Back pain can range from minor discomfort to severe or chronic pain that can significantly impact everyday life. Our qualified health care professionals will help you work toward the best possible recovery and promote the long-term health of the back and entire body.
There are many possible causes of back pain. Because the back supports much of our weight, pain in this area is a strikingly common health complaint. Back pain is commonly caused by physical trauma, strained or weak muscles, poor posture, problems with spine structure and core strength.
Back pain can be characterized as acute (short-lived) or chronic (long-term). Depending on the cause of your back pain, you may experience soreness, sharp pain, back spasms or pain with movement. The location of your pain will also vary depending on the cause; lower back pain, middle back pain and upper back pain are all possible symptoms.
Back pain may also be accompanied by pain or numbness in your arms, legs or neck. One possible condition is sciatica, where pain radiates from the lower back into the back, side or legs. It’s essential to take note of pain, tingling and weakness in your body and report it to your medical provider when you seek treatment.
Your medical provider will create a comprehensive treatment plan to address the cause of the pain and help restore your back to healthy functioning.
Recommended treatments may include anti-inflammatory medications, acetaminophen, steroids, exercise and strengthening or trigger point injection (TPI).
The first course of action for many back pain cases includes the use of a nonsteroidal anti-inflammatory drug (NSAID) like ibuprofen (Motrin) or naproxen (Aleve). These medications provide relief by reducing pain and inflammation. Many NSAIDs are available over the counter. In some cases, your physician may write a prescription for an NSAID or other anti-inflammatories that is more suitable for your particular situation.
Acetaminophen (Tylenol) is not an NSAID but is another type of over-the-counter pain reliever that can help treat back pain.
Steroids are a type of prescription medication with strong anti-inflammatory properties. Taken orally or by injection, steroids can provide significant relief for lower back pain. The treatment time with steroids is typically short-term.
Depending on the cause and severity of the pain, your provider may recommend exercise to help treat your back pain. Your provider can work with you to create an exercise plan that is safe for you, and that helps strengthen the muscles of your back, stomach and legs. These muscles play a key role in supporting the spine. Strengthening these muscles can relieve back pain and help prevent future injury.
Your physician may also recommend back stretches to relieve muscle tension, increase the flexibility of the spine and reduce back spasms and pain.
Trigger point injection is used for pain that is caused by “knots,” known as trigger points. These trigger points can cause back pain by irritating nearby nerves. A provider can treat this condition by using trigger point injections (TPI). The procedure, which usually takes only a few minutes, usually involves injecting a local anesthetic or saline, sometimes accompanied by a corticosteroid, into the trigger point. As a result, the trigger point becomes inactive, and the pain is relieved.
Avoid activities that can significantly strain the back, as these could cause further injury. However, you should continue exercising moderately under your provider’s guidance. In most cases, exercise is more helpful for back pain than rest.
Apply an ice pack to the painful area. You can also use over-the-counter painkillers to relieve pain and increase comfort.
Make sure you’re sleeping on a comfortable mattress of medium firmness. Sleeping on your stomach should be avoided. Finally, make a habit of practicing proper posture on a daily basis, especially when using a computer or sitting for long periods of time.
If your condition requires specialized care, your provider will refer you to the appropriate specialist. For back pain, you may be referred to spine specialists such as physiatrists, neurologists, rheumatologists, chiropractors and surgeons. In addition, physical therapists, occupational therapists and clinical psychologists may also help with treatment to reduce back pain or to better cope with the pain.
If you’re concerned about back pain, check in online or walk in to a WellNow location nearest you.
This medical information has been reviewed for accuracy by Dr. Robert Biernbaum, Chief Medical Officer for WellNow Urgent Care.
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