It is the condition where the pain is felt in the lower or upper back. It is divided into neck pain (cervical), middle back pain (thoracic), lower back pain (lumbar) or coccydynia (tailbone or sacral pain) based on the segment affected. Dr Naveen Kumar Venigalla M.D, D.N.B, D.M (Neurology) who is specialised in disorders of the nerves and musculoskeletal system. We first understand the pain location for the patient then we start treatment on back pain. Dr. Naveen Kumar Venigalla is best back pain specialist in Vijayawada doing treatments since 20 years.
Back pain is common, with about nine out of ten adults experiencing it at some point in their life, and five out of ten working adults having it every year.The duration of back pain can be classified into three categories, following the expected pattern of healing of connective tissue.
- Acute pain lasts up to 12 weeks.
- Sub-chronic pain refers to the second half of the acute period (6 to 12 weeks.
- Chronic pain is pain which persists beyond 12 weeks.
The causes of back pain can be due to blood vessels, internal organs, infections, mechanical, and autoimmune causes.
Back pain can be split into non-radicular pain and radiculopathy.
- Non-radicular back pain – It is most usually caused by injury to the spinal muscles or ligaments, degenerative spinal disease, or a herniated disk. Spondylosis, or spinal degeneration, occurs when the intervertebral disc undergoes degenerative changes, causing the disc to fail at cushioning the vertebrae.
- Radiculopathy - It exists when there is irritation in the nerve root, causing neurologic symptoms, such as numbness and tingling. Disk herniation and foramina stenosis are the most usual causes of radiculopathy.
Depending on the type of back pain you have, doctor may prescribe the following and also provide the medications for back pain and also best treatment for Epilepsy(Fits) Treatment:
- Over-the-counter (OTC) pain relievers: Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve), might relieve acute back pain. Take these medications only as directed by your doctor. If you over use it can cause serious side effects. If OTC pain relievers don't relieve your pain, your doctor might suggest prescription NSAIDs.
- Muscle relaxants: If back pain doesn’t reduce with OTC pain relievers, your doctor might also prescribe a muscle relaxant. Muscle relaxants can make you sleepy and dizzy.
- Topical pain relievers: These are creams, salves or ointments you apply into your skin at the site of your pain.
- Antidepressants: Low doses of certain types of antidepressants such as amitriptyline — have been shown to relieve some types of chronic back pain independent of their effect on depression.
- Injections:If other measures don't relieve your pain, and if your pain radiates down your leg, your doctor may inject an anti-inflammatory medication or numbing medication into the space around your spinal cord . A cortisone injection helps decrease inflammation
around the nerve roots, but the pain relief usually lasts less than a few months.
- Cortisone injections: If other options are not effective, these may be injected into the epidural space, around the spinal cord. Cortisone is an anti-inflammatory drug. It helps reduce inflammation around the nerve roots. Injections may also be used to numb areas thought to be causing the pain.
- Botox: Botox (botulism toxin), according to some early studies, are thought to reduce pain by paralyzing sprained muscles in spasm. These injections are effective for about 3 to 4 months.
- Traction: Pulleys and weights are used to stretch the back. This may result in a herniated disk moving back into position. It can also relieve pain, but only while traction is applied.
- Cognitive behavioural therapy (CBT): CBT can help manage chronic back pain by encouraging new ways of thinking. It may include relaxation techniques and ways of maintaining a positive attitude. Studies have found that patients with CBT tend to become more active and do exercise, resulting in a lower risk of back pain recurrence.
Proper information and exercise may reduce an individual's risk of developing an episode of low back pain. Lesser quality evidence points to exercise alone as a possible deterrent to the risk of the onset of this condition.Visit our Movement Disorders Treatment and best brain stroke specialist in Vijayawada.