This article was medically reviewed on September 9, 2019 by Chrystina Jeter, MD, a pain management expert, member of the preventive medicine review board.
Whether it is caused by arthritis, nerve damage, wrong bending or lifting something too heavy, low back pain can be frustrating.
However, if you are struggling, know that most people experience back pain at some point in their lives, and this is one of the most common reasons people make doctor appointments and take time off. In fact, according to the World Health Organization (WHO), it is one of the main causes of disability worldwide.
The treatment methods to relieve low back pain range from simple to complex. The method that suits you depends on the time of your injury, the severity of the pain, the location of the pain, and whether your pain is structural or muscular.
If your back pain is just beginning, consider relaxing, this time. “In most cases, back pain will subside within one to two weeks,” said Justin J. Park, a board-certified orthopedic spine surgeon at the Maryland Spine Center at Mercy Medical Center in Baltimore. However, other factors, such as your age and activity level, can cause back pain to last up to six weeks, he said. People who do not pursue extreme treatments tend to have fewer complications than those who rush into invasive treatment before it is really necessary.
But, of course, the thought of wasting more than a month to relieve the pain may feel unbearable. Here, the best low back pain treatment can quickly relieve pain.
1. Achieve anti-inflammatory drugs.
Even if you are practicing patience, non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Motrin, Advil) or naproxen (Aleve) can help relieve the back pain you are suffering. Research behind the low back pain medication guidelines found that these medications may provide slightly better relief than acetaminophen (Tylenol).
“In most cases, when you have back pain, it is a muscle or ligament strain, and anti-inflammatory drugs can help you relieve the inflammation,” said Dr. Parker. Long-term use of non-steroidal anti-inflammatory drugs can cause gastrointestinal problems, so Dr. Park advises you not to take them for more than 10 days without consulting your doctor.
2. Seek relief through ice and heat.
Take out the bag of frozen peas (or cold pack, if you want) within the first 48 hours after the pain appears, and use it for 20 minutes at a time, several times a day. After these two days have passed, use the heating pad to switch to a 20-minute interval.
Local cooling closes the capillaries and reduces blood flow to the area, which helps relieve swelling, says Lisa De Stefano, do, Associate professor of East Lansing School of Osteopathic Medicine at Michigan State University. Cold can also hinder the ability of nerves to transmit pain signals. On the other hand, heat can relax tight muscles and increase blood circulation, bringing extra oxygen for rescue.
3. Wear supporting shoes.
Some back problems start from the beginning. Dr. Park said that wearing high heels can put a burden on your back, especially if you tend to wear high heels for several hours at a time. “This will make you arch your back more,” he explained.
If you don’t want to give up high heels, Dr. Park recommends that you wear flat shoes or sneakers during the trip, and keep high heels or keep them in your bag while working. And, if you can, put some flat shoes instead of high heels into your regular footwear rotation. Check out some of the shoes recommended by our favorite podiatrists below:
4. Consider changing to a new mattress.
How old is your bed? You may be surprised to find that the average life span of a mattress is less than 10 years. “There are no hard and fast rules,” said Sean Mackey, MD, PhDDean of the Department of Pain Medicine at Stanford University, “But if your mattress is visibly sagging or has been in use for six to eight years, I will consider replacing it with a new one.”
Other things to consider: A sturdy mattress may not do any good for your back, say Carmen R. Green, MD, A doctor at the University of Michigan Back Pain Center. She said that many studies over the years have shown that patients with low back pain who sleep on a medium-firm mattress perform better than those who sleep on a hard bed.
5. Do gentle stretching exercises.
Gentle stretching exercises, walking, and standing at the desk regularly can help stabilize the spine and prevent muscle imbalance. Neel Anand, MD, Professor of Orthopedic Surgery and Director of Spinal Trauma at Cedars-Sinai Spine Center in Los Angeles, said that although it is difficult to imagine training down dog poses with a bad back, yoga can also be beneficial to you. Angelis.
“Not only is it almost zero impact, but the postures and stretching exercises performed in yoga are very therapeutic,” he said. Dr. Anand suggested stretching exercises like cats and cows, changing the child’s posture from an upward dog to a downward dog. Repeat this five or more times a day, “You may notice some positive changes in your spine, posture, and overall health,” said Dr. Anand.
6. Ask about prescription drugs.
If your back pain does not resolve on its own within 4 to 6 weeks, please make an appointment with your doctor. He will examine your back and ask you to sit, stand, bend over, walk and raise your legs to see your How pain affects your mobility. You may be asked to rate your pain on a scale of 1 to 10, and they may perform imaging tests, such as X-rays or MRI. Then, he or she may recommend one of the following prescription therapies:
- Muscle relaxants: Medications such as cyclobenzaprine or baclofen can help relieve painful back cramps. If you go this way, just know that side effects can include fatigue and dizziness.
- Local analgesics: These creams and ointments, such as Voltaren gel, are designed to be applied directly to the area that hurts you.
- Cortisone injection: If other treatments fail, your doctor may recommend injections of cortisone, a powerful anti-inflammatory drug. There are risks, including thinning of nearby bones, and relief usually lasts only a few months at the top.
7. Consider physical therapy.
The physical therapist will teach you stretching exercises to control your back pain and correct any imbalances that may cause pain. Depending on the cause and severity of your back pain, your PT may also use other treatment techniques, such as ultrasound, electrical stimulation, and active release therapy. “Physiotherapy is best for back pain when people have one or two episodes a year,” said Dr. Parker. “It helps strengthen the core muscles and back extensors.”
8. Try acupuncture.
According to a 2013 study review, acupuncture may be better than painkillers to relieve pain. In 11 studies conducted on more than 1,100 people, this traditional Chinese medicine staple food improved the symptoms of low back pain better than simulated treatment, and in some cases, can also improve non-steroidal anti-inflammatory drugs. Dr. DeStefano said that needles seem to change the way your nerves respond and may reduce inflammation around the joints.
9. Make an appointment for a massage.
Your discomfort has one benefit: it is a legitimate excuse for weekly massage. A study found that compared with people receiving standard medical care, people with low back pain and disabilities after 10 weeks are indeed reduced-and general relaxation massage is as effective as structural massage for specific parts of the body. Nonetheless, a year later, all participants saw similar improvements. “My advice to patients is that if you receive a massage and it helps, that’s great,” Dr. Parker said. “A lot of back pain is caused by muscle strain.”
10. Try to improve your mood.
No, low back pain is not in your mind, but being fascinated by it may make the situation worse. “Fear, anxiety, and catastrophization can exacerbate pain,” Dr. McGee said. Because the brain circuits for processing pain and the circuits for processing emotions overlap significantly, panic can be transformed into actual pain. “First accept that you have pain,” Dr. McGee said. “Then tell yourself that it will be better.” If your overall mental health is not good—for example, in addition to physical pain, you also suffer from anxiety or depression, then while exploring other low back pain treatments It may be worthwhile to watch the therapist manage the negative thought process.
A back pain treatment, you might do not need
Back pain can be incredibly frustrating, and treatment under the knife seems to be the fastest and easiest way to relieve pain. But the truth is that many people do not need surgery to control low back pain, Dr. Park said.
“If your back pain is musculoskeletal, you don’t need surgery, but if it’s due to a herniated disc or other causes of nerve tension, you may need surgery,” he said. “But even among these people, when you receive a 6 to 8 week course of treatment that includes physical therapy and activity adjustments, 85% to 90% of the time, they don’t need surgery.”
However, if you have tried the above treatments but do not see any improvement or still feel pain, please discuss with your doctor about referral to a pain management specialist, as more specific tests or treatments may be required to figure out what happened What’s going on.
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