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What is the treatment for chronic back pain?

I have chronic back pain. What is the treatment for chronic back pain?

18 Answers

Chronic back pain, defined as pain that persists for 12 weeks or longer, even after an initial injury or underlying cause of acute back pain has been treated, requires a comprehensive approach for effective management. The treatment for chronic back pain often involves a combination of methods and should be tailored to your specific needs and situation. Consulting with healthcare professionals is crucial to develop an appropriate treatment plan. Here are some commonly recommended treatments for chronic back pain:

1. **Physical Therapy**: Physical therapists can teach you specific exercises to strengthen the muscles that support your back, improve flexibility, and increase range of motion. Techniques such as posture training, stretching exercises, and pain relief exercises are critical components of a physical therapy program.

2. **Medications**: Depending on the severity of your pain, your doctor might recommend pain relievers, anti-inflammatory drugs, muscle relaxants, or even antidepressants for chronic pain management.

3. **Lifestyle Modifications**: Making changes to your daily activities can help manage back pain. This includes adopting proper posture, learning how to lift objects correctly, maintaining a healthy weight, and staying active.

4. **Pain Management Techniques**: Techniques such as heat or cold therapy, electrical stimulation (like TENS units), and acupuncture can provide relief.

5. **Cognitive Behavioral Therapy (CBT)**: CBT can help manage chronic back pain by teaching coping skills, helping to change the way you perceive pain, and reducing stress.

6. **Massage Therapy**: Massage can help reduce muscle tension and provide relief for chronic back pain, especially when combined with other treatments.

7. **Chiropractic Care**: Some people find relief from chronic back pain through chiropractic adjustments, which aim to improve spinal function and alleviate stress on your system.

8. **Yoga and Tai Chi**: These practices combine gentle movements, postures, and breathing exercises to strengthen the body, increase flexibility, and reduce stress, which can help manage chronic back pain.

9. **Interventional Therapies**: For some cases, procedures like epidural steroid injections, nerve blocks, or radiofrequency neurotomy might be recommended to provide pain relief.

10. **Surgery**: Typically considered a last resort, surgery might be an option if chronic back pain is related to a specific anatomical problem that hasn't responded to other treatments.

It's important to work closely with your healthcare provider to identify the underlying cause of your chronic back pain and to develop a personalized treatment plan. The effectiveness of treatments can vary from person to person, and it may take some time to find the most effective approach for your specific condition.
Hi

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The treatment may involve cupping, scraping, massage, warming, herbal formulas, topicals, and of course needles. Some needles will be placed in the site of the pain, and others more distant, depending on how your back was injured and what other treatments you have had.
Acupuncture is very effective in treating LBP. You need an assessment and treatment plan created by a licensed acupuncturist.
Dr. Leila
That depends on what your diagnosis is after an evaluation.
In Traditional Chinese Medicine (TCM), of which acupuncture is a part of, theres no one way to treat back pain. However the goal with acupuncture/TCM is to make things move energetically. In TCM we believe all pain and illness comes from the bodys energy not moving i.e. stagnation. How to treat any condition depends on the individual practitioners acupuncture approach. In addition to using acupuncture needles, we can use different types of heat, electro acupuncture, dry needling and TCM herbal formulas and much more. So theres no one way to treat pain per se as TCM is a vast science with many solutions to many healthcare issues, especially for a low-grade pain that Western medicine only can offer pharmaceuticals or surgery. The only rule of thumb I suggest is try a Licensed Acupuncturist (LAc) 3 times (5 times maximum) and if theres no change or improvement try another Acupuncturist as not everyone can treat everything. And most importantly, you want a Licensed Acupuncturist who is fully trained in Chinese medicine. Jody Eisemann, L.Ac., NCCAOM Main Office: 9 Mott Ave. Suite 206B Norwalk, CT 06850 www.AcupunctureHealingCT.com (203) 216-2548 jeisemann2@gmail.com
In acupuncture and Chinese medicine, each patient is treated as a whole individual, and thus each case is evaluated individually. Because of this, back pain will be treated differently for each person. Treatments may include the use of needles, moxa (a type of heat therapy), and cupping. Richard Richard Mandell, Lic.Ac. Licensed Acupuncturist Brookline Community Acupuncture www.brooklinecommunityacupuncture.com
The treatment depends on the cause.  Low back pain can be due to a number of causes.  If it's muscular,  acupuncture and massage are usually very helpful.  Self care,  such as stretches, infra red sauna, and hot/cold packs is also indicated.
Acupuncture is great for chronic back pain! It's the number one reason people seek acupuncture care and there is a lot of evidence showing that acupuncture is efficacious for treating this. There are many other treatments for chronic back pain as well, depending on the etiology of the back pain.
Weight loss, core strengthening, decreased stress, and muscle flexibility are all mainstays of treatment.
You can use acupuncture for your chronic back pain, it works well.
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Depending on patients constitution and the origin of pain
We will exam 1st. Then provide dry needling 1st. Patients will find instant results in general.
Depending on patients’ medical histories and conditions, each patient will have different responses. Patients will have to follow up in 3-7days depending on severity.
Patients will be examined again on how much difference they have experienced since the initial acupuncture treatment.
Then we can give patients a plan for symptomatology.
If we find limitations in improvements, we will apply different plans as a holistic approach.
Acupuncture can treat chronic back pain.
If your back pain is chronic, you will need multiple sessions per week for a period of time. Then you can decrease sessions to once a week once it is under control. You need a private consultation to discuss your pain issue.
There are multiple treatments for low back pain usually patients are started on conservative management with physical therapy and medications which can include a muscle relaxer anti-inflammatory and anti-convulsants/TCA for neuropathic pain medication a.k.a. gabapentin. If the patient fails conservative management, treatment can then escalate to interventional procedures such as epidurals, medial branch blocks, etc.
A lot will depend on why you're experiencing chronic back pain. Do you have an xray or MRI showing spinal degradation/stenosis/arthritis/some other spinal issue? Have you tried other treatment or surgery for this problem?

Acupuncture can often provide relief in cases of low back pain. Physical therapy can help. Sometimes chiropractic adjustment will ease the pain. Massage can be beneficial. Yoga or any structured exercise program that strengthens the core can help tremendously. Eliminating/reducing/avoiding activities that tend to provoke severe pain can go a long way.

Sometimes it takes one or two items from the above list. Sometimes it takes one or two items from above along with conventional pain management (epidural or prescription medication).