Doctors treat back pain with various options, including medications, nonsurgical treatments, and surgical treatments. Over-the-counter pain relievers taken by mouth or applied to the skin. Anti-inflammatory drugs taken by mouth to relieve pain and inflammation.
“We usually take a conservative approach first, using a wide variety of nonsurgical spine treatments,” said Dr. Guo. “For example, I might send you to physical therapy or chiropractic therapy. I might recommend medications such as anti-inflammatories, muscle relaxants, or some nerve-pain medications.
If the pain lasts four weeks or longer. If the pain keeps getting worse as time goes by. If you are experiencing other symptoms, such as fever, major weight loss or weight gain, loss of function or weakness in extremities, bladder problems, etc.
An MRI, or Magnetic Resonance Imaging scan, provides a detailed image of spinal structures without using the radiation required with x-rays. An MRI of the spine can detect abnormalities with soft tissues, such as muscles, ligaments, and intervertebral discs.
“Red flags” include pain that lasts more than 6 weeks; pain in persons younger than 18 years or older than 50 years; pain that radiates below the knee; a history of major trauma; constitutional symptoms; atypical pain (eg, that which occurs at night or that is unrelenting); the presence of a severe or rapidly ...
Red Flags:
Constant, non-mechanical back pain, or pain worse when lying down. Presence of neurologic symptoms including weakness and numbness. Bilateral symptoms. Immunosuppression (i.e. HIV/AIDS, corticosteroids, immunomodulating drugs)
If you're experiencing back pain when sitting, your impulse may be to lie down and then try to slowly progress back to sitting, says Dr. Atlas. But this is the wrong approach. You should lie down to relieve the pain, but the goal should be not to return to sitting, but rather to regain your ability to stand and move.
X-rays of the spine, neck, or back may be performed to diagnose the cause of back or neck pain, fractures or broken bones, arthritis, spondylolisthesis (the dislocation or slipping of 1 vertebrae over the 1 below it), degeneration of the disks, tumors, abnormalities in the curvature of the spine like kyphosis or ...
Blood tests are generally not used for diagnosing the cause of back pain, but in some cases, they are—particularly if your healthcare provider suspects an infection or inflammatory arthritis.
Prolonged nerve irritation, which occurs when back pain is left untreated for too long, can lead to permanent disabilities. Untreated vertebrae injuries can even lead to spinal stenosis (the narrowing of the spinal canal), radiculopathy (severe nerve pain), and nerve damage.
These three exercises were developed by Dr. Stuart McGill and are designed to increase strength and protect your back. They are more commonly know as the McGill Big 3 and are comprised of the curl-up, side bridge (or side plank), and birddogs.
The Difference Between Muscle and Disc Pain
Muscle pain will feel like post-workout soreness, while disc pain will feel debilitating and tingly. It is helpful to know the difference before you see your doctor so you can accurately describe the pain to them.
Sciatica refers to pain that travels along the path of the sciatic nerve. The sciatic nerve travels from the lower back through the hips and buttocks and down each leg. Sciatica most often occurs when a herniated disk or an overgrowth of bone puts pressure on part of the nerve.
Since most low back pain gets better on its own, it's often best to wait and see if you get better with time. An MRI is helpful if your doctor suspects that disease or nerve damage is causing your pain. An MRI may find other problems that have nothing to do with your low back pain. This can lead to more tests.
Benefits of an MRI for Back Pain
An MRI scan can reveal a range of painful spine and back conditions, including: Degenerative diseases: Chronic conditions, including multiple sclerosis, can be diagnosed with an MRI.
While back pain is exceedingly common, it is equally challenging to diagnose, since there is no established guideline or protocol to evaluate this problem. Besides, the typical setting of a 15-minute doctor's visit is usually not enough to explain, understand, and evaluate everything that's going on in your achy back.
The best sleeping position for lower back pain is on your side with a partial bend in the knees. View Source . Keeping the knees bent helps balance the body and reduces pressure on the lumbar spine. Many people find it helpful to put a small pillow between their knees to make this position more comfortable.
The best position to avoid back pain is lying flat on your back. Even so, many people find it the hardest way to enjoy deep sleep. For optimal spine alignment, place one pillow underneath your head or neck and another underneath your knees.
If you have back pain, bed rest can be useful, especially if you are in severe pain while sitting and standing. But it's best to limit bed rest during the day to a few hours at a time, for no more than a couple of days. That's because too much time in bed can do more harm than good.
If your symptoms don't go away after a week or two, you should see a doctor. Extreme pain. The severity of back pain can vary greatly, but if you experience sharp, shock-like pain that radiates from your lower back or neck, don't hesitate to talk to a doctor. Sudden back pain.
Some symptoms (often called "red flag" symptoms) may suggest that the back pain has a more serious cause. These include fever, recent trauma, weight loss, a history of cancer and neurological symptoms, such as numbness, weakness or incontinence (involuntary loss of urine or stool).