Doctor insights on:
What Is The Best Treatment For Severe Back Pain
Lower Back Pain: Conservative therapy works well for most patients with lower back pain. The use of prevention is the best - exercise, stretching, and strengthening. During the acute phase of pain - nsaids or acetaminophen, if not contraindicated, and heat and/or ice, usually work well. ...Read moreSee 2 more doctor answers
See below: Low back pain is often a chronic condition. There are many conservative treatment options including medication, therapy, and sometimes injections. Surgery would be a last resort. Often the best way to treat chronic pain is to work on posture, exercise, modify diet. Seeing a physician would be recommended to discuss these options. ...Read moreSee 1 more doctor answer
No "best": There is no best medication for back pain. Some people do well with tylenol, (acetaminophen) others do well with anti-inflammatories, muscle relaxants, nerve pain agents and many others. In my opinion the best treatment for back pain is to try to get moving again as best you can as well as a series of stretching and core strengthening exercises. My favorite for all of these things is yoga. ...Read more
MUSCLE PAIN: Best treatment would be to have a full evaluation by a neurologist to understand what specifically contributes to the muscle problems. Then that cause is treated directly if possible (sometimes with antispasmodics or anti-inflammatories). ...Read more
Options: You have multiple options, the mainstay of treatment are interdisciplinary and include physical therapy, acupuncture, medications (anti-inflammatories, nerve pain agents) and epidural steroid injections. Depending on your response surgery may need to be considered. There continue to be emerging technologies to treat sciatica in a minimally invasive fashion. ...Read moreSee 2 more doctor answers
Several ways: You must be proactive in terms of lifestyle changes including: weight control, regular exercising & not smoking. Make sure to have adequate sleep & good vitamin d/calcium intake. Most people remain functional without spine surgery for back pain. You may need additional treatment that may include physical rherapy, medication as well as possible pain management techniques. Back support can help. ...Read more
Consider eval: Stretching, heat from a shower or heating pad (don't get burned), massage, & acupuncture can help. Nonsteroidal anti-inflammatory drugs (NSAIDS) can help with both pain relief and in reducing inflammation. Examples are ibuprofen (like Advil, Nuprin or Motrin), Naproxen sodium (like Aleve, (naproxen) Naprosyn, Anaprox) or Asprin (such as Bayer, Ecotrin, Ascriptin). Avoid NSAID's if pregnant or allergic. ...Read moreSee 1 more doctor answer
Evaluation: When trauma is sustained to the back, it is important to be seen either in the er or with a spine specialist. Most traumatic injuries to the back, are minor, yet quite painful. It is important to get x-rays to rule out fractures in trauma. If there are issues with mobilization or neurologic issues, additional treatments may be necessary. ...Read moreSee 2 more doctor answers
Depends on the cause: Your pain could due to trauma (fracture, sprain, arthritis, inflammation), infection, metabolic conditions (gout), poor circulation, musculoskeletal or biomechanical abnormality and different neurologic conditions (neuropathy). A thorough history and physical exam and possibly some laboratory and radiology exams are needed to determine the exact cause. ...Read moreSee 1 more doctor answer
See below: First step is education and trying to unlearn some popular misconceptions about back pain. Next engagement is some type of physical exercise is key. Use of physical therapy, massage, yoga, stress reduction and mind-body techniques are also very helpful. Try to decrease over-reliance on medications, particularly narcotic medications which appear to be rather ineffective and do more harm than good. ...Read moreSee 1 more doctor answer
Wound care specialis: See a wound care specialist or center because pressure sores may require a multi-disciplinary team to enhance nutrition, control contributing systemic or local disease, institute physical therapy, recommend appropriate medical regimens or treatment protocols including possible surgery. ...Read moreSee 1 more doctor answer
Options: Otc meds such as Ibuprofen or Naproxen can be very effective in relieving back pain when used regularly for a short period of time. These are usually paired with stretching and strengthening back exercises. Physicial therapy is also an option. Injections of pain medications can also help in the right scenario. Surgery may also be necessary dependng on the cause of the pain. ...Read more
Lifestyle changes: Not smoking, weight control and regular exercise are the key ones. Modifying activity that aggravates the back, trying a back support and use of medication if not medically contraindicated can also make a difference. Physical therapy and injections through pain management may help. Most are treated non operatively. ...Read more
See a rheumatologist: There's no one best way to manage arthritis pain or achieve pain relief.Once a diagnosis of arthritis has been made, effective management of arthritis involves three specific strategies: 1) Patient education, 2) Body rehabilitation, and 3) Pharmacological (medical) management. See a rheumatologist for evaluation and professional management. ...Read more
Ibuprofen/tylenol: Alternating 3 Ibuprofen with 2 tylenol (acetaminophen) at 3 hour intervals gives almost narcotic levels of pain relief without the complications of narcotics. Assuming you can tolerate Ibuprofen and don't exceed the maximum daily dosage for either medication, there is a synergystic effect. ...Read moreSee 2 more doctor answers
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