How would you treat low back pain?

Depends. Low back pain (lbp) is extremely prevalent. As long as the back pain is not associated with 'red flags', it is most frequently managed conservatively: massages, pt for back and core strengthening, and pain management for the cases not responsive to the first two. If all these things fail then surgery can be entertained.
Evaluate the Pain Source First. It is necessary to conduct a good history, physical examination and order any necessary diagnostic imaging (such as x-ray or mri) before a proper diagnosis can be determined. Some treatment options can be but are not limited to: rest, ice/heat, compression, massage, nsaid's, conservative therapy such as physical therapy or chiropractic and/or interventional pain management.
Low back pain. The low back pain can be caused by muscle strain, spinal stenosis, ruptured disc, nerve impingement. .. The treatment depends on the cause of the pain. It might include exercise, massage, accupuncture, physical therapy, medication, injections. .. I recommend you seeking help from a pain management doctor. You might benefit from a comprehensive evaluation and treatment.
Lots of Options. Most low back pain responds well to physical therapy, heat/ice, muscle relaxants, and nsaids (motrin, advil). Trying these in combination can be more helpful than separately. If the back pain continues or worsens, or if your primary doctor sees red flags, you might need to get imaging and see a neurosurgeon or orthopedic spine surgeon.
Physical Exam. Good doctors make diagnoses with physical exam findings, confirm their suspicions with imaging and treat the cause, not symptoms. Bad doctors do everything in reverse.
Pred/melox first. In our spine center (including two pm;r interventional pain specialists and one ortho spine surgeon), over 90% of the cases are managed effectively w/o any surgery. If it were me and I knew the lbp wasn't a "red flag" issue, i'd start with Prednisone 20mg bid for 7 days + Meloxicam 7.5mg bid for 14 days. If no better, consider interventional injection to get quick relief, then possibly pt.
Back pain. A large percentage of back pain issues are muscular and can be treated as such with various modalities including those targeting stress management. For nerve impingments/irritations as with discs ruptures etc., in addition to other modalities and short of surgery one might consider higher dose steroids/steroid injection. One of course presumes a proper diagnostic workup.

Related Questions

Low back pain for years. Can this be treated?

Absolutely. 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.
Ofcourse. Theres always something to do depending upon the cause. Get evaluated by an ortho spine specialist.

Low back pain in morning and restless legs at night. Can low back pain cause restless legs? If so, how can this be treated?

Usually not. The presence of low back pain is usually not felt to be directly related to the condition of restless legs syndrome. That being said, I have seen patients who have back pain and the pain itself seems to aggravate or worsen there leg symptoms. And in those cases, testing their back can help their restless legs.

Does a person with low back pain usually see a orthopedic surgeon or a pain rehab doctor that treats back pain? How long does it take to get a referra

Low back pain. It depends on the severity of pain. Sudden pain with numbness or weakness or tingling in the legs that lasts for more than a week or gets worse would indicate a likely disc herniation. Your pcp should get an MRI prior to referring you to a specialist depending on the MRI findings. Gradual onset of pain might mean arthritis of he spine. Surgery should only be considered after all non surgical.
Is it inflammatory? Inflammatory back pain (ibp) is characterized by stiffness upon awakening, improvement with activity, awakening at night, prompt response to nsaids, and radiation to the buttocks. Ibp can signal the presence of spondyloarthritis, and should be evaluated by a rheumatologist. Pain that is worse with activity, improves with rest, and doesn't radiate is likely due to disc degeneration or overuse.
Either option. Your primary care doctor can help figure it out. Physiatrist are not surgeons thus their expertise is on conservative management. Orthopedic surgeons may also do conservative management but should definitely be seen if surgery might be a solution after conservative treatment fails. In some cases an inflammatory arthritis might be present, then a rheumatogist can help.
I would rec an ortho. Or spine surgeon b cn 1st. Then after proper work up, if he/she recs a pain management clinic, then b cn there.
Pain Doc 1st. Orthopedic surgeon is really only a good option if you think you need surgery or have real neurologic decline that again needs surgery. Most people that see orthopedic surgeon do not get surgery so if he's gonna send you to see a pain rehab guy anyway, why waste that visit? You should be able to see doc within a week.
Neither. 46 y fem w. chronic low back pain had medrol (methylprednisolone) & knees "click"; concern for hypermobile joints w. sacroiliac joint (SIJ) disorder & associated sciatica. Diagnosis made via specific hands-on physical exams. SIJ undetected by all imaging studies. Chiropractors overlook SIJ. Physiatrists oft neglect SIJ eval. Surgeons seek surgical material. P.T.'s discern but not allowed to diagnose. See an Osteopath.

I am 30 years old and I have had 2 back surgeries by the time I was 18 I had been seeing a doctor in town for 7 years and he up and left he treated me with methadone 40 mg a day and xanax 1 mg 3 times a day for my static nerve damage my low back pain and

What is the question. We don't know what your question is. Methadone and Xanax is not a treatment most doctors prescribe these days for low back pain due to any cause. You need to see a pain management specialist and may need to be weaned of Methadone and Xanax both highly habit forming drugs. And you will need the appropriate treatment including physical Therapy and other modalities as indicated.

Low back pain?

Strain. Could be strain, kidney stone, herniated disk among other reasons. See a doctor.
Back pain. The back pain can be caused by muscle strain, spinal stenosis, ruptured disc, nerve impingement. .. If your back pain persists, I recommend you seeing a doctor for evaluation.
Need to be examined. Low back pain can be due to a number of underlying issues from muscle to discs to joints. Your dr can examine you and determine what is causing the pain and they may recommend medications, pt, x-ray, etc.
Several options. Back pain is usually related to arthritic changes to the spine. Sometime back pain can be related to infections, cancer, fractures, or even other organs such as the kidney, bladder, etc. If your pain lasts greater than 2 weeks I would see your physician.
Stretch/Rest. Rest, stretching, learning core strengthening exercises and using nsaids to help are the best ways to help back pain. Otherwise, if it persists see your doctor for other options.
Underlying cause. I am a functional movement specialist. Most cases I see are due to sitters disease or gait (ex; foot position). But you need to identify the origin and rule out more serious causes. Any neurologic issues like numbness in the legs, no muscle weakness, no fever, no urinary pain, fever, genital discharge, acute trauma, insect bites, etc https://www. Youtube. Com/watch? V=8TO8Il3vdxQ.
Low Back Pain. Most LBP is not serious and goes away with time, physio, and simple analgesia. Warning signs include numbness, weakness, urinary or defecating problems, or fever. If you are older or have a cancer that is concerning also. There could be abdominal causes or kidney problems also. If any concerns or symptoms persist you should see your doctor.
Low back pain. About 8 in 10 people have one or more bouts of low back pain. In most cases, it is not due to a serious disease or serious back problem, and the exact cause of the pain is not clear. The usual advice is to keep active and do normal activities and pain killers. In most cases, the pain disappears within six weeks. Http://patient. Info/health/nonspecific-lower-back-pain-in-adults.

I have a low back pain?

Low back pain. Is a common complaint. Most people in the world will experience low back pain at least once during their lives. The good news is that this condition is treatable if diagnosed properly. Back pain often develops without a specific cause. Rec.: see pain management specialist for further evaluation and treatment.
Depends.... Very general complaint and in fact #1 reason for disability worldwide is back pain. It is reassuring that most low back pain is not dangerous or serious. However, if accompanied by other symptoms such as leg pain or bowel/bladder changes or not going away after a few weeks of ice, heat, rest and anti-inflammatories you should see your doctor for a workup.
Several options. Back pain is usually related to arthritic changes to the spine. Sometime back pain can be related to infections, cancer, fractures, or even other organs such as the kidney, bladder, etc. If your pain lasts greater than 2 weeks I would see your physician.
Education/exam. Most cases I see are due to sitters disease or gait (ex; foot position). But you need to identify the origin and rule out more serious causes. Any neurologic issues like numbness in the legs, no muscle weakness, no fever, no urinary pain, fever, genital discharge, acute trauma, insect bites, etc https://www. Youtube. Com/watch? V=8TO8Il3vdxQ https://www. Youtube. Com/watch? V=t6SXiDCMP3E.
Low Back Pain. Most LBP is not serious and goes away with time, physio, and simple analgesia. Warning signs include numbness, weakness, urinary or defecating problems, or fever. If you are older or have a cancer that is concerning also. If any concerns or symptoms persist you should see your doctor.

Why chronic low back pain?

What's low back pain. Unfortunately that is way too vague a question. There are probably several hundred causes of low back pain. Important questions include is it only back pain, does it go down the legs, and when does it occur.
Back pain. The back pain can be caused by muscle strain, spinal stenosis, ruptured disc, nerve impingement. .. Treatment varies depends on the cause of the pain. If your pain persists, you should seek help from a health care provider. You might benefit from a comprehensive evaluation and treatment.
Spine Pain Options. This chronic pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injection.
Several options. Back pain is usually related to arthritic changes to the spine. Sometime back pain can be related to infections, cancer, fractures, or even other organs such as the kidney, bladder, etc. If your pain lasts greater than 2 weeks I would see your physician.

How is low back pain diagnosed?

See below. The first steps are a good history of the back pain, where and when it occurs, how did it start. Questions about family history of a back pain. Then physical examination, then possibly imaging such as xray, ct or mri. After that the doctor will suggest the most likely reason for the back pain and suggest a specific treatment or treatments.
Diagnosis. Exact direction of injury mechanism and symptom constellation suggests which body part of low back & pelvis to examine. Best examination is one that tests each tissue of the body part, i.e., bone, joint, ligament, tendon, muscle, and myofascia; as body part functions in time & space. The direction of gravity acting on body masses stimulates pain transducers & abnormal joint range of motion.
History & Physical. The best method to diagnose the etiology of back pain is a thorough history and physical exam (h&p). Listening carefully to the patient's history and chief complaint can help the clinician focus their efforts. A comprehensive orthopedic and neuro exam can also help pin point anatomic sources of pain and rule out any neurologic compromise. Imaging studies (xr/mri/ct) can help confirm the diagnosis.
Several options. Back pain is usually related to arthritic changes to the spine. Sometime back pain can be related to infections, cancer, fractures, or even other organs such as the kidney, bladder, etc. A good physical exam and possibly imaging can help diagnose the cause of low back pain.

How is lower back pain treated?

Many ways it depend. Treatment could range from Motrin for the minor cases physical therapy, exercise program, work adjustment, restriction of certain activities, injections of steroids, manipulations and all different kind of surgeries.
Get diagnosis. Most cases I see are due to sitters disease or gait (ex; foot position). But you need to identify the origin and rule out more serious causes. Any neurologic issues like numbness in the legs, no muscle weakness, no fever, no urinary pain, fever, genital discharge, acute trauma, insect bites, etc https://www. Youtube. Com/watch? V=8TO8Il3vdxQ https://www. Youtube. Com/watch? V=t6SXiDCMP3E.