- Before the doctor will treat back pain, he or she can conduct research to determine the cause of back pain. The doctor will check your range of motion and function of nerves and hold a study Manual procedure to determine the localization of discomfort.
- Analysis of blood and urine tests will give information about the pain occurred due to infection or other system problems.
- X-ray examination is useful for determining the location of bone fracture or other injury.
- For the analysis of soft tissue injuries may need to carry a computer tomography (CT) or magnetic resonance imaging (MRI). X-rays and CT are used only to check the direct trauma to the spine for back pain with fever or problems with the nerves such as excessive weakness or numbness.
- To determine the possible damage to muscles and nerves can be electromyogram (EMG).
How is the back pain?
Since back pain is caused by a number of reasons, the objectives of treatment is to relieve pain and restore mobility. The basic treatment is to alleviate back pain by stretching or minor injuries. You can help the application of ice, and the use of aspirin or other nonsteroidal anti-inflammatory medication to reduce pain and inflammation. Once the inflammation will attach a heating pad to relax the muscles and connective tissue.
Prolonged bed rest is no longer considered necessary in most cases of back pain, it is considered to be potentially harmful, slowing down the recovery and causing new problems. In most cases, you will be offered to continue a normal, not effortless activity (such as walking). After this, you should begin to control exercises or physiotherapy. Physiotherapy treatment may include massage, ultrasound, whirlpool baths, controlled heat input and individual exercise program to restore full mobility back. Strengthening the abdominal and back muscles help stabilize the back. You can prevent further damage to the back, making it easy stretching exercises to maintain good posture.
If back pain interferes with normal activities, your doctor may recommend pain medication. You can help those sold over the counter drugs like Tylenol, aspirin or ibuprofen. Your doctor may prescribe a stronger anti-inflammatory drugs or a combination of the opioid / acetaminophen - Vicodin or Percocet. Some doctors also prescribe muscle relaxants. But remember that these drugs affect the brain first, and then the muscles, and often cause drowsiness.
If your doctor is not able to help control the pain in his back, he / she may refer you to a specialist in spine or pain management specialist. Sometimes these doctors use injections of steroids or anesthetics to control pain. Recently developed new treatments for pain. Odnim of them is a radio-frequency cut-off - the process of delivering electrical stimulation to specific nerves to make them less sensitive to pain, or deliver enough electricity to destroy the nerve and from further pain. A similar procedure that delivers heat to a herniated disc can compress the disc so that it no longer put pressure on the nerve roots, causing pain. Other drugs, such as antidepressants and anticonvulsants, sometimes written out to eliminate the pain associated with nerve irritation.
Some doctors believe that the use of transcutaneous nerve stimulation (CHKSN) helps with back pain. Electrodes are attached to the body, delivering a low voltage electric current to help ease the pain. After proper training patients can use their own CHKSN for pain relief during recovery after stretching back or spinal injuries of moderate severity.
Surgery for non-specific spinal pain is a last resort. In cases of persistent pain due to severe nerve damage, rhizotomy - surgical ward nerve - may be necessary to stop the transmission of pain signals to the brain. Rhizotomy can correct the symptoms caused by the friction between the surfaces of the joints of the spine, but it does not help with other problems, such as a herniated disc.
Chiropractors play an important role in the treatment of back pain. U.S. Agency for research and evaluation of quality of care recognized spinal manipulative therapy effective in the treatment of acute low back pain. Some researchers suggest that early chiropractic adjustment for acute back pain can prevent the development of chronic problems. Other doctors caution against the use of certain chiropractic manipulation, especially those that involve sudden twisting of the neck. Osteopathic treatment combines drug therapy with spinal manipulation or traction, followed by physical therapy and exercise.
Acupuncture may bring temporary or complete relief of back pain. It may be used alone or as part of a comprehensive treatment plan that includes medication. Clinical successes, together with the positive results of studies conducted by the National Institute of Health, acupuncture is considered appropriate treatment for people suffering from lower back pain.
If you consult a therapist about cognitive behavioral therapy (CBT), your treatment may include coping, accommodation of behavioral and relaxation techniques. CBT can reduce the intensity of pain in the back, change the perception of the levels of pain and disability, even get rid of depression. The National Institute of Health considers CBT useful for the relief of pain in the lower back.
Other behavioral program showed the same result - the participants were able to reduce their medication, changing views and attitudes toward pain.
If the pain associated with muscle strain or spasm, biofeedback can be effective for reducing the intensity of pain, reduction of medication and quality of life. Biofeedback can help you train your muscles respond better to stress or movement.
Technique and Pilates method Feldendkraysa is a specialized form of exercise that helps to learn how to move more coordinated, flexible and graceful. They can help reduce pain and relieve stress. Some of the asanas of yoga can help relieve back pain, improve flexibility, strength and balance. Yoga is a good remedy for stress and can help with the psychological aspects of pain. Aquatherapy and exercise can also improve flexibility and reduce pain in people with chronic low back pain. The unique properties of water make it particularly safe environment for exercise with a bad back, it creates a little resistance, comfort and relaxation.
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