Top Back Pain Doctors Provide Back Pain Treatments for Your Pain
Generally back pain can be attributed to mechanical causes, most of which are relatively benign, although a small number of cases are due to more serious illness1.
Common causes of back pain include degeneration (e.g. osteoarthritis), muscle strain, mechanical problems (e.g. a herniated disc), and vertebral fractures associated with osteoporosis.
Rare, more serious causes include cancer, infection, vascular problems, and damage to nervous tissues1, 2.
Back pain usually occurs in the lower back but can occur in the upper back as well. The pain may be aggravated with movement or may radiate into the upper or lower extremities1.
Patients may also have limited range of motion and/or tenderness upon touch.
Certain red flags indicate a more serious condition that may require emergency evaluation or surgery, including weakness, numbness or tingling, fever, weight loss, or problems with bowel or bladder control1, 4.
Diagnosis leading to productive back pain treatment is done by a doctor through a comprehensive history and physical examination.
Additionally, a full neurological work-up is often performed to identify compressed nerves from a herniated disc.
Supplemental imaging is usually reserved for symptoms that persist beyond several weeks despite conservative treatment or if a physician suspects a serious pathology1, 2.Depending on your particular back pain, the doctor may order an X-ray if a bone infection or tumor is suspected or magnetic resonance imaging (MRI) or computed tomography (CT) scan if disc herniation is suspected2, 3.
The goals of back pain treatments are to relieve symptoms and improve functioning. Back pain treatments range from conservative management to surgery depending on the cause and severity of the pain2.
Back pain typically resolves on its own within weeks with conservative treatment1, 3. More conservative back pain treatments include1, 2, 3:
- Pain-relieving medications are the initial treatment of choice for back pain. These can include over-the-counter pain medicines such as acetaminophen (Tylenol™), ibuprofen (Advil™), muscle relaxants, or prescription opioids.
- Physical therapy and exercise helps strengthen the back to avoid future injury and speed the recovery process.
- Lifestyle adjustments to avoid aggravating movements and reduce body weight.
- Alternative therapies such as massage, yoga, and acupuncture may provide benefit to some patients,
When conservative measures suggested by your doctor for back pain are ineffective, local anesthetics, steroids, or opiates can often be injected at the site of pain to block the conduction of pain signals to the brain.
Back pain due to disc herniation may require surgical intervention via spinal fusion or discectomy, the removal of herniated tissue.
Tobacco, alcohol and drugs, poor diet, and lack of regular physical activity have been implicated as risk factors for back pain1.
Modifying these risk factors, avoiding certain repetitive motions such as bending and twisting or heavy lifting, and treating obesity and depression can help prevent back pain before it occurs1, 4.
- Jones, R.; et al. (2010). Back Pain. First Consult. MD Consult Web site, Core Collection. Retrieved from http://www.mdconsult.com.ezproxy2.library.arizona.edu/das/pdxmd/body/268245516-3/0?type=med&eid=9-u1.0-_1_mt_1014913.
- Lin, M. (2009). Upper Back Pain. Marx: Rosen’s Emergency Medicine, 7th Ed. MD Consult Web site, Core Collection. Retrieved from http://www.mdconsult.com.ezproxy1.library.arizona.edu/books/page.do?eid=4-u1.0-B978-0-323-05472-0..00051-7–s0220&isbn=978-0-323-05472-0&sid=1175026577&uniqId=262415626-3#4-u1.0-B978-0-323-05472-0..00051-7–s0220.
- National Institutes of Health 2003. Low Back Pain Fact Sheet. NINDS. Available at http://www.ninds.nih.gov/disorders/backpain/detail_backpain.htm#167453102. NIH Publication No. 03-5161
- Nidus Information Services 2010: Low Back Pain – Chronic. Patient Handouts page. MD Consult Web site, Core Collection. Available at http://www.mdconsult.com.ezproxy2.library.arizona.edu/das/patient/body/231440260-4/1104412125/10041/37946.html. Accessed January 14, 2011