There are various causes of back pain, including muscle pain with or without muscles spasms, disc pain, joint pain, or nerve pain.The most common form of low back pain is nonspecific or mechanical, because it lacks a pathological or anatomical cause. Most nonspecific back pain cases are self-limiting, resolve in 4 to 6 weeks.They accounts for cause of an estimated 90% of lumbar complaints.
Identifying risk factors and performing a complete review of systems and detailed physical examination particularly of the musculoskeletal and neurologic systems are essential components of evaluating patients presenting with back pain.
Yon need not need to visit spine specialist for recently started pain unless it is sever or associated with red flag signs. You can take simple analgesic unser supervision of your family physician with cold (initial period) or hot (after 2 days) fomentation. Preferably you should avoid strenuous activities but routing work need to continue as tolerated.
What are red flag signs for back pain?
If your back pain lasts more than two weeks and keeps you from participating in normal, daily activities, see your family physician. You should seek urgent medical care if you have:
♦ Fever associated with back pain
♦ Back pain after trauma
♦ Loss of bladder or bowel control
♦ Loss of strength in your arms and legs
♦ Unexplained weight loss associated with back pain
♦ History of cancer, infection, or fractures that may affect the spine.
These patients should consult and to be seen as early feasible by spine specialist..
What Happens When I Visit a Spine Specialist?
Spine specialist sought thorough history of back problems followd by detailed physical examination. He or she may also test your disability like ODI based on established scoring methodoly . Physical examination includes checking for tenderness, spine range of motion, strength, sensation, and reflexes. Depending on your symptoms, he or she may perform provocative tests like SLR, Crossed leg test to find out what triggers your pain.
If spine specialist suspect some pathology on history or physical examnation, may order imaging studies, such as X-rays, MRIs, or CT scans.Ypu may need electromyography and a nerve conduction study, which assess whether you have muscle and/or nerve problems for your symptoms.
What If I Don’t Want Surgery for My Back Pain?
Fortunately, most people with back pain don’t need surgery.
We at Dr.Spinewala always take conservative approach first.Our unique ecosystem of multidisciplinary tem approach helps patient to gain and suatined it for loger period. Spine consultant assess the patient and find out actualroot cause based on your clinical profile along with imaging studies if needed. He or she does advises some medicine to get relief along with rehabilitation with physiotherpaist. We does offers individualised and ladder approach to patients while scaling therapy before advising for surgery. We offer injection therapy, including epidural injections, joint injections, and nerve blocks and ablation if your back pain fails to improve with the conservative treatments.” Chances are, one of these approaches will help reduce your back pain and improve your function and quality of life.