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Overview

Lower Back Pain: Treatment, Procedure, Cost and Side Effects

What is the treatment?

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.

How is the treatment done?

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.

Who is eligible for the treatment? (When is the treatment done?)

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.

Who is not eligible for the treatment?

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.

Are there any side effects?

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.

What are the post-treatment guidelines?

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.

How long does it take to recover?

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.

What is the price of the treatment in India?

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.

Are the results of the treatment permanent?

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.

What are the alternatives to the treatment?

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.

Safety: Medium Effectiveness: Medium Timeliness: Low Relative Risk: High Side Effects: High Time For Recovery: Medium Price Range:

Rs. 315 to Rs. 500

Popular Health Tips

Highly Effective Treatment To Get Relief From Lower Back Pain At Home

MBBS, D.Ortho, DNB-Orthopaedic Surgery, M.Ch - Orthopaedics
Orthopedist, Delhi
Highly Effective Treatment To Get Relief From Lower Back Pain At Home

Back pain is a very normal condition. It tends to last anywhere from a few days to weeks. About 80% adults suffer from this pain at some point in their life. While there are many ways to get relief from lower back pain , there are some simple home remedies as well which can be used.

692 people found this helpful

Lower Back pain - Why It Is So Common?

MS - Orthopaedics, M.Ch - Orthopaedics, MBBS
Orthopedist, Ghaziabad
Lower Back pain - Why It Is So Common?

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.

  1. Body weight: Whenever you stand or sit, the entire body weight is pushed down towards your lower back. This makes your lower back withstand excessive pressure. The accurate amount of pressure would depend on the weight of the body of an individual. Hence, with so much weight concentrated in one area of the human body, it is bound to pain at times.
  2. Exercise: Exercise must be done under supervision. Not all exercises are perfect for every individual. Thus the trainer often customises several exercises depending upon your needs. However, if you try to practice it on your own in the absence of a trainer, then a minute mistake can cause pains in the body like lower back pains.
  3. Injury: Every time you play sports, you are asked to stand or sit in a proper posture to eliminate chances of getting hurt. However, at times, you still get hurt or get involved in an unfortunate accident. In such times, the lower back comes under critical condition and pains are bound to accompany it.
  4. Arthritis: If you suffer from arthritis, then your bones are weak enough to support your body weight. Due to this, the lower back is no longer able to support your body weight the way it used to in the past. This, along with the pain caused by the weakening of the bones, together cause lower back pain in your body. At times they are mild, but at certain times, they can be chronic as well.

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!

2351 people found this helpful

Lower Back Pain - 5 Important Things To Remember

M.S. Orthopedics, MBBS
Orthopedist, Ahmedabad
Lower Back Pain - 5 Important Things To Remember

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.

  1. It is absolutely essential to take rest for a couple of days and avoid any sort of stressful activity. Although back pain is self-limiting, if you take proper care, it can be cured in a few days. However, if proper rest is not taken, the situation may become worse.
  2. Using the black belt, also known as lumbo sacral corset, is a good idea. This can actually be of enormous help to individuals who have been suffering from lower back pain for a long period of time.
  3. As already mentioned, one of the main causes of these kinds of mishaps are sudden jerky movements, twisted movements, heavy weight lifting etc. So, it is necessary to avoid such circumstances, or else, a more acute back pain situation may arise due to slipping of one of the discs from the spinal cord.
  4. As much as you like long drives and bike rides, these are a strict no. Any prolonged sitting or standing activity needs to be avoided. It is important that the tear caused in the muscles due to what-so-ever reason heals properly and prolonged stay in a tensed muscle position would definitely not help the cause.
  5. Although these back pains can be handled at home by following the discussed steps, using simple analgesics or muscle relaxants prescribed by the doctor can be a way to speed up the process of recovering the strained ligament.

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.

2426 people found this helpful

Lower Back Pain - How To Deal With It?

MD - Anaesthesiology, F.U.I.C.C.(Pain) Pain Management Specialist
Pain Management Specialist, Nagpur
Lower Back Pain - How To Deal With It?

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-

  1. Heat and Ice Therapy: One of the most recommended forms of treatment includes heat and ice therapy. You can use a warm bath or a heat compress and heating pad to soothe the area and bring down the pain. Ice packs can be used for inflammation and swelling. While the previous method can be used for chronic pain, the latter can be used for acute pain and more recent accidents. These methods are known to increase the blood flow to the affected area and hence bring much relief when there is pain and stiffness.
  2. Choose your Activity with Caution: There are a number of activities that one can carry out even when you are suffering from lower back pain. Mild to moderate exercise that has been approved by your physician can help in soothing the area. The trick in such cases to move at frequent intervals so that stiffness and further pain does not set in. You can embark on walks and even water exercises that will help in soothing the stiff muscles. Having said that, one must remember to avoid exercises that will involve bending and standing for too long as this can aggravate the pain.
  3. Rest: It is essential to sleep in the correct position and get the best amount of rest so that the muscles and joints of this area can get the required comfort and rest before being put to work again. Yet, too much inactivity is also not recommended in such cases, and hence one must not rest for too many days at a time. Further, it is important to rest in the correct position so that the lumbar area does not twist and there is no pressure on the same. It would be best to lie down on the back without crossing the ankles.
  4. Pain Medication: You can get a prescription for pain medication in case the pain is unbearable. It would be advisable to take medication after consultation with a doctor. One can have oral medicines or take topical application gels and ointments that will numb the area. One can have ibuprofen, acetaminophen, aspirin and other such medicines to get relief from the 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

  1. Surgery cannot be a solution to every health problem, the minimally invasive procedures of interventional pain management are cost-effective
  2. Lower risk for infections and complications
  3. Lower recovery time as they don’t employ large incisions or anesthesia
  4. It identifies the source of pain and comes up with the right solution to alleviate pain


Types of interventional pain management

  1. Epidural Steroid Injections: The prime aim of these injections is to identify the site of pain and reduce inflammation in the nerve roots as they exit the spine. A local anesthesia is administered and a steroid is injected into the epidural space. More than one injection is needed until there is a significant reduction in pain.
  2. Facet Joint Injection and Medical Branch Blocks: This technique helps the patient to manage and tolerate their pain better. A steroid is directly injected into the facet joint to reduce pain. Medical branch blocks target i.e. the nerve that detects the painful sensation and sends messages to the brain. These blocks help further denervation procedure and provide long term relief.
  3. Sacroiliac Injections: These injections are administered directly on the sacroiliac joint of the spine which is the cause of lower back pain.
  4. Peripheral Joint Injections: Joints like shoulder, knee and hip are injected with medicines that aim to reduce painful inflammation at the source of joint dysfunction.
  5. Radio frequency Ablation: This involves the use of radio waves to create an electrical current that delivers heat to the targeted nerve tissues. It results in the impairment of the nerves to transmit pain signals to the brain
  6. Rhizotomy: This is another procedure where the pain signals are turned off. Heated electrodes are applied to the specific nerves to cut off the transmission.
  7. Spinal Cord Stimulation: This uses electrical impulses to block pain from being perceived by the brain
  8. Nucleoplasty: This is a procedure in which a which tissue is removed from the disc of the spinal cord to decompress and relieve pressure
  9. Intrathecal Pump Implantation: A pain pump is placed under the skin that directly delivers pain medication to the targeted area.

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.

2449 people found this helpful

Renal Cancer - Signs You Must Not Ignore!

Interventional Nephrology, DM - Nephrology, MD - General Medicine, MBBS
Nephrologist, Bangalore
Renal Cancer - Signs You Must Not Ignore!

Renal cancer is also known as hypernephroma, renal cell carcinoma (RCC), kidney cancer or renal adenocarcinoma. The kidneys are organs in your body that dispose off waste, while additionally regulating fluid balance. There are small tubes in the kidneys called tubules. These filter the blood, help in discharging waste, and make urine. RCC happens when cancer cells start to grow out of control in the lining of the tubules of the kidney. Renal cancer is a progressive disease that spreads to the lungs and the organs around it.

Medical experts do not know the exact cause behind renal cancer. It is most commonly found in men between the ages of 50 and 70. There are some risk factors and signs that indicate one’s possibility of having renal cancer and these are as follows:

  1. Family history of renal cancer
  2. Dialysis treatment
  3. Hypertension or high blood pressure
  4. Obesity
  5. Smoking cigarettes
  6. Polycystic kidney disease (a condition that causes cyst formation in the kidneys)


At a point when renal cancer is in its initial stages, patients might not see any symptoms. The symptoms are mainly seen in the later stages. Some of the most common symptoms are as follows:

  1. Blood in urineBlood in urine is called hematuria. As indicated by the Renal Cancer Association, hematuria is the most widely recognized indication of kidney cancer. In case you have blood in your urine, you may see pink, rust or even a red staining.
  2. Lower back painThe vast majority does not encounter pain until cancer is in later stages. Pain from renal cancer is felt on one side of the flank, the region over the pelvis, and beneath the ribs in the abdomen. This pain can go from a dull yearn to a sharp wound, frequently leaving the area blue. In case you have any sudden pain that continues for more than a couple of days, you need to see a specialist.
  3. A mass or lump: A mass or protuberance in the abdomen can be an indication of renal cancer. Kidney knots might be hard to feel since they are somewhere down in the abdomen. Once a bump is found, your specialist may arrange symptomatic tests such as an ultrasound or a CT scan. These tests may diagnose what your knot might be.
  4. Iron deficiency and fatigueWeakness and a fall in your iron levels are the most common symptoms of any type of cancer. Cancer exhaustion is not quite the same as simply feeling tired.
  5. Weight reduction, loss of appetite and feverAnother normal side effect of cancer is sudden and startling weight reduction. This happens quickly without any excessive workouts or dieting. A person diagnosed with cancer can also face a loss of appetite. In fact, even their most loved food items can get to be unappealing. Frequent fever is yet another common symptoms among most cancer patients.

In case your specialist suspects that you may have renal cancer, they will take some information about your and family’s medical history. They will then do a physical exam. Discoveries that can show renal cancer include swelling or irregularities in the stomach area. In case of men, augmented veins in the scrotal sac (varicocele) may be found. If you wish to discuss about any specific problem, you can consult a Nephrologist.

3833 people found this helpful

Popular Questions & Answers

My wife getting back pain in lower like kamar problem or kamar ka dard she has not used any higher things to carried out instead of dat also. Can I use pregaba m 75 mg for diz <mobile>

MPT, BPT
Physiotherapist, Noida
Chiropractic adjustment will help. Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.
1 person found this helpful

I'm having pain at my lower back right side only frm few months. Got xray done. It has no issue. I got fibroid too. Can you suggest what exercise to b done or treatment.

DNB (Orthopedics), Diploma in Orthopedics, MBBS
Orthopedist, Delhi
This pain arises from spine. Start doing spinal flexion exercises. If pain doesn't become alright in 2 - 3 weeks after doing exercises, show to an Orthopaedic surgeon and get yourself investigated.

Having severe instant pain on lower back area, which pinch and extend till lower back to full down leg what should I do. Please help.

MPT, BPT
Physiotherapist, Noida
Chiropractic Mobilization will help. Do the cat/cow stretch. Get on all fours, with your arms straight and your hands directly under your shoulders; your knees hip-width apart.

Hi, my age is 32 and a patient of ankylosing spondylitis from 2013. I am Hlab27 positive. Now my CRP 37 mg/L, ESR 69mmAEFH, pcv 36%, MCV 72fl, MCH 22pg, Haemoglobin 11gm%(dated 16/10/2018). There's So much pain in upper and lower back from one month. What are the medicines should I take. Please suggest me.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Ankylosing spondylitis Ankylosing spondylitis is a cause of back pain in adolescents and young adults. Ankylosing spondylitis is a form of chronic inflammation of the spine and the sacroiliac joints Chronic inflammation in these areas causes pain and stiffness in and around the spine, including the neck, middle back, lower back, and buttocks. Over time, chronic inflammation of the spine (spondylitis) can lead to a complete cementing together (fusion) of the vertebrae, a process referred to as ankylosis. Ankylosis causes loss of mobility of the spine. Pt treatment deep breathing for lung expansion and stretching exercises to improve spine and joint mobility. Are also advised to sleep on a firm mattress and avoid the use of a pillow in order to prevent spine curvature. Aerobic exercise is generally encouraged as it promotes full expansion of the breathing muscles and opens the airways of the lungs.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Ayurveda & Spinotherapy For Back Pain
Around 90% of people in the world suffer from back pain at some or the other point of their life. Ayurveda offers some effective back Pain Management therapies. Mostly people visit Ayurvedic clinic for treatment of Ayurvedic pain.
Play video
Tips on Lower Back Pain
Tips on Lower Back Pain
Hello, I am Dr G.P. Dureja, senior consultant and director at the Delhi pain management centre, in New Delhi.

Today, I am going to discuss a very important topic, Back pain. As we all know, the prevalence of back pain in India is rising tremendously. Not only in younger people, but middle-aged and older people are also suffering from persistent back pain may it be lower back pain or upper back pain.

The causes of back pain are tremendous and numerous. But the most important cause is absolutely you have a back posture and because of our back posture which results in disk collapse which causes pressure on the nerves and results in excruciating lower back pain which radiate to the leg. This is very commonly seen nowadays in younger people who are always having bad postures and are always working beyond their scheduled time, working very hard with no emphasis on their back care.
When we talk about emphasis, I mean that they do not do any exercises, they do not walk, their muscles are all weak and when they sit for a long time in front of their computers, it results in severe back pain. In older people, of course, the common causes are lumber canal stenosis where because of the degenerative changes happening in the spine because of osteoporosis it results in pressing of the nerves or impingement of the nerves and that results in very severe back pain which is relating to the leg and the old people are generally not able to walk because of this.
So as I said, prevention is very important. Once you have been able to find out the cause of the pain which is causing the excruciating pain in the back, we should always look towards treating this and preventing this.
Preventing, we always emphasise on good posture. We always tell the patients how to sit properly, not to bend forward, not to lift weight and please take care of your both upper back and lower back. That means the cervical spine and the lumbar spine. That is why we tell the patients to continuously exercise. There is a set of exercises which you have to do it for 5 minutes a day and that is sufficient for strengthening your back muscles and preventing this severe pain to occur in you and your friends if you can guide them to.
There are various types of treatment available. We call it as a conservative management when a patient can take medicines or just be on rest. And after adequate rest and medicine, when the pain is relieved, he does continuously exercises takes care of his posture, sits properly at his job place and does not do any forward bending or weight-lifting activities. Most of the patients will get relief at this manoeuvre or this conservative treatment and get relief in pain. Of course, there are people who do not get relief in pain because they have a bulging disc which is irritating the nerve and therein the role of a pain physician comes in. A pain physician can help a patient by injecting into the spinal column or in the spinal cord, giving drugs or even doing discectomy by needles and getting rid of the pain, avoiding a certain surgery.
In younger people, we generally tend to avoid surgery and that is the reason interventions in the spine done by pain clinicians are becoming very popular and can help a large number of patients.
After the pain has gone down, we rehabilitate the patient, give them the advice as in how to sit/ how to stand and how to exercise and takes care of the pain completely and patient just has to follow the simple instruction throughout the life.
If you want to consult us at Delhi pain management centre you can contact us through Lybrate and also we can give you an appointment if you want to show any of our consultants here and they will tell you all about how to look after your spine and how to do the exercises.

Thank You.
Having issues? Consult a doctor for medical advice