Back pain is one of the world’s greatest complications, which has led to a great deal of work incapacity. Many efforts and resources are devoted daily not only to treat this pain, but also to investigate new back pain treatments that are more effective.
Back pain, regardless of its origin, HAS A TREATMENT. You do not have to keep suffering and continue under the stress of this uncomfortable pain.
Proper Diagnosis & Treatment Isn’t Always Easy
However, it has not been easy. The opinions of experts are always divided on the ideal treatment for back pain. Many of them assume, due to the causes, that it is necessary to use oral medications that can directly suppress pain. Which, of course, would end up relaxing the patient making it easier to achieve the goal.
Even so, many other experts in the field state that it is not necessary to use any type of medication in order to improve the patient’s quality of life. Only with certain types of exercises and appropriate diagnostic patterns could the patient’s life be significantly improved.
These same experts even state that it is not necessary to carry out diagnostic images when you have physical tests of the type of back pain, unless you are thinking of something other than the musculoskeletal and nervous system.
The basis for the effectiveness of the treatment consists of having clear guidelines and being firmly oriented towards the origin of the pathology you have. The doctor has to develop a scheme that allows you to reach the diagnosis quickly without the need for major tests and create a treatment algorithm that effectively addresses your needs.
Each patient must be treated individually, so do not worry if your therapy varies from that of another person with back pain, not all are the same and not all merit the same type of treatment.
Moreover, patience and tranquility play a fundamental role. It is likely that the simple stress of continually thinking about your pain will lead to increased stress, worsening the picture. Therefore, the first thing is: please relax.
The treatment may vary depending on the time you have with your condition, as well as the origin of it, so we will try to address it from every point of view. Here we leave you with the best options regarding the treatment of back pain.
Education – Know Your Condition
The first point, and undoubtedly the most important, is to know your condition and the limits you must maintain. Knowing what we have and how we can react, what can happen and how to prevent them, not only helps us to be prepared, but can also give us the peace of mind necessary to reduce stress, and thus muscle tension that may be increasing the intensity of pain. Therefore, as mentioned above, please relax.
In addition to the above, you must learn the basic measures necessary to be able to control, and most importantly, not make your pain worse.
Start with your posture, not only while walking, keeping your shoulders back and your chest forward, but also when you bend over to lift things or have to lie down. Keeping your back straight, without being tense, can save an immeasurable amount of pain.
In addition, breathing exercises can help you decrease pain and find your back in its natural position. Breathe deeply and hold your breath for at least 10 seconds, repeat at least 5 times. During deep breathing, the back recovers its natural position, returning to its conventional lordosis and kyphosis.
Specific exercises may be recommended, but your doctor should evaluate which ones are best for you.
There is one commonly recommended that is called “sloppy push-ups”, they are extensions of your body, being in prone position (with the abdomen on the floor), where it raises the arms to the maximum without detaching the waist from the floor. This may be appropriate for many patients with low back pain, however, not for everyone.
Medication – From NSAIDs to Opioids
Beginning with NSAIDs, it is a widely used therapy but does not have the best acceptance. Many studies confirm the benefits of this type of medication, which exceeds the “moderate” range; however, many of the researchers say it is not the best therapy, since, although it improves pain, it does not cure or collaborate with the course of most pathologies.
NSAIDs are not only analgesics; they are also immune suppressants that help with inflammation. However, people cannot use it for a long time due to the complications of prolonged use of NSAIDs.
Even so, many large reviews comparing them with other drugs, and even placebos, recommended prudent doses of ibuprofen or Naproxen. Within this large group, the most recommended was Acetaminophen, as a first line therapy, giving great results in the treatment of back pain.
As for opioids, which are quite powerful drugs that can cause a state of deep sedation, we have that the drug that stands out most is Tramadol, however, there are other options such as morphine, codeine, fentanyl, etc.
No doubt, this type of medication greatly reduces pain, but should only be used in patients with acute problems, since you cannot chronically use opioids due to the risk of dependence and sedation.
The degree of recommendation according to the evidence, a parameter used by most large organizations responsible for evaluating drugs, is 2B, which means that the benefits are small, which can be used as complementary therapy but not as first line treatment or the most important choice.
Despite what most people say, unconventional therapies-or at least not widely described in medical books-are recommended.
Many patients can improve with acupuncture, physical therapy, massage, behavioral therapy, spinal manipulation, and even yoga (some specific types). All of these procedures have been shown to have an even greater effect on back pain than drugs as powerful as opioids. Most specialists recommend at least one of these non-invasive therapies in order to improve the overall condition of your back, and with it, your pain.
For more information, check out my article: The 9 Best Cures for Lower Back Pain
Despite all that has been mentioned, there are many other therapies and treatments that can range from proper exercise to surgical management of the problems that are triggering it. Always consult your doctor and relevant specialists for an accurate diagnosis and better picture of what your treatment options are.
That’s it for now; I hope to have helped.
Please tell me about your experiences below. I’d love to hear from you. Feel free to use the sharing buttons (bottom of page) to help your friends.
Also, note – I am not a doctor and anything written here should not replace the medical advice of a professional.
Be well and in good spirits today!