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Back Pain

Our doctors will carefully examine patients to evaluate their mobility capabilities.
These assessments help determine where the pain comes from
Doctors will need to assess the case deeply & will order one more of the following tests:
X-ray, MRI or CT scans. Blood tests. Bone scan. Nerve studies. Electromyography (EMG) measures the electrical impulses produced by the nerves and the responses of your muscles. This test can confirm nerve compression caused by herniated disks or narrowing of your spinal canal (spinal stenosis).


Treatment:
Most of the back pains get better within a month of home treatment. However, everyone is different, and back pain is a complex condition. Treatment may involve a wide range of options, ranging from medication to physical therapy to surgeries in some complicated cases.
Medications:
Depending on the type of back pain you have & based on examination, doctors will recommend your personal prescription, ranging from pain killers, muscle relaxants to anti-depressants
Physical therapy:
Our physical therapists together with our orthopedic department may put programs for patients to exercise & increase their flexibility, physical therapy may strengthen the back and abdominal muscles, and improve posture in lots of cases. Regular use of these techniques can help keep pain from returning. Physical therapists will also provide guidance how to modify movements during an episode of back pain to avoid flaring pain symptoms while continuing to be active.

Surgical and other procedures

Cortisone injection

  • If other measures don't relieve the pain, doctors may also inject cortisone which is a strong anti-inflammatory drug around the nerve roots— plus a numbing medication into the space around the spinal cord (epidural space)
  •  In such cases, the pain relief usually lasts only a month or two.

Radiofrequency neurotomy:

In this procedure, a fine needle is inserted through the skin near the area causing the pain. Radio waves are passed through the needle to damage the nearby nerves, which interferes with the delivery of pain signals to the brain.

Implanted nerve stimulators.

Devices implanted under the skin can deliver electric impulses to certain nerves to block pain signals.


Finally,  If the pain is unrelenting associated with radiating leg pain or progressive muscle weakness caused by nerve compression, patients might benefit from surgeries. These procedures are usually reserved for pain related to structural problems, such as narrowing of the spine (spinal stenosis) or a herniated disk, that hasn't responded to any other therapy.

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