Surgery not the answer for most back pain, sports doctor says
(HealthDay)—Back pain is a common problem, but most cases can be treated without surgery, a sports medicine specialist says.
Sometime during their lives, up to 80 percent of people will have back pain that lasts more than three days.
The first step in treating back pain is understanding it, according to Dr. Gregory Billy, a physical medicine and rehabilitation specialist with Penn State Sports Medicine.
"A physician should ask about the history of your pain, including its exact location, what makes it feel better or worse and what may have caused it," Billy said in a university news release. "A physical exam helps isolate the cause of the pain—for example, what happens when you stand, sit, lift your leg or walk?"
While an MRI can help with a diagnosis, it has limitations.
"Because the back changes with age, MRIs of many older adults are likely to depict damage, but the damage captured in that image may not be the current cause of back pain," Billy said.
For minor back pain, treatments include over-the-counter pain relievers or non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, or applying ice to stop spasms and heat to relieve soreness/aching, he said.
It's important to continue normal daily activities as much as possible. Too much time in bed can result in muscle and spine tightening, he added.
If those steps don't help, other non-surgical treatment options include: physical therapy and supervised exercise; prescription drugs such as anti-inflammatories, muscle relaxers, oral steroids and topical pain relievers; and steroid injections into the space around the spine, Billy said.
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