Treatment FAQ

who to see for back pain treatment

by Mrs. Verla Gerhold I Published 3 years ago Updated 2 years ago
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Start with someone who specializes in nonsurgical treatment for back pain. This can include a physiatrist, chiropractor, physical therapist, or orthopaedic physician assistant. They can evaluate your condition and offer appropriate treatment to help alleviate your pain.Jul 12, 2021

What to do if your back hurts?

Massage. If your back pain is caused by tense or overworked muscles, massage might help. Yoga. There are several types of yoga, a broad discipline that involves practicing specific postures or poses, breathing exercises, and relaxation techniques.

What tests can be done to determine if you have back pain?

If there is reason to suspect that a specific condition is causing your back pain, your doctor might order one or more tests: X-ray. These images show the alignment of your bones and whether you have arthritis or broken bones.

What is the best treatment for pain in the leg?

Cortisone injections. If other measures don't relieve your pain, and if your pain radiates down your leg, your doctor may inject cortisone — a strong anti-inflammatory drug — plus a numbing medication into the space around your spinal cord (epidural space).

How long does cortisone pain last?

A cortisone injection helps decrease inflammation around the nerve roots, but the pain relief usually lasts only a month or two. Radiofrequency neurotomy. In this procedure, a fine needle is inserted through your skin so the tip is near the area causing your pain.

How long does it take for back pain to go away?

Most back pain gets better within a month of home treatment. However, everyone is different, and back pain is a complex condition. For many, the pain doesn't go away for a few months, but only a few have persistent, severe pain.

What can you do to find out if you have a herniated disk?

MRI or CT scans. These scans generate images that can reveal herniated disks or problems with bones, muscles, tissue, tendons, nerves, ligaments and blood vessels. Blood tests. These can help determine whether you have an infection or other condition that might be causing your pain. Bone scan.

What can a physical therapist do to help you?

A physical therapist can teach you exercises to increase your flexibility, strengthen your back and abdominal muscles, and improve your posture. Regular use of these techniques can help keep pain from returning.

What are the three groups of health care providers who treat back pain?

Specialty Care Physicians and Pain Management. Therapists. There are three broad groups of health providers who treat back pain: Primary care providers are often the first port of call for patients when back pain strikes, and generally include: Primary care physicians (Family practice doctors, Internists, Obstetricians, Gynecologists, Pediatricians)

What is a spine specialist?

Spine specialists have a more specific area of expertise in certain diagnoses and/or treatments for back pain and spinal conditions, and generally include: Surgeons. Physiatrists. Anesthesiologists. Neurologists.

What is the best doctor for back pain?

Rheumatologist. A rheumatologist is an internal medicine doctor who is trained in the diagnosis and treatment of rheumatic diseases affecting your musculoskeletal system. A rheumatologist is likely to serve as your primary back care specialist if your pain is related to certain types of arthritis, such as ankylosing spondylitis.

What to do if your back isn't working?

If the current treatment plan for your back pain isn't working, consider researching various spine specialists on your own. There may be a different type of health professional who is better suited to treat your condition.

What is a physiatrist?

Physiatrist. Also called a physical medicine and rehabilitation (PM and R) physician, physiatrists specialize in nonsurgical treatment of back pain. Some physiatrists perform electrodiagnostic testing for a more accurate diagnosis of the root cause of back pain before implementing a comprehensive treatment plan.

What is a multidisciplinary spine clinic?

To better handle the challenges involved with diagnosing and treating complicated back conditions, health care professionals from different specialties sometimes combine their skills by working together in one clinic—called a multi-disciplinary or integrated spine care clinic.

What is physical therapy?

Therapists specializing in physical therapy (PT) can help treat people with back conditions. Physical rehabilitation is part of most back pain treatment plans. Other specialists who may also provide physical therapy as a core part of their practice include orthopedic surgeons, neurosurgeons, and physiatrists.

Can spine surgery be done without surgery?

While most types of back pain can be successfully managed without surgery, in rare cases surgery may be recommended as the only way to prevent neurological deficits from worsening and/or to address the cause of your pain.

What is the best doctor for back pain?

Pediatricians. Pediatricians provide diagnosis and treatment for a range of childhood health problems including back pain and injuries. A pediatrician is the family doctor for a child from birth until the early adult years. If your child's spine condition requires a specialist, your pediatrician will likely refer you.

What is the name of the doctor who treats spondylitis?

Rheumatologist s. A rheumatologist is a board-certified physician who treats many forms of arthritis. A sizeable percentage of rheumatologists specialize in inflammatory arthritis; in the spine, this type of disease manifests as ankylosing spondylitis and related conditions.

What is a chiropractor?

Chiropractic is a hands-on alternative medicine discipline that restores the body's physiological functioning by aligning the spine. To do this, chiropractors treat subluxations (a term that means something different to the chiropractor than it does to a conventional medical doctor).

What is the name of the doctor who treats the nervous system?

Neurologists. A neurologist is a specialist who diagnoses and treats problems with the nervous system. For example, Parkinson's disease, other disorders of the brain, spinal cord, and peripheral nerves. A neurologist might be chosen if your back or neck pain is chronic and longstanding, as they are an expert in the origins of pain. ...

What is the job of a neurosurgeon?

A neurosurgeon might perform surgery on the brain, the spinal cord, or on the spine itself. While neurosurgeons do provide non-surgical management of back pain , in most cases, you'll be referred to one only after you've exhausted all your conservative care options. When to See a Neurosurgeon.

What is a physiatrist?

Another type of holistically minded provider, the physiatrist is a board-certified physician specializing in physical functioning. This growing sub-specialty provides rehabilitation for all kinds of conditions and injuries from stroke to low back pain, athletic injuries and more.

What is an orthopedic doctor?

Orthopedists. An orthopedic doctor is a board-certified surgeon who specializes in problems—from head to toe—of the musculoskeletal system. This includes, of course, the spine. An orthopedist might address conditions such as ruptured discs, scoliosis or other types of neck or low back pain.

What kind of doctor treats back pain?

Other doctors, such as rheumatologists, may also be able to help with chronic back pain related to specific conditions such as arthritis or osteoporosis. Lehman says some of the most common complaints patients seeking care describe include "low back pain, leg pain, leg numbness or the typical sciatica-type pain.".

What is the best treatment for low back pain?

"Many studies have shown that a course of physical therapy, nonsteroidal anti-inflammatory medications and sometimes injections will alleviate low back pain.

What causes pain in the lower back and legs?

Sciatica is caused by compression of the sciatic nerve, which runs from the lower back into the leg, leading to pain radiating down one or both legs from the lower back. Other conditions that can cause back pain include nerve impingement (pinched nerves), slipped or herniated discs, spinal stenosis (pressure on the spinal cord and nerves) ...

How long does back pain last?

Acute pain comes on suddenly after a fall or after lifting something heavy and lasts no longer than six weeks. Chronic pain often develops slowly and lasts longer than three months, the NIAMSD reports.

Do you need surgery for back pain?

For patients with chronic back pain issues that don't require surgery, it's also important to find a doctor you click with. Reynolds says sometimes you'll be under that doctor's care longer-term, so developing a good working relationship with whichever doctor you're seeing for back pain can help improve your outcomes.

Can you have surgery if you don't have mobility?

For patients who don't need surgery, Reynolds says there are lots of options for restoring mobility while reducing pain. "If they don't need surgery they usually wind up with one of us in rehab to try to figure that out.

Can you mask pain with pain killers?

You might be able to mask the pain with pain killers, but getting the issue to resolve fully is probably going to take some effort. Avoiding pain killers as much as possible may be a prudent move, especially given the ongoing opioid crisis.

When to see a doctor

Most back pain gets better within a few weeks without treatment. Bed rest isn't recommended. Over-the-counter pain medications often help reduce back pain, as does the application of cold or heat to the painful area.

Schedule an office visit

Call your doctor if your back pain hasn't improved after a week of home treatment or if your back pain:

Seek emergency medical care

Call 911 or emergency medical help or have someone drive you to the emergency room if your back pain:

What is a rheumatologist?

Updated on September 24, 2018. A rheumatologist is a board-certified MD who specializes in diseases of the joints—in other words, arthritis. While you can go to a rheumatologist for osteoarthritis of the spine, this branch of medicine is particularly noted for its diagnosis and treatment of systemic, autoimmune and inflammatory forms of the disease.

Does psoriatic arthritis affect the spine?

Psoriatic arthritis sometimes affects the spine and sometimes doesn’t, but it almost always affects the ends of fingers and toes. ( Psoriatic arthritis, as the name suggests, occurs in some people with the skin disorder psoriasis.)

Does spondyloarthropathy affect the spine?

Psoriatic arthritis sometimes affects the spine and sometimes doesn’t , but it almost always affects the ends of fingers and toes.

Do you need to see a rheumatologist for pain?

Usually, the journey to the rheumatologist ’s office starts with an appointment ...

Does rheumatic disease affect the spine?

Not all rheumatic disease affects the spine, but the ones that do can be very difficult to live with. The most common is osteoarthritis, which occurs when both cartilage and bone begin to deteriorate. Another group of rheumatic conditions that affects the spine includes spondyloarthropathies. It includes inflammatory conditions such as ankylosing spondylitis and axial spondylitis.

What is the best treatment for low back pain?

And a single, best treatment for most low back pain is unknown. For these reasons, doctors’ recommendations tend to vary. “Standard care” includes a balance of rest, stretching and exercise, heat, pain relievers, and time. Some doctors also suggest trying chiropractic care.

How long does back pain last?

It only lasted six weeks. As mentioned, most new-onset back pain is better by then regardless of treatment. For those with more long-lasting back pain, we’ll need more than a six-week study. The differences in improvement between those receiving chiropractic and usual care were small.

How much does chiropractic cost?

The answers to these questions go beyond any academic debate about how good chiropractic care is. Estimates suggest that low back pain costs up to $200 billion a year in the US (including costs of care and missed work), and it’s a leading cause of disability worldwide.

How many people see chiropractors?

There is waaaay more than enough studies to make a solid conclusion that it simply works. Over 3 million people see a chiropractor on a regular basis to help manage their back pain.

Does chiropractic help with colic?

Bottom line#N#Chiropractic has helped save lives since 1895!#N#not only helping people with nearly everything from chronic low back pain to children’s colic and ear infections (Ottis media) but are still consulted as the “doctors of last resort”. Funny how not even after medicine fails with its toxic and dangerous pharmaceuticals, array of therapies, often needless surgeries that since chiropractic is not taught in any medical school including Harvard does a medic have the knowledge to seek chiropractic help for their patients.#N#let’s be clear, only a Doctor of chiropractic can determine whether or not a patient should have chiropractic care or if their case is a chiropractic case. medics, PTS and others in the medical profession simply do not have any formal chiropractic education and non of the training to make a Informed or educated decision whether or not the patient there with should have chiropractic care.

Is chiropractic care life saving?

July 31, 2019. Practical chiropractic care is life-saving, and absolutely essential for spinal, and overall, health. Nervous system maintenance is vital, period. Our bodies have an Innate Intelligence that needs no help; just remove the interference in communication from the brain to the body, and the body will heal.

Can you see a doctor for back pain?

If you’ve ever seen a doctor for back pain, you’re not alone. An estima ted 85% of people experience back pain severe enough to see a doctor for at some point in their life. Yet despite how common it is, the precise cause of pain is often unclear. And a single, best treatment for most low back pain is unknown.

What is the best treatment for back pain?

Physical therapy for chronic back pain may include: Retraining your posture. Testing the limits of pain tolerance. Stretching and flexibility exercises. Aerobic exercises. Core strengthening.

How to help back pain?

“Listen to your body and learn to pace yourself,” suggests Nava. Take a break when mowing the lawn, or make several trips when carrying groceries. Take note of the activities that worsen your pain and avoid them if possible. Not only could this help your back feel better, it could also prevent the underlying condition from advancing. Another important lifestyle change to try is giving up smoking. Nicotine is scientifically known to accentuate pain and delay healing.

What causes back pain?

Chronic back pain is usually age-related, but can also result from a prior injury. The most common causes include: 1 Arthritis of the spine —the gradual thinning of the cartilage inside the spine 2 Spinal stenosis —narrowing of the spinal canal that may lead to nerve pain 3 Disc problems, such as a herniated or bulging disc 4 Myofascial pain syndrome—unexplained muscle pain and tenderness

Why does my back hurt so bad?

Chronic back pain is usually age-related, but can also result from a prior injury. The most common causes include: Arthritis of the spine —the gradual thinning of the cartilage inside the spine. Spinal stenosis —narrowing of the spinal canal that may lead to nerve pain.

How long does back pain last?

Back pain is considered chronic if it lasts three months or longer . It can come and go, often bringing temporary relief, followed by frustration. Dealing with chronic back pain can be especially trying if you don’t know the cause.

When to use injections for pain?

They are used when the source of the pain is known and can sometimes help rule out certain causes if the treatment doesn’t work. Injections may stop or lessen pain for a certain period of time, but are not intended as long-term solutions and shouldn’t be used in isolation.

Can a flare up be treated with nonsurgical treatment?

Not only may they not help; they could make the pain worse, warns Nava. If the source of the pain is not known or can’t be treated, your best option may be to work with your doctor on reducing the flare-ups and making the pain manageable with nonsurgical treatments.

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Diagnosis

Treatment

  • Most back pain gets better within a month of home treatment. However, everyone is different, and back pain is a complex condition. For many, the pain doesn't go away for a few months, but only a few have persistent, severe pain. Over-the-counter pain relievers and the use of heat might be all you need. Bed rest isn't recommended. Continue your activities as much as you can tolerate. Tr…
See more on mayoclinic.org

Clinical Trials

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

Alternative Medicine

  • A number of alternative treatments might ease symptoms of back pain. Always discuss the benefits and risks with your doctor before starting a new alternative therapy. 1. Chiropractic care.A chiropractor manipulates your spine to ease your pain. 2. Acupuncture.A practitioner of acupuncture inserts thin sterilized needles into the skin at specific po...
See more on mayoclinic.org

Preparing For Your Appointment

  • If your back pain persists despite home treatment, see your doctor. Here's some information to help you get ready for your appointment.
See more on mayoclinic.org

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