or if you need help, call the hotline at 1 (800) 799-SAFE (799-7233), 24 hours a day.

Additional References:

Contacting Me

You can connect with me in a variety of ways, depending on the situation and what is most convenient for you at the time. I am available online, by telephone, or in person.

For nonurgent questions or concerns, you can: 

  • Email me using this site. 
  • Book an appointment online to see me in person.

For immediate concerns, or you prefer to use the telephone:

  • Call our 24/7 Appointment and Advice line at 1-866-454-8855. Our advice nurses can give you immediate advice, and our telephone staff can send me a message or book an appointment for you.

If you are experiencing an emergency, call 911 or go to the nearest Emergency Room.

Coordinating Your Care

Having all of our Kaiser Permanente departments located together or nearby, including pharmacy, laboratory, radiology, and health education, makes getting your care easier for you.

Another major benefit is our comprehensive electronic medical record system, which allows all of the doctors and clinicians involved in your care to stay current on your health status and to collaborate with each other as appropriate.

When every member of the health care team is aware of all aspects of your condition, care is safer and more effective.

If you come to an office visit
  • At the beginning of your visit, you will receive information about when you are due for your next test, screening, or immunization. We can discuss and schedule any preventive tests that you need. 
  • At the end of your visit, you may receive a document called the “After Visit Summary” that will summarize the issues we discussed during your visit. You can refer to it if you forget what we discussed, or if you just want to recheck your vital signs and weight. You can also view it online under Past Visits.
  • To help you prepare for your visit, please see additional details under Office Visit. 
If I prescribe medications

We will work together to monitor and assess how your medications are working and make adjustments as needed. Prescriptions can be filled at any Kaiser Permanente pharmacy. Just let me know which pharmacy works best for you, and I will send the prescription electronically in advance of your arrival at the pharmacy.

If refills are needed in the future, you can:

  • Order them online or by phone. Order future refills from my home page or by phone using the pharmacy refill number on your prescription label.
  • Have them delivered to you by mail at no extra cost. Or you can pick up your medications at the pharmacy. If no refills remain when you place your order, the pharmacy will contact me regarding your prescription.
If lab testing or imaging is needed

For lab tests, I will use our electronic medical record system to send the requisition to the Kaiser Permanente laboratory of your choice. For imaging procedures, we will schedule an appointment with the radiology department. When the results are ready, I will contact you with your results by letter, secure e-mail message, or phone. In addition, you can view most of your laboratory results online, along with any comments that I have attached to explain them.

If I refer you to a specialist

My specialty colleagues are readily available to assist me if I need additional advice about your condition. In some cases, I may contact them during your visit, so we can discuss your care together. If we decide you need a specialty appointment after that discussion, we can often schedule it the same day or soon thereafter.

If you are due for preventive screenings or tests

As part of our commitment to prevention, additional members of our health care team may contact you to come in for a visit or test. We will contact you if you are overdue for cancer screenings or conditions which may require monitoring.

Convenient Resources for You

As your personal physician, I have a goal to provide high-quality care and to offer you choices that make your health care convenient. I recommend that you become familiar with the many resources we offer so that you can choose the services that work best for you.

My Doctor Online is available 24/7 so that you can access and manage your care where and when it is most convenient. From my home page you can:

Manage your care securely
  • View and compose secure e-mail messages.
  • Manage your prescriptions and schedule appointments.
  • View your past visits and test results.
  • View your Preventive Services to see whether you are due for a routine screening or updated immunization.
Learn more about your condition
  • Read about causes, symptoms, treatments, and procedures.
  • Find interactive health tools, videos, and podcasts to help you manage your condition.
  • View programs to help you decide on or prepare for a surgery or procedure.
Stay healthy
  • Locate health education classes and support groups offered at our medical center.
  • Explore interactive programs, videos, and podcasts that focus on helping you stay healthy.
  • View your Preventive Services to see whether you are due for a routine screening or updated immunization.

Related Health Tools:


See more Health Tools »

If you have an emergency medical condition, call 911 or go to the nearest hospital. An emergency medical condition is any of the following: (1) a medical condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in serious jeopardy to your health or body functions or organs; (2) active labor when there isn't enough time for safe transfer to a Plan hospital (or designated hospital) before delivery, or if transfer poses a threat to your (or your unborn child's) health and safety, or (3) a mental disorder that manifests itself by acute symptoms of sufficient severity such that either you are an immediate danger to yourself or others, or you are not immediately able to provide for, or use, food, shelter, or clothing, due to the mental disorder. This information is not intended to diagnose health problems or to take the place of specific medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. Any trade names listed are for easy identification only.

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