12 doctors weighed in:

Please give some suggestions to ease back pain.

12 doctors weighed in
Dr. Kevin Considine
Family Medicine
7 doctors agree

In brief: Depends

If you are getting recurrent common back pain and discomfort then it could be a sign of weak core muscles in back and abdomen.
Also it could be due to poor lifting mechanics etc as well. If it persists see you doctor, otherwise recommend yoga or pilates as exercise regimens to help with your back. Also wear good shoes and sleep on a supportive mattress and use tylenol (acetaminophen) +/- Ibuprofen for otc relief.

In brief: Depends

If you are getting recurrent common back pain and discomfort then it could be a sign of weak core muscles in back and abdomen.
Also it could be due to poor lifting mechanics etc as well. If it persists see you doctor, otherwise recommend yoga or pilates as exercise regimens to help with your back. Also wear good shoes and sleep on a supportive mattress and use tylenol (acetaminophen) +/- Ibuprofen for otc relief.
Dr. Kevin Considine
Dr. Kevin Considine
Thank
Dr. Charles Miller
Orthopedic Surgery
2 doctors agree

In brief: Hate to be judged

Any physician should be able to take a history and perform a physical exam, recommend appropriate studies, and come up with a differential diagnosis.
A disposition based on evaluating this information in conjunction with training and experience can then be arrived at. I am an orthopedist, not a "hack" or an "ogre" and i generally refer to physiatrists, both md and osteopaths i trust, not cynics.

In brief: Hate to be judged

Any physician should be able to take a history and perform a physical exam, recommend appropriate studies, and come up with a differential diagnosis.
A disposition based on evaluating this information in conjunction with training and experience can then be arrived at. I am an orthopedist, not a "hack" or an "ogre" and i generally refer to physiatrists, both md and osteopaths i trust, not cynics.
Dr. Charles Miller
Dr. Charles Miller
Thank
3 comments
Dr. Laurence Badgley
If Orthopedists in the United States would learn about normal and abnormal function of the sacroiliac joint, which the medical literature identifies as the generator of between 10-30% of chronic low back pain, they would be a valued referral source. SIJ disorder is a non-inflammatory disorder. Study the publications of Dr. Andry Vlemming. SIJ disorder does not involve fracture lines.
Dr. Laurence Badgley
The Occupational Disabilities Guidelines, ODG, is an excellent resource to study the methods of diagnosis of sacroiliac joint disorder, and about 10 clinical signs are referenced. The "gold standard" study to confirm disorder is the fluoroscopic guided diagnostic block of the sacroiliac joint and any doctor can order it.
Dr. Cheryl White
Pain Management
2 doctors agree

In brief: Back Pain answer

Get a thorough evaluation by a reputable chronic pain specialist (not a surgeon as the first line of attack).
Find out specifically what is causing the pain then treat it. Do not mask the pain with medications since that will not enhance your life, but rather treat the root cause with as minimally invasive treatment as is possible. Start the journey today.

In brief: Back Pain answer

Get a thorough evaluation by a reputable chronic pain specialist (not a surgeon as the first line of attack).
Find out specifically what is causing the pain then treat it. Do not mask the pain with medications since that will not enhance your life, but rather treat the root cause with as minimally invasive treatment as is possible. Start the journey today.
Dr. Cheryl White
Dr. Cheryl White
Thank
Dr. Laurence Badgley
General Practice

In brief: See Osteopath

Chronic back pain in late teenager absent mechanical injury suggests spondylolisthesis.
If extreme sports enthusiast then sacroiliac joint disorder is of concern & commonly sciatica to thigh & knee associated. An MRI can rule out lumbar spinal nerve root irritation. Degenerative disk disease (ddd) diagnosis would be incorrect & abborhent. Osteopath or physiatrist can diagnose. Avoid orthopedists!

In brief: See Osteopath

Chronic back pain in late teenager absent mechanical injury suggests spondylolisthesis.
If extreme sports enthusiast then sacroiliac joint disorder is of concern & commonly sciatica to thigh & knee associated. An MRI can rule out lumbar spinal nerve root irritation. Degenerative disk disease (ddd) diagnosis would be incorrect & abborhent. Osteopath or physiatrist can diagnose. Avoid orthopedists!
Dr. Laurence Badgley
Dr. Laurence Badgley
Thank
3 comments
Dr. Laurence Badgley
Having been a Workers Compensation doctor for over two decades, I have interacted with numerous Orthopedic Surgeons and Orthopedist claim reviewers.  I have discovered that by and large their appreciation of biomechanics of the sacroiliac joint, the largest joint in the axial spine (each  17 square centimeters) is wanting.  Many have opined that the joint is immobile and inured to all but the most forceful of mechanical injuries.  Absent a fracture line, cases are often advised to have a SPECT scan, despite medical literature regard that sacroiliac joint disorder is a non-inflammatory process.  The medical literature is of one mind that no imaging studies, MRI and CT scans included, can discern sacroiliac joint disorder.  Sacroiliac joint disorder is a mobility disorder, and all imaging studies, except for fluoroscopy which has failed as a diagnostic tool, are "snap shots".  The fluoroscopic guided diagnostic block of the sacroiliac joint is regarded, in the medical literature, as the "gold standard" study to diagnose sacroiliac joint disorder.  I have never been witness, with one exception, to an Orthopedist ever ordering this study.  Orthopedists are commonly ill informed that the medical literature has long referenced the sacroiliac joint to have a normal range of motion, and that the sacroiliac joint can be permanently injured by mundane mechanical injuries such as falls from standing height and common lifting injuries.  Unfortunately, due to the esteem our culture provides to Surgeons, the limited diagnostic ruminations of Orthopedic Surgeons can, and commonly do, lend finality to furtherance of patients' diagnostic work-ups.  The Occupational Disability Guidelines (ODG) and publications of Dr. Andry Vlemming, the doctor chosen by the European Union to develop criteria (published in "Spine") for diagnosis and treatment of chronic low back and pelvic pain, should be required reading for any physicians who specialize in disorders of the low back and who render opinions about chronic low back pain.  In my opinion. 
Dr. Charles Miller
Well written essay. Obviously you only find what you look for and recognize what you know. To take a wider view of the question, "back pain solutions?" The etiology is not uncommonly other than musculoskeletal. Renal colic, shingles, psoas abscesses, and abdominal, or other dermatological etiologies can also be a source of back pain. These other possibilities may not even be related to a workers compensation claim.
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