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Blog Images When Can a Doctor Help Your Back Pain? When conservative treatment for low back pain does not provide relief, surgery may be needed. One may be a candidate for surgery if:
Arts & Life More Related Topics Acute back pain comes on suddenly but improves over time; chronic pain worsens and can last months. If you don’t feel better after three to four days, see your primary care physician. She may refer you to a neurologist or a neuro­surgeon if the pain is nerve related; an orthopedist, osteopath, or chiropractor for musculoskeletal problems; a rheumatologist for joint problems; or a physical therapist or physiatrist for rehabilitation exercises. Back specialists typically recommend one or more of the following strategies:
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Advertise My Activities Earn Money Account Access To correct this, we have to train the muscles properly so they will react in time again. A physical therapist will teach you stretches to manage your back pain, as well as exercises to correct any imbalances that might have brought on pain in the first place. Depending on the causes and severity of your back pain, your PT may also employ other treatment techniques, such as ultrasound, electrical stimulation, and active release therapy.
Repairing spinal joint “misalignment” is an easy idea to sell … but it’s hard to actually do! Chiropractors often can’t even agree on which joints need “adjusting” — even with only five lumbar joints to choose from.
Address correspondence to Brian A. Casazza, MD, University of North Carolina School of Medicine, 101 Manning Dr., CB#7200, Chapel Hill, NC 27599-7200 (e-mail: brian_casazza@med.unc.edu). Reprints are not available from the author.
Editions 5 Ways Chiropractors Relieve Their Own Back Pain Well, at least there’s that! But most of what CR published was horrifyingly naive and misleading. I scanned this issue in a grocery store lineup and was rolling my eyes within seconds. And then fuming: it seems like the flood of misinformation about back pain is infinite! I’ve been actively debunking back pain myths for about 15 years now, and the need for it has barely changed in all that time. So-called information like this, reaching a massive audience, seriously exacerbates the problem.
Jump up ^ A.T. Patel, A.A. Ogle. “Diagnosis and Management of Acute Low Back Pain”. American Academy of Family Physicians. Retrieved March 12, 2007.
Mauro GL, Martorana U, Cataldo P, Brancato G, Letizia G. “Vitamin B12 in low back pain: a randomised, double-blind, placebo-controlled study.” Eur Rev Med Pharmacol Sci. 2000 May-Jun;4(3):53-8.
Subscribe to Parents National Collaborating Centre for Primary Care (January 13, 2011), “ACR Appropriateness Criteria low back pain”, Agency for Healthcare Research and Quality, American College of Radiology, retrieved 9 September 2012
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Arthritis of the spine—the gradual thinning of the cartilage inside the spine 18 Comments Oh, I get those too! I do not host public comments on PainScience.com for many reasons, but emailed constructive criticism, factual corrections, requests, and suggestions are all very welcome. I have made many important changes to this tutorial inspired directly by critical, informed reader feedback.
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Consider referral for physical therapy (McKenzie method and/or spine stabilization) if not done at initial visit
Sexual health 6.2 Medications A skilled chiropractor manipulates or adjusts your spine and other joints, reducing pain and improving function. May also include soft tissue therapies, exercises, and daily activity instruction.
Citations 2 Search What to Do If You Lose Insurance Maps 5.0 out of 5 starsThe book has great explanations about the differences in low back pain
Symptoms & Complications Topics A-Z Slideshows Images Quizzes Medications Medical Dictionary Jump up ^ Burke GL (2008). “Chapter 5: The Differential Diagnosis of a Nuclear Lesion.”. Backache: From Occiput to Coccyx. Vancouver, BC: MacDonald Publishing. ISBN 978-0-920406-47-2.
A consumer’s guide to buying therapy and medical care for low back pain Generators More Things to Do Consumer Alert
Pain Medications Forum Spinal stenosis develops when the spinal canal or a nerve passageway abnormally narrows. Back pain that doesn’t start to get better within a few days

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If you can’t take NSAIDs, alternative medicines such as codeine may help. This is a stronger painkiller that should ideally only be used for a few days, as it can cause addiction if used for longer.
It’s important to talk with your doctor when your back pain starts to interfere with your daily life. Help is available so you can enhance your mobility and reduce the days you are in pain.
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To treat back pain, first consider taking an over-the-counter pain medication like ibuprofen. Aging. Readers Comments 44
MedlinePlus: 007422 eMedicine: pmr/73 To solve your lower back pain when standing you should correct these two things:
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What causes back pain during pregnancy? Spine Specialists Jump up ^ van Middelkoop M, Rubinstein SM, Verhagen AP, Ostelo RW, Koes BW, van Tulder MW (2010). “Exercise therapy for chronic nonspecific low-back pain”. Best Pract Res Clin Rheumatol. 24 (2): 193–204. doi:10.1016/j.berh.2010.01.002. PMID 20227641.
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