Low Back Pain

One of the most common causes of medical attention seeking or job absences is back discomfort. One of the main causes of disability in the world is back pain.

Fortunately, most back pain episodes can be avoided or relieved with some precautions, especially for those under 60. In the case that prevention is unsuccessful, a few weeks of basic home therapy and frequent, proper body usage will heal the back. Back discomfort seldom requires surgery to be treated.

GA Interventional Pain

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Causes

Often, there is no obvious cause for back pain that can be found by testing or imaging studies. These illnesses are frequently associated with back pain:

Strain of a muscle or ligament. Back muscles and spinal ligaments can be strained by frequent heavy lifting or an unexpectedly awkward action. Constant straining on the back might result in excruciating muscle spasms in persons who are not in good physical shape.

Ruptures or bulging disks. In the spine, disks serve as cushions between the bones. A disk’s soft inside substance may swell or burst, applying pressure to a nerve. Back discomfort, however, may not always result from a bulging or ruptured disk. MRIs, CT scans, and spine X-rays performed for various purposes frequently reveal disk disease.

The lower back may be affected by osteoarthritis. Spinal stenosis, a narrowing of the space surrounding the spinal cord, can occasionally result from spinal arthritis.

If the bones become brittle and porous, the vertebrae in the spine may suffer a painful fracture.

SYMPTOMS

Back pain might seem like a burning, stabbing, or shooting feeling in addition to aching muscles. Furthermore, the pain may travel down a leg. It can get worse when bending, twisting, lifting, standing, or walking.

TREATMENTS

Medications

Drugs are prescribed based on the kind of back pain. They could consist of:

Anti-inflammatory medication. NSAIDs (nonsteroidal anti-inflammatory medicines) like naproxen sodium (Aleve) or ibuprofen (Advil, Motrin IB, and other brands) may be of use. Only take these drugs as prescribed. Severe side effects may result from overuse. Your healthcare professional may recommend prescription NSAIDs if over-the-counter pain medications are ineffective.

Muscle relaxants. If anti-inflammatories are ineffective for mild to moderate back pain, a muscle relaxant may be useful. Muscle relaxants may make you drowsy and dizzy.

Topical analgesics. These treatments, which include ointments, creams, salves, and patches, penetrate the skin to provide analgesic properties.

Opioid-containing medications, including hydrocodone or oxycodone, may be administered briefly under strict medical care.

Anti-depressants. Chronic back pain has been demonstrated to be alleviated by certain antidepressant kinds, specifically duloxetine (Cymbalta) and tricyclic antidepressants like amitriptyline or nortriptyline.

Physical Medicine.

Exercises to build stomach and back muscles, enhance flexibility, and correct posture can all be taught by a physical therapist. Using these methods on a regular basis can help prevent discomfort from coming again. Physical therapists will also instruct patients on how to adjust their movement during a back pain episode so they may stay active without exacerbating their pain.

Surgical and Additional Techniques

Techniques for treating back pain could involve:

Cortisone injections. An injection of cortisone combined with a numbing drug into the area surrounding the spinal cord and nerve roots may be helpful if previous treatments are ineffective in relieving pain that travels down the leg. The pain alleviation following a cortisone injection often lasts for a month or two, although it does assist reduce inflammation surrounding the nerve roots.

Radiofrequency ablation. A tiny needle is placed through the skin in the vicinity of the painful spot during this treatment. The surrounding nerves are harmed by radiofrequency waves that are sent through the needle. Damage to the nerves prevents the brain from receiving pain signals.

Spinal cord stimulators implanted. Electrical impulses can be sent to specific nerves using devices implanted beneath the skin to inhibit pain signals.

Patients with progressive muscular weakening or lower limb back pain may benefit from surgery to increase the amount of space in the spine. Herniated disks or other disorders that constrict the holes in the spine may be the cause of these issues.

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