Chronic Lower Back Pain
Occurrence of chronic lower back pain begins after a spine injury such as a strained muscle, sprained ligament or herniated disc. Once the damage has been cured, the ache simply vanishes. Albeit, health experts found out that such episode can sometimes trigger nerve cells alteration that transmits the signals. This results in a kind of “hypersensitivity” that persists proceeding after the trauma has been healed.
With such happening, the chronic lower back pain transforms into a disease more than just a symptom of an underlying spine injury. “Hypersensitivity” can continue to create bouts even if there is no havoc that factored the twinge.
With such, it is a must that those people who have been entertaining the said condition have maintain a rehabilitation program to minimize future episodes of any stingy sensations.
Chronic Back Pain Medications
A wide range of drugs are available for the treatment of chronic pain. Most commonly used are aspirin, acetaminophen, and the anti-inflammatory drugs like ibuprofen. Then there are the more powerful narcotic analgesics, such as morphine and codeine.
People respond to these differently and there is no one medication that is right for everybody. Only a physician who knows your medical history and what other medications you might be taking is truly qualified to make the best recommendation for you.
And, after beginning to take one, it is important to keep your physician updated on their effectiveness, not only if they are working or not, but also about any side effects you might experience.
Do not fall into the trap of thinking that a lack of effectiveness or the experience of side effects are things that must be tolerated without question. Many different drugs are available and improvements in pharmacology bring us more and better alternatives as time goes one.
Regular contact with a physician is necessary to make sure the course of medication one is on is indeed the best available.
Percutaneous Neuromodulation Therapy - PNT
To remedy a chronic lower back pain, here is a non- surgical treatment that is grounded on a strong principle. PNT, an acronym for percutaneous neuromodulation therapy, is brought by electrical stimulation that is applied to the deep tissues in the behind portion of the body that helps provide relief.
This new medication for a chronic lower back pain has recently received an FDA clearance. It is performed in the physician’s clinic and minimally invasive. Percutaneous nueromodulation therapy has been developed for patients who have the following profile:
- Suffer from ache that radiate into the legs, buttocks and feet.
- At risk in building up a long- term and intractable ache.
- Have not been given ample ache- relieving medications that include physical therapy or chiropractic manipulation.
- Desire a less insidious approach before resorting into a surgical operation.
PNT utilizes several needle electrodes that is designed to reach the nerve pathways that may be impacting the twinge. The belief behind is that this kind of charged stimulation helps restrain the central nervous system that ushers in relentlessly.
A typical PNT therapy thirty- minute session is done while the person lies face down on an examination table. Once the patient is nicely situated, up to ten PNT electrodes are used to the lower buttock area at specified locations.
Each are deployed in a fine- gauge filament electrode to a depth of three centimeters. Afterwhich, the doctor adjusts the stimulation to a stage that will distribute therapeutic benefits.
Patients who undergo PNT to treat chronic lower back pain are advised to enter into three to four courses before evaluating the effectiveness of the procedure. There are those that will experience a certain level of twinge just after a single PNT meeting. The most suitable frequnecy of treatments of therapy vary for each individual.
With the application of percutaneous nueromodulation therapy, some of the patients have reported improvements like increased physical activity, reduced requirement for pain medications, better quality of sleep, lower levels of disability and improved pain control.
Psychological approaches are best for chronic pain where a specific physical cause has not been identified or, when it has, is used in conjunction with a sensible course of medical treatment. The strategies used generally fall into four categories, with plenty of room for overlap and the use of more than one technique at a time.
These categories are: relaxation, imagery, hypnosis, and biofeedback. Though it is best to seek the advice of experts to ascertain what, or what combination, is best for you, below are examples of some things you can do on your own in the effort to cope with chronic back pain.
- Splitting: Separate your experience of pain from the pain itself. If the pain is throbbing, for example, focus on the throb and not the hurt. Another variation is to separate the painful body part (your back) from the rest of your body.
- Numbing: Imagine an injection of a powerful medicine that numbs the area of your back that hurts.
- Projection: Imagine yourself at a time in the past or future where you are free of pain. A pain-free location, like a favorite vacation spot, may also work.
- Movement: Visualize the pain moving from your back to another area of the body where it is easier to handle. An alternative is to imagine it leaving your body and taking up residence somewhere else, like the ground.
Be are that psychological approaches are particularly helpful when stress is suspected as the culprit in your experience of chronic back pain. Our daily lives are constantly subject to stress, be it from work, relationships, or simply new and different experiences. People react to stress in different ways.
Some individuals feel tired, others get upset stomachs, and many of us show our tension in the form of back pain. Instead of a psychological technique that focuses on pain management, then, a more sensible approach could be the identification and treatment of the factors that cause you to experience stress.
A Physical Approach
Most chronic back pain is the result of activities that have an adverse effect, such as lifting heavy objects improperly or simply sitting in a chair for long periods with bad posture. Changing our habits, therefore, can have a significant impact. Below are some of the most commonly advised physical measures to take.
As always, see a physician or other qualified professional for assistance in deciding what is best for you.
- Weight loss: approximately 67 percent of Americans are overweight. These extra pounds put pressure on the back and strain both back and abdominal muscles, which can weaken these muscles and compound the problem.
- Improve Posture: Bad posture means your body is out of balance. When it comes to your back this means that only a small number of muscles and joints are doing most of the work. Proper posture will spread out the task and relieve the intense pressure on small areas of the back.
- Exercise: A good exercise program, designed by a professional, will strengthen muscles in your back, keep them limber, and increase endurance. Though our instincts may tell us to rest until the pain passes, the proper exercise can be an effective means of pain relief or reduction.
- Movement: Simple measures, like using your leg strength, instead of back muscles, to lift heavy objects can make a big difference. Whether at work, home, or engaged in leisure activities, be aware of how you can alter you movements to avoid unnecessary stress on your back.