Pain Clinic Of India

Back Pain Treatment

Back pain is a common complaint as four out of five people in the India will experience lower back pain at least once during their lives. It's one of the most common reasons people go to the doctor or miss work. On the bright side, you can prevent most back pain. If prevention fails, simple home treatment and proper body mechanics will often heal your back within a few weeks and keep it functional for the long haul. Surgery is rarely needed to treat back pain when back pain does not subside, and the injury or illness that caused it has had sufficient time to heal, it is termed chronic back pain. Chronic back pain usually lasts more than three months and may be mild or severe. Amongst the common causes for your back pain may be facet joint or herniated intervertebral disc (slipped disc).

 

 
 Causes of Lower Back Pain

Bulging Or herniated (slipped disc)

Sciatica - Herniated disc pressing over the nerve going to your leg causing sharp shooting pain the back & leg.

Arthritis - It can lead to narrowing of the space around the spinal cord called spinal canal stenosis. This can cause back & leg pain.

Structural irregularity - Your spine may have abnormal curvature either side to side or excessive curve in front/ back.

Osteoporosis can cause vertebra fracture & can cause back pain. common in old age.

Rare causes include Cancer, infection, cauda equina syndrome.

Contact your physician immediately when you have constant unrelieved pain, pain going in legs specially below knee, causing weakness & numbness, or loss of bowel / bladder control, follows fall or trauma, associated with abdominal pain or fever or associated with unexpected weight loss.

Commonly done tests are X-rays, MRI, Nerve conduction studies, Bone scan, blood tests. Treatment includes medicines, physical therapies for the first 4 weeks. Injections for spine pain like epidural steroid injections, facet joint or its nerve block, radiofrequency ablation (RFA), Provocative discography, Percutaneous Disc FX Discectomy, Dekompressor / ozone discectomy, Percutaneous endoscopic transforaminal discectomy.

Pain physicians at PCI are pioneer and leaders in these advanced minimally invasive techniques with more than 15000 procedures already being performed in last 12 years.

These procedures can cure patients and proven to be successful in avoiding surgery in almost 95% cases.

Surgery for spine pain is the last resort therapy and can be avoided in majority of patients with interventional pain procedures.

Surgery is only indicated when there are RED FLAG signs.

 Lower Back Pain Symptoms - What are they?

Features, signs and symptoms in a patient with lower back pain which indicate serious spinal pathology,

Features

Previous history malignancy (however long ago)

Age 16< or >50 with NEW onset pain

Weight loss (unexplained)

Previous longstanding steroid use

Recent serious illness\

Recent significant infection

Signs

Saddle numbness (around anus and testicals)

Reduced anal tone

Hip or knee weakness

Generalised neurological deficit

Progressive spinal deformity

Urinary retention

 

Symptoms

Non-mechanical pain (worse at rest)

Thoracic pain

Fevers/ rigors

General malaise

Urinary retention

How to identify

High index of suspicion

Majority of information in history

Simple inspection of back with movement

Simple neurological examination

Heel/ toe walk, squat

 

Cord Compression

Back pain

Leg weakness

Limb numbness

Ataxia

Urinary retention (with overflow)

Hyper-reflexia

Extensor plantars

Clonus

Cauda Equina

Bilateral leg pain

Back pain

Urinary retention

Perianal sensory loss

Erectile dysfunction

Reduced anal tone

 

When to investigate RED FLAGS-

Urgent when red flags present

To include:

Myeloma screen

ESR, CRP, FBC, U+E, Ca2+

Plain xray particularly osteoporosis / infection

Consider MRI

 
 Prevention & Easy Relief Tips from Back Pain

Dr. Kailash Kothari
Director

+91-93200-27500

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