The low back or lumbar spine is a remarkably well-engineered structure which connects the bones, nerves, joints and ligaments. All the muscles work together to provide flexibility, strength and support. However, there is a disadvantage to this complex structure. It leaves the lower back susceptible to pain and injury. Medical treatments aim to provide relief by reducing the pain. On the other hand, these treatments are not known to treat the underlying conditions in the human body. The work of a doctor is to typically prescribe treatments along with specific regimens and physical therapy. Lower back pain may occur due to a surgery, sprain or any other cause. To guide the treatment, it is important that there is an accurate diagnosis identifying the underlying cause.
There are many treatment options available depending on an individual’s needs. These include medicinal remedies, administration at home, alternative care, or even surgery. A person’s diagnosis determines certain treatments which are more effective than others. In many cases, combination treatment has proven to be the most beneficial. The common medical treatments associated with lower back pain are muscle relaxants, back braces, narcotic pain medications and epidural steroid injections. In some cases, a surgery is considered if the lower back pain is severe is not getting better even after 6-12 weeks of medications. Surgery is performed only in rare cases and by the patient’s full consent.
Muscle relaxants are known to increase the movement of tense muscles, act as a depressant of the central nervous system and relieving pain from muscle spasms. In case of chronic pain management, these medications don’t provide any relief. Narcotic pain medications are known to treat acute, intense or short-term pain. These are also known as painkillers or opioids. These work by weakening the signals which are sent to the brain in order to alter one’s perception of pain. Owing to the reason that narcotic medications can become addictive in case of long term treatment, it’s treatment is limited to short-term usage only. These may also have quite a lot of side effects. Back braces are yet another method of providing relief and comfort to a patient. It possibly reduces the pain as well. It is like an inelastic corset worn daily along with a few physical therapies. Epidural steroid injection treatment is associated with a steroid which is directly administered into the dural sac’s outer part, which surrounds the spinal cord. Fluoroscopy is a live x-ray which is used to direct the needle to the corrected area. This injection’s aim is to relieve pain temporarily followed by a reducing the inflammation of the compressed nerve root.
Pain is itself a symptom that occurs mainly due to injury of bodily tissues. However, some of the symptoms that are associated with pain and might help someone to understand whether or not he/she is eligible for treatment are: depression, flu-like symptoms, loss of appetite, numbness, muscle spasms, inability to concentrate, sleep disturbances and unexpected weight loss. When a person experiences low back pain together with some other symptoms, it may be indicative of a life-threatening ailment. A person should consult a doctor before undergoing any treatment. The doctor will take the final call on whether a person is eligible for treatment or not.
Pain can be experienced due to a variety of causes. A person can wrongly diagnose any pain arising out of any serious complication to be back pain. Some serious diseases which are commonly undiagnosed can be nerve diseases like diabetic neuropathy, peripheral neuropathy and chronic disorders like fibromyalgia, arthritis, migraine and chronic pain syndromes. Thus it is of paramount significance to visit a doctor and get the proper diagnosis. People suffering from severe diseases or underlying conditions and experiencing pain due to that are not eligible for the treatment.
Some of the side-effects of low back pain relief are: fatigue, soreness, muscle twitching, lightheadedness, emotional distress and bruising. Some medications relieve pain and their side effects include indigestion and other gut problems, headaches, dizziness and drowsiness. Prolonged usage of medications can affect kidneys, liver, heart and blood circulation and can also cause fluid retention. Furthermore, some of the side-effects of analgesics are constipation, drowsiness, skin rashes, dry mouth, upset stomach and ringing in the ears.
The recovery period of a patient who has undergone low back surgery depends on several factors, including the condition of the patient before the surgery, the experience and skill of a surgeon and the extensiveness of the surgery. A microdisectomy is considered minimally invasive for a patient with a lumbar herniated disk. In this case the patient usually does not have to stay in the hospital overnight and the recovery period lasts a week. Doctors advise the patient to avoid activities which put exertion on the spinal structures. Physical therapies are typically prescribed to encourage healing and rebuilt the range of motion, flexibility and strength.
For a soft-tissue injury to heal properly with the help of medications or alternative therapy it may take between 3-6 weeks for full recovery. This is the average reported timing. In case of chronic pain it may also take longer than this period.
The cost of surgical treatment for low back pain is Rs. 3,25,000 to Rs. 5,20,000. The cost of medication ranges from Rs. 315 to Rs. 500.
Analgesics, acupuncture and massage therapy helps to deal with low back pain. But this pain is a sharp and sudden sensation that may occur due to a number of reasons. A person undergoing a surgery will experience pain even if he had had medication and had undergone treatment for it before. An accidental cut on your body or a broken bone can also herald the onset of low back pain. Thus this sensation is never permanently cured.
There are several alternative treatment methods for lower back pain. These include releasing your inner endorphins which is the natural hormones created within the body. There are three ways in which you can do so. These ways include meditation, massage therapy and aerobic exercise. Other methods include exercising to the core, getting enough restorative sleep, cold or hot therapy (application of a cloth dipped it cold or hot water to the painful area), and stretching exercises.
Rs. 315 to Rs. 500
Pain in the lower back is very annoying and there are many non-surgical options available for treating this pain. Some of the options for treatment of the lumbar pain include intake of typical medications and these include acetaminophen, narcotic drugs, NSAIDs, muscle relaxants, oral steroids and anti-depressants. Before starting any treatment it is advisable to consult a spine specialist and set up a suitable treatment program depending on your medical history and specific condition.
Non-Surgical treatments for Lower back Pain
Surgery is definitely not the best option to treat lower back pain of the lumbar spine. The main purpose of providing treatment for managing pain of the lumbar spine is to provide relief from the pain. It is through improved posture and ergonomics that further injury to the spine can be prevented. It is with rehabilitation and physical therapy that daily activities can be carried out. The common non-surgical treatments that can be carried out include use of ice or heat on the area of pain. Application of a heating pad or cold pack relieves pain and for some alternating the hot and cold packs works much better.
Manual manipulation is a treatment done by an osteopathic doctor, qualified health professional or by a chiropractor. In this treatment pain in the lower back is reduced by reducing the pressure on the sensitive structures, by improving the blood flow, increasing the flexibility and by reducing the muscle tension.
It is very important to exercise regularly to reduce pain in the lower back. Physical therapy and exercise together work effectively well and mainly include low-impact aerobic exercises and strengthening. The other option is therapeutic massage, it is beneficial in improving the blood flow, decreases the stiffness of the body and even reduces muscle stiffness. There are epidural injections which are also used to deliver steroids. This reduces the inflammation in the affected area and provides relief.
Changes in the lifestyle of an individual are also beneficial in reducing lower back pain. The main lifestyle changes that must be incorporated include quitting smoking, improved posture and ergonomics, activity modifications and weight loss. In very few patients the condition of lower back pain is so severe that they cannot perform their daily activities and it is for them that surgery is a must.
Stay Away From Pain
Your back muscles and your stomach should be strong and in good shape. It is important that the right back exercises are performed every day for a few minutes to improve the abdominal and back muscles. Injury to the back can be prevented by exercises that stretch and strengthen the muscles. The best and simple preventative treatment for providing relief from back pain is definitely exercising regularly.
In case you have a concern or query you can always consult an expert & get answers to your questions!
According to medical research, it has been found that almost 80 percent of people in this world suffer from lower back pain in their middle ages. In fact, those in the distinct field of orthopaedics or researching with spinal cord and associated problems have time and again said that lower back pain is caused due to various reasons, but no particular reason is usually found. Lower back pain on its own can be caused due to injury or muscle pull. But often it is a symptom of an accompanying health issue.
There are several reasons why a person can suffer from lower back pain. Some of these reasons are explained below.
These are some of the very common beliefs of why people suffer from lower back pain at least once in their lifetime. If you happen to experience such pains, then it is recommended that you consult your medical practitioner immediately to get it treated. Prolonged pain and negligence towards it can be fatal for your health.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Lower back pain is a very common issue and can take place due to numerous reasons. However, one of its main causes is a ligament strain or back muscle strain. Microscopic tears or excessive stretching of ligaments can take place due to lifting very heavy objects or doing enormously strenuous task or due to a sudden twisted movement.
These conditions are most likely to be experienced by individuals ranging between the ages of 30 and 60. Other causes of lower back pain include back injury, arthritis of back bone joints, infections in the lower back area, and in very rare cases, tumours.
In case of acute back pain, these are a few important things that should be definitely kept in mind.
Apart from these important steps, regular exercise to strengthen the core body muscles is a great way to avoid such ligament strains in the future. However, if you feel that even after following the precautionary measures, the problem doesn’t subside, visit an experienced doctor for his advice. If you wish to discuss about any specific problem, you can consult an Orthopedist.
Pain, experienced in the lumbar area, is generally referred to as lower back pain. This kind of back pain may happen due to a variety of reasons including hereditary conditions as well as accidents and sports injuries. These pain generally leave your body in a state of chronic pain, depending on the area that was affected. This lumbar area is a complex of joints, nerves, ligaments and muscles which go towards providing support and posture to the human body. Here are the various ways in which you can deal with lower back pain-
Interventional pain management
Finding the right relief can be tough for patients living with chronic pain. It involves a lot of trial and error to find the therapy that works for you. The Interventional Pain Management is one therapy that is aimed to reduce your pain, as well as provide options for preventing pain in the future. It adopts a comprehensive and holistic look to treat pain with lesser risk and morbidity when compared with surgical interventions.
Benefits of interventional pain management
Types of interventional pain management
These are some of the procedures of interventional pain management that aim to reduce pain, without the need of surgery or other conservative pain medications. If you wish to discuss about any specific problem, you can consult a Pain Management Specialist.