Back Pain Treatments Recommended by Specialists

back pain treatment

Almost everyone, from the less physically inclined to professional athletes, suffers from back pain at one time or another. In order to prevent back pain, it is important to understand the various back pain causes, such as sleeping on an unsupportive mattress, carrying heavy objects and overdoing it during exercise. A specialist or chiropractor can pinpoint the cause of a patient’s back pain and create a personalized treatment plan.

Back Pain Causes

Worn and torn muscles and tendons are responsible for the majority of back pain. Therefore, patients should openly share all relevant information that can help their doctor determine the cause of pain. The doctor will also need to know about any physical activity in which the patient is engaged as well as his family medical history. A few reasons for back pain include:

  • Age
  • Aortic Aneurysms
  • Lifestyle choices
  • Some cancers
  • Osteoporosis

Certain physical activities are linked to back pain, like:

  • Lifting heavy items
  • Moving suddenly
  • Overexerting the body
  • Playing sports
  • Slipping and falling

Back Pain Types

In some cases, the severity of pain from a back injury makes it hard to focus on anything else except getting back pain relief. A back pain specialist can tell exactly from where the pain originates. Back pain can occur in the:

  • Flank
  • Lower back
  • Upper back

Back Pain Evaluation

A back pain specialist will use multiple clinical tests during an evaluation. The results show him where the pain source is located, allowing the specialist to treat the injury and provide back pain relief.

Straight leg raises and contralateral straight leg raises are two such tests. During the straight leg raise, the physician lifts the patient’s leg by 60 degrees to determine whether or not the patient feels sciatica pain. The contralateral test tells the doctor that the patient may have a herniated disc.

The FABER test requires the patient to lie bend the knee while he lies on his side, and the femoral stretch is conducted while the patient is on his stomach, raising his leg. Another test is called the spinal stretch. During this test, the patient is in the standing position while he leans over to touch his legs.

Back Pain Treatment

Although it can hurt, physical treatments will lower the patient’s level of back pain. There are several treatments recommended by specialist. When coupled with chiropractic visits, these treatments effectively help decrease back pain.

Known as the emergency position, this treatment exercise requires the patient to lie on his back while elevating the legs. After getting into place, all the patient needs to do is relax. A similar exercise is the sitting position. This position should only be done while sitting on a hard surface, and the patient should refrain from slouching.

Putting an ice pack on the back is another doctor-advised treatment. While lying on the back, the patient should place an ice pack on the injured area for 10 minutes. Afterward, he should rest his torso on propped elbows for several minutes to stretch the back. Finally, the patient can lie on his stomach for a a few more minutes. These treatment steps should be repeated for an entire hour per day.

Lastly, those whose job involves sitting at a desk will benefit from the workstation position. To perform this treatment, the patient needs to sit in a lumbar-support chair that forces the body to stay upright, which improves the posture and relieves back pain.

Back Pain Prevention

People who already have back pain should refrain from lifting all objects if possible. Any course of treatment necessitates back rest. However, if there is no way to avoid lifting objects, the best lifting method involves picking up an item using only leg strength while keeping the back straight as opposed to bending over and lifting the object. Use of the correct lifting method will prevent further back injuries.


In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)


Complete tear of rectus femoris
with large hematoma (blood)


Separation of muscle ends due to tear elicited
on dynamic sonography examination

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