Living with chronic back pain presents ongoing challenges that can disrupt daily life. Whether pain is constant or flares up with specific movements, many find themselves searching for relief that lasts.
A range of treatments is available, from surgical options to minimally invasive therapies. Understanding the following treatment options may help you have more effective conversations with healthcare professionals:
Epidural Steroid Injections
Some individuals get relief from back pain with epidural steroid injections. These injections deliver medicine directly into the space around the spinal nerves. The steroid aims to reduce inflammation, and the numbing medication provides temporary comfort.
This option does not address the root cause of the pain, but it may improve mobility and function for a short period.
Many use this treatment alongside other therapies such as physical therapy or exercise. A healthcare provider will typically suggest a limited number of these injections per year.
Lumbar Spine Surgery
Some people explore lumbar spine surgery when other therapies offer limited improvement. This surgery targets the lower back, where problems like herniated discs or spinal stenosis often develop. The goal is to relieve pressure on nerves or stabilize parts of the spine.
Techniques vary, including discectomy (removing a herniated part of a disc), laminectomy (removing part of the vertebra), or spinal fusion (joining two or more bones).
Recovery times differ, and physical therapy often plays a role in regaining strength and flexibility afterward. Discussing risks, benefits, and recovery expectations with your orthopedic surgeon helps you make informed choices.
Spinal Cord Stimulation
Another option for some with persistent back pain is spinal cord stimulation (SCS). This treatment involves inserting a small device under the skin, usually near the lower back.
The device sends mild electrical pulses to nerves in the spinal cord. These pulses interrupt pain signals before they reach the brain, which may reduce the sensation of discomfort.
Spinal cord stimulators often come with a trial period. During this phase, you work with a specialist to determine how well the device helps. If the test offers promising results, a permanent device may be implanted. Regular follow-ups check that the stimulation provides ongoing support.
Nerve Blocks
Nerve blocks involve injecting medicine close to specific nerves thought to be involved in ongoing pain. This approach can offer temporary relief by interrupting pain signals for days or weeks.
Some patients use nerve blocks to help diagnose which nerves contribute most to their symptoms, while others use them before beginning longer-term treatments.
The effectiveness and duration of relief from a nerve block depend on the individual and the underlying problem. This method is usually one part of a broader pain management plan.
Find an Orthopedic Clinic for Back Pain
Managing chronic back pain often means using multiple strategies at once. Each treatment has its own potential benefits and limitations. Work closely with your healthcare team to map out the options best suited for you, taking into account your health history and current needs.
Exploration, patience, and persistence can lead to an improved treatment plan. Ongoing communication with your providers gives you the best chance to find what works for you. Schedule an appointment with an orthopedic surgeon near you.
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