Most back pain gets better with a couple of weeks of home treatment and care. A regular program of counter pain relievers may be all you need to improve their pain. A brief period of bed rest is okay, but only a few days does more harm than good. If home treatments do not work, your doctor may suggest stronger medications and other treatments.
Drugs
Your doctor will probably recommend pain relievers such as acetaminophen (Tylenol, others) or anti-inflammatory drugs like ibuprofen (Advil, Motrin and others) or naproxen (Aleve, others). If mild to moderate pain back does not improve with prescription pain relievers, the doctor may also prescribe a muscle relaxant.
Narcotics such as codeine or hydrocodone, may be used in a short period of close supervision by your doctor.
Low doses of certain types of antidepressants - particularly tricyclic antidepressants such as amitriptyline - have been shown to relieve chronic back pain, regardless of its effect on depression.
Physical therapy and exercise
Physical therapist can apply a variety of treatments, such as heat, ice, ultrasound, electrical stimulation of muscles and release techniques, so that the back muscles and soft tissues to reduce pain. As the pain improves, the therapist can teach specific exercises to increase flexibility, strengthen your back and abdominal muscles and improves posture. Regular use of these methods can be used to prevent pain recurrence.
Injections
If other measures do not relieve pain and pain radiating down the leg, the doctor may inject cortisone - an anti-inflammatory drug - in the space surrounding the spinal cord (epidural). A cortisone injection helps decrease inflammation around the nerve roots, but the pain usually lasts less than a few months.
In some cases, the doctor may inject numbing medication, or cortisone or with structures believed to cause back pain, as fasettinivelistä vertebrae. Located in the pages of the top and bottom of each vertebra, these joints connect the vertebrae together and stabilize the spine, leaving flexibility.
Surgery
Few people ever need surgery for back pain. If you are a relentless pain associated with radiating leg pain or progressive muscle weakness caused by nerve compression, you may benefit from surgery. Otherwise, surgery is usually reserved for pain associated with anatomic structural problems that have not responded to conservative treatment intensive measures.
The types of back surgery include:
Fusion. This surgery involves joining two vertebrae to eliminate painful movement. A bone graft is inserted between two vertebrae, which can then be linked together by metal plates, screws or cages. A disadvantage of this procedure is that it increases the chances of developing arthritis in the adjacent vertebrae.
Partial removal of the disc. If the material of the disc is pressing or squeezing the nerves, the doctor may be able to remove only a portion of the disc that is causing the problem.
Partial removal of the vertebra. If the spine has developed bony growths that are pinching the spinal cord or nerves, surgeons can remove a small portion of the offending vertebra, to open the flow.
Drugs
Your doctor will probably recommend pain relievers such as acetaminophen (Tylenol, others) or anti-inflammatory drugs like ibuprofen (Advil, Motrin and others) or naproxen (Aleve, others). If mild to moderate pain back does not improve with prescription pain relievers, the doctor may also prescribe a muscle relaxant.
Narcotics such as codeine or hydrocodone, may be used in a short period of close supervision by your doctor.
Low doses of certain types of antidepressants - particularly tricyclic antidepressants such as amitriptyline - have been shown to relieve chronic back pain, regardless of its effect on depression.
Physical therapy and exercise
Physical therapist can apply a variety of treatments, such as heat, ice, ultrasound, electrical stimulation of muscles and release techniques, so that the back muscles and soft tissues to reduce pain. As the pain improves, the therapist can teach specific exercises to increase flexibility, strengthen your back and abdominal muscles and improves posture. Regular use of these methods can be used to prevent pain recurrence.
Injections
If other measures do not relieve pain and pain radiating down the leg, the doctor may inject cortisone - an anti-inflammatory drug - in the space surrounding the spinal cord (epidural). A cortisone injection helps decrease inflammation around the nerve roots, but the pain usually lasts less than a few months.
In some cases, the doctor may inject numbing medication, or cortisone or with structures believed to cause back pain, as fasettinivelistä vertebrae. Located in the pages of the top and bottom of each vertebra, these joints connect the vertebrae together and stabilize the spine, leaving flexibility.
Surgery
Few people ever need surgery for back pain. If you are a relentless pain associated with radiating leg pain or progressive muscle weakness caused by nerve compression, you may benefit from surgery. Otherwise, surgery is usually reserved for pain associated with anatomic structural problems that have not responded to conservative treatment intensive measures.
The types of back surgery include:
Fusion. This surgery involves joining two vertebrae to eliminate painful movement. A bone graft is inserted between two vertebrae, which can then be linked together by metal plates, screws or cages. A disadvantage of this procedure is that it increases the chances of developing arthritis in the adjacent vertebrae.
Partial removal of the disc. If the material of the disc is pressing or squeezing the nerves, the doctor may be able to remove only a portion of the disc that is causing the problem.
Partial removal of the vertebra. If the spine has developed bony growths that are pinching the spinal cord or nerves, surgeons can remove a small portion of the offending vertebra, to open the flow.
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