Drug free therapy is always the first port of call.
Unfortunately, as necessary as pain meds may be for the very short term, we believe in correcting the source of the problem and not masking the symptoms, as pain meds will often do. This approach gives the patient a better long term outcome, which is always the primary goal.
I hope you found this explanation helpful.
Chiropractors do not prescribe medications. Though many do use homeopathic, natural or herbal products for inflammation or pain control. It just depends on the specific Chiropractor as to what they recommend. With back pain many causes are mechanical causes which Chiropractors can actually correct. If your problem is not one that is appropriate for Chiropractic Treatment then they will refer you to the appropriate provider. But in any case, the Chiropractor is looking to address the CAUSE of your pain. The pain management doctors are interested in pain and symptom control. They will prescribe medications to mask the symptoms for you with anything from oral meds, injections to epidurals. But they are not addressing the cause of your symptoms, just the presentation of what symptoms you have. I would suggest seeing a good Chiropractor first to evaluate your Back Pain and then if your case warrants further pain control or specialist referral then the Chiropractor can help you get to the appropriate provider.
I can tell you though that in the 19 years of my practicing, I have had to refer out only a very small percentage of my patients for other specialist treatment, especially with back pain. Most causes can be successfully handled by a qualified Chiropractor.
I wish you the best,
Dr. Ryan Hanson, DC