Back Pain

Back pain is experienced in 60%–80% of adults at some point in their lifetime. On the brighter side, you can prevent most back pain. If prevention fails, simple home treatment and proper exercise will often cure your back pain within a few weeks and keep it functional for the long time. Surgery is rarely needed in back pain treatment when it does not subside, and the injury or illness that caused it has had sufficient time to heal.

Common Causes of Back Pain

Bulging Or herniated (slipped disc): The jelly-like center of a lumbar disc can break through the tough outer layer and irritate a nearby nerve root.

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(scoliosis) or excessive curve in front/ back (kyphosis).

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

Facet joint dysfunction: There are two facet joints behind each disc. These joints can be painful by themselves, or in conjunction with disc pain.

Sacroiliac joint dysfunction: The sacroiliac joint connects your sacrum bone at the bottom of the spine to each side of the pelvis. The sacroiliac joint can become painful if it becomes inflamed (sacroiliitis) or if there is too much or too little motion of the joint.

Spondylolisthesis: This condition occurs when one vertebra slips over the adjacent one

Trauma: Acute fractures or dislocations of the spine can lead to pain.

Rare causes include Cancer, infection, caudaequina syndrome.

Common Symptoms of Back Pain

  • Persistent aching or stiffness anywhere along your spine, from the base of the neck to the tail bone
  • Sharp, localized pain in the neck, upper back, or lower back — especially after lifting heavy objects
  • Chronic ache in your middle or lower back, especially after sitting or standing for extended periods
  • Sciatic pain or sciatica: Problem is in the back, but you feel pain along the course of the nerve (leg, foot) in addition to back pain.
  • Inability to stand straight without having pain or muscle spasms in the lower back

Back Pain Treatment at Pain clinic

There are many non-surgical treatment options for chronic back pain. These includes

Pharmacotherapy (oral Medicines): Pharmacotherapy consists of neuropathic agents, muscle relaxants, pain relieveing medicines

Interventional techniques: The interventional techniques arenon surgical procedures and are used in cases where other methods have failed and the patient requires rapid recovery. These procedures have obvious advantages like being minimally invasive, day care procedures, providing rapid recovery and are relatively inexpensive.

Spinal Injections: Interlaminar or transforaminal Epidural Injections are techniques where anti-inflammatory medicines are injected into the opening at the side of the spine where a nerve roots exits. These injections reduces pain, tingling and numbness and other symptoms caused by inflammation, irritation or swelling.

Facet blocks and median branch block: Potent anti-inflammatory agents are deposited in the small spinal joints and its nerve supply

Radiofrequency ablation: This procedure involves deadening of painful nerves via heat administered through a small needle.

Ozone Discectomy: DiscectomyThis procedureis used to relieve back pain due to prolapsed disc by injection of Ozone inside the intervertebral disc. Ozone reduces the size of the herniation by dehydration.

Spinal cord stimulation: Spinal cord stimulator is a type of implantable neuromodulation device used for the treatment of chronic pain following back surgeries.

Life Style Changes Tips

  1. Exercise regularly
  2. Always stretch before exercise or strenuous activity.
  3. Don’t slouce while standing or sitting.
  4. Avoid cradle the phone between your neck and shoulder.
  5. Sit in a chair with good lumber support and proper height for the task.
  6. Wear comfortable and low heeled shoes
  7. Sleep on your side to reduce any curve in your spine. Always sleep on a firm surface
  8. Don’t try to lift object too heavy for you.
  9. Maintain proper nutrition and diet to reduce and prevent excessive weight.
  10. Quit smoking.