Treatment will depend on the seriousness of your condition. Some problems need immediate attention-possibly even surgery. The vast majority of back problems do not require surgery. Treatment for your back may be as simple as reassuring you that it is not a serious problem and doing nothing but watching and waiting. In most cases, simple therapies, such as mild pain medications and rest are effective in relieving the immediate pain.
The overall goal of treatment is to
make you comfortable as quickly as possible
design a spine-care program to reduce further degeneration
get you back to normal activity in a timely manner
The more you know about how your back works and what you can do to prevent further injury, the more effective your program will be.
Immediately after a back injury, rest is often all your back needs to feel better. Rest is used to take the pressure off your spine and the muscles around it. You should rest in a comfortable position on a firm mattress. Placing a pillow under your knees can also help relieve pain. Do not stay in bed for several days. Bed rest for more than two or three days can weaken the back muscles, making the problem worse instead of better. Even though you may still feel some pain, a gradual return to normal activities is good for your muscles. In most cases of sudden back pain, the sooner you start moving again, the sooner your back pain will improve. If you are sent to see a physical therapist, the first few days may be spent educating you on ways to take stress off the back, while remaining as active as possible. Short periods of rest combined with brief exercises designed to reduce your pain may be suggested.
Physical Therapy and Exercise
Your doctor may have you work with a physical therapist. A well-rounded rehabilitation program assists in calming pain and inflammation, improving your mobility and strength, and helping you do your daily activities with greater ease and ability.
Therapy visits are designed to help control symptoms, enabling you to begin moving and exercising safely and easily. Regular exercise is the most basic way to combat back problems. Consider it part of long-term health management and risk reduction program. Exercises focus on improving strength and coordination of the low back and abdominal muscles. The emphasis of therapy is to help you learn to take care of your back through safe exercise and self care when symptoms flare up. Therapy sessions may be scheduled two to three times each week for up to six weeks.
The goals of physical therapy are to help you
learn ways to manage your condition and control symptoms
maintain appropriate activity levels
learn correct posture and body movements to reduce back strain
maximize your flexibility and strength
An epidural steroid injection (ESI) can be used to relieve the pain of stenosis and irritated nerve roots, as well as to decrease inflammation. Injections can also help reduce swelling from a bulging or herniated disc. The steroid injections are a combination of cortisone (a powerful anti-inflammatory steroid) and a local anesthetic that are given through the back into the epidural space. ESIs are not always successful in relieving symptoms of inflammation. They are used only when conservative treatments have failed.