Back Pain Management Unit

Back Pain Treatment Hospital in Mumbai, India

About 80% of adults in India experience back pain at some point in their lifetime. It can be due to many reasons such as poor posture, sedentary lifestyle, injuries, acquired conditions and diseases, infections, tumours, etc.

The Back Pain Management Unit Nanavati Max Super Speciality Hospital offers comprehensive services to manage back pain varying from simple lower back pain, caused by a range of sprains and strains to acute and chronic back pain that may last for a few weeks or months. We specialize in treating back pain even after an initial injury or uprooting the underlying cause of low back pain.

Types of Back Pain

There are three main types of back pain based on the duration of a day to 12+weeks. This includes:

- Acute pain

- Subacute pain

- Chronic pain

Natural Progression

If the back pain of a patient is not treated on time, it can become adverse over time and turn into a chronic one.

Signs and Symptom of Back Pain

The symptoms of back pain include the following:

- Dull, aching sensation present in the lower back

- A shooting pain radiating to the leg and foot

- Experiencing pain while standing up

- Decreased range of motion

Causes of Back Pain

The most common causes of back pain include the following:

- Strain and structural problems

- Arthritis especially spinal osteoarthritis

- Osteoporosis

- Kidney infection

- Fungal or bacterial infection

Possible Complications of Back Pain

Back pain has certain possible complications including the following (if not treated on time):

- Increased chances of getting affected with diabetes, cardiovascular disease, arthritis, and obesity due to reduced physical activity influenced by back pain.

- Chronic back pain leads to depression and anxiety.

Treatment for Back Pain

Most simple back pain can improve with self-care and OTC medication while acute or chronic pain that lasts longer requires more specific treatment. Depending upon a patient’s condition we offer various pain management techniques and treatments:

Non-invasive, non-drug pain management

  • Exercise:Physical activities such as cardio, yoga, and tai chi helps in strengthening the muscles, and flexibility, and restore normal motion. A doctor will design a patient-centric exercise plan to help them recover quickly.
  • Manual Techniques: Such as massaging the joints, muscles, and ligaments to relieve muscle tension and improve pain.
  • Behavioural Modification: To optimise a patient’s response to back pain and painful stimuli some techniques are used to reduce the pain. These include
    • Relaxation techniques
    • Coping techniques
    • For symptomatic improvement, learning to control muscle tension, blood pressure, and heart rate
  • Superficial Heating Or Cooling Of Skin:This technique involves the use of cold packs and hot packs alternatively on the affected area to relieve lower back pain.
  • Electrotherapy:Transcutaneous Electrical Nerve Stimulation (TENS) is one of the most commonly used therapies that aim at reducing back pain by using a low-voltage electric stimulation, which interacts with the sensory nervous system. The process yields positive results in managing back pain. However, TENS is not recommended if you are pregnant, have a history of epilepsy or heart disease, or use a pacemaker.

Non-Invasive Pharmacologic Pain Management

If a patient does not experience any relief with non-drug pain management then a doctor may advise taking medication along with physical therapy. These medicines include:

  • Over-The-Counter (OTC) Pain Relievers:These are Nonsteroidal anti-inflammatory drugs (NSAIDs), which help in relieving pain instantly. OTC medications include ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve)
  • Muscle Relaxants
  • Topical Pain Relieverssuch as creams, salves or ointments
  • Narcotics:Drugs containing opioids such as oxycodone or hydrocodone
  • Antidepressants:Tricyclic antidepressants (such as amitriptyline)
  • Injections: When OTC medicines don’t work a doctor may inject cortisone — an anti-inflammatory medication inside the patient’s body for relieving the pain and inflammation.

Invasive pain management

If the above-mentioned treatments fail to provide relief over a course of time and unrelenting pain persists then a doctor might recommend surgery. The common surgeries for back pain management include:

For chronic back pain management, the best plan is often a mixed treatment designed by the doctor according to a patient’s condition. Surgery is only an option when a patient has a medical reason for pain such as sciatica or a slipped (prolapsed) disc, and other treatments don’t work.

Precautions for Back Pain

Here are the ways to prevent back pain:

- Exercise regularly and perform back-strengthening exercises properly.

- Consume fresh green leafy vegetables and fruits regularly.

- Sleep for at least 7-8 hours every day.

- Choose some activities that will prevent back pain.

- Quit smoking.

Prognosis

Most the patients recover within a few weeks if the patients receive timely diagnosis and treatment.

Diagnosis and Typical Test for Back Pain

  • X-rays
  • MRIs
  • CT scans
  • Blood Tests
  • Radionuclide bone scan
  • Electromyogram (EMG)
  • Nerve Conduction Studies (NCS)

 The tests are recommended according to the condition that has affected the patient with the current health state.

Pathophysiology

Certain molecular and genetic factors are responsible for back pain. Also, intervertebral disk-related disorders are also related to causing such back pain including pain that mainly affects the lower back. It is considered that cytokines such as nitric oxide, matrix metalloproteinase, phospholipase A2, and tumour necrosis factor also contribute to back pain development over a period of time.

Our Medical Experts

If you are facing any similar signs or symptoms please contact the Nanavati Max team to schedule an appointment at : +91 22 6836 0000

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