BackPainBackpain causes can be divided into several categories:
Lumbar Back Sprain/Strain "Pulled Muscle"
You can ease your pain by using ice or resting. Many patients benefit from non-steroidal anti-inflammatories (if well tolerated always ask your pharmacist and check the label for any contra-indications). At the Advanced Pain Relief Clinic in Milton Keynes we can help you with chiropractic spinal joint manipulation or massage as well as acupuncture. This can be a very quick and effective way of easing your pain. We will prescribe back exercises as soon as this is appropriate. These physiotherapy and Pilates exercises will help you increase your activity as tolerated. One of the aims will be to increase your range of movement.
We see lumbar sprains very frequently and can help with a variety of treatments such as acupuncture, chiropractic or rehabiliation exercises.
Lumbar Facet Dysfunction/ Syndrome
Spinal manipulative therapy can make an amazing difference to this painful condition. It helps by freeing the entrapped cartilage (meniscoid). Many patients feel immediate muscle relaxation after having the chiropractic treatment. It is important to emphasise that chiropractors have a much deeper understanding of the spine and how to manipulate as the training goes a lot further than training of other physical therapists who learn their techniques in short post-graduate courses which are often weekend courses whereas most chiropractors have done a 4-5 year full time university education focusing on the lumbar spine and back.
At the Advanced Pain Relief Clinic in Milton Keynes we have been providing chiropractic and acupuncture since 2001. Acupuncture has been proven to work on the spine and the Nervous System by inducing a number of modulating hormones.
Lumbar hypermobility or Instability
Core exercises, physiotherapy exercises such as Pilates exercises will increase the stability of the hypermobile segments and spinal manipulation to stiff segments will help. Acupuncture can provide pain relief and will allow the patient to start doing appropriate exercises.
Very specific manipulation can improve the biomechanics of the spine and physiotherapy and core exercises will help with pain control. X-rays or MRI scan are indicated to see what grade the slippage is and if there has been any nerve root irritation.
Lumbar Disc Herniation
Often there are decreased reflexes or there is decreased strength and pins and needles or numbness are felt. An MRI is the diagnostic tool of choice to highlight the disc herniation often this will show the nerve root being pinched or impinged. It is crucial to not miss Cauda Equina Syndrome: there are bowel and bladder symptoms such as urine retention, incontence, impotence or numbness or pins and needles in the saddle area and anal sphincter looseness. This is a medical emergency.
Different types of treatments can provide some pain relief and it is estimated that 80% of patients will improve with conservative treatments.
The National Institute of Excellence (NICE) has recommended Acupuncture, Chiropractic or Osteopathic spinal manipulation and a tailored exercise programme as being proven to be effective for backpain (please see https://www.nice.org.uk/guidance/NG59).
This recommendation was based on existing evidence-based research that is available. The Bronfort report further recommended Chiropractic as a proven treatment.
Both Acupuncture and Chiropractic have further been shown to be safe treatments with low incidences of side-effects and few contra-indications.