Back Pain Management Unit
Pain management is a complex and dynamic specialty where new modalities are developed and tested out constantly. Our hospital recognises this and hence, makes sure to use the latest and most advanced clinically-proven pain management techniques to treat your pain without surgery.
To treat patients suffering from long-term (chronic) back pain, our centre focuses on providing a comprehensive diagnosis and treatment care for the disorders arising due to a wide range of medical conditions and resulting in chronic pain.
We make sure to use the advanced and most high-tech clinically-proven pain management techniques to treat your pain without surgery.
Why Choose Yashoda Hospital For Back Pain Management?
Our reputed doctors and surgeons perform a spectrum of surgical & nonsurgical interventions tailored to each person’s individual needs.
We have an extensive spectrum of latest pain management technology. At Yashoda Hospital, we provide the best and latest non- surgical interventions to treat back pain, such as:
- Ozone Discectomy (Ozonucleolysis)
- Percutaneous Hydrocision Discectomy
- Root Sleeve Epidural Injections/Transforaminal injections
- Cervical Epidural Injections
- Facet Blocks
- Spinal Cord Stimulation
- Radiofrequency Lesioning
What Is Back Pain?
Back pain is a pain that occurs in the lower back, middle back, upper back, or low back and develops due to an injury, activity, and some medical conditions. It can come and go, but it is chronic if it lasts three months or longer.
Pain Management: Also termed as pain medicine, is a discipline in science that deals with the systematic study of painful disorders, and know about its prevention, evaluation, diagnosis, treatment, and rehabilitation.
What Are The Causes Of Back Pain?
Pain can occur due to various reasons such as:
- Fractures or falls
- Damaged discs
- Muscle tension
- A muscle spasm
- Strained muscles or ligaments
- Activities that can lead to strains include:
- Lifting something improperly
- Lifting something that is too heavy
- Making an abrupt or an awkward movement
- Ruptured discs
- Bulging discs
- Abnormal curvature of the spine
- Kidney problems (such as kidney stones or kidney infection)
Movement and posture
Also, due to poor posture and strained everyday activities can cause back pain.
- Muscle tension
- Coughing or sneezing with high intensity
- Bending awkwardly often for long periods
- Standing or sitting in inappropriate condition for long periods
- Straining the neck forward (while driving or using a computer)
- Pushing, pulling, lifting, or carrying something
- Long driving sessions (without a break)
- Sleeping on a mattress that is uncomfortable and cause pain
Some medical conditions can also lead to back pain such as
- Cauda equina syndrome (dull pain in the lower back and upper buttocks with numbness in the buttocks, genitalia, and thighs)
- Cancer of the spine
- Infection of the spine
- Other infections such as:
- Pelvic inflammatory disease
- Bladder infections
- Kidney infections
- Shingles (infection affecting nerves)
- Sleep disorders
What Is The Role Of The Centre For Back Pain Management?
In case of the spine and musculoskeletal pain, the pain management unit at Yashoda serves a variety of purposes. It usually differs from surgical treatment.
The pain management strategies and techniques available at the centre help:
- Help in identifying
- The source of a patient's back pain
- The areas to approach surgically
- Whether the patient can get conservative (nonsurgical) care
- It helps the patient with after surgery programs, such as:
- Help cope with residual or recalcitrant pain
Are You A Candidate For Back Pain Management?
You may need to contact a doctor if you experience:
- Severe back pain that doesn't improves with rest
- Pain spreading into one or both legs (especially when it extends below the knee)
- Pain that causes weakness, numbness or tingling in one or both legs
- Pain that is accompanied by unexplained weight loss
- Back pain for the first time
- After age 50
- With a history of cancer, steroid use, osteoporosis, or excessive drug or alcohol use.
- Seek immediate medical help if your back pain:
- Causes new bowel or bladder problems
- Is accompanied by fever
- Follows a fall or other injury
What Are The Various Diagnosis Procedure Required Before Spine Fusion Surgery?
Your doctor might ask you to take the following diagnostic tests:
- Blood Tests
- Bone Scans
- Electromyelogram (EMG)
- Nerve Conduction Studies (NCS)
What Procedure Do We Use At Yashoda Hospital For Back Pain Management?
The pain management techniques used at Yashoda Centre for Back Pain Management include:
Non-invasive, non-drug pain management
- Exercise: Physical Exercise with the aim of increasing strength, flexibility, and restoring normal motion. Patient-centric exercise programs are designed keeping in mind their medical condition.
- Manual techniques: Such as applying force to the joints, muscles, and ligaments.
- Behavioural modification: These methods are to optimise patient’s response towards back pain and painful stimuli. The techniques used are:
- Relaxation techniques
- Coping techniques
- For symptomatic improvement, learning to control
- Muscle tension
- Blood pressure
- Heart rate
- Superficial heating or cooling of skin: This method includes the use of cold packs and hot packs to help relieve lower back pain.
- Electrotherapy: the most commonly used electrotherapy is Transcutaneous Electrical Nerve Stimulation (TENS). A low-voltage electric stimulation interacts with the sensory nervous system to provide relief from back pain. But this treatment is not for someone who is:
- Has a history of epilepsy or heart disease
- Using a pacemaker
Non-invasive pharmacologic pain management
If the non-drug pain management does not provide any relief than the doctor may advise the following medication to the patient, along with physical therapy:
- Over-the-counter (OTC) pain relievers: Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve),
- Muscle relaxants
- Topical pain relievers in the form of creams, salves or ointments
- Narcotics: such as oxycodone or hydrocodone (Drugs containing opioids)
- Antidepressants: Tricyclic antidepressants, such as amitriptyline
- Injections: when other medicines don’t relieve your pain, your doctor may inject cortisone — an anti-inflammatory medication. This helps in decreasing inflammation and pain
Invasive pain management
The surgery is a last resort of treatment when all the other treatments for back pain have failed. However, if you have unrelenting pain that is associated with radiating leg pain or progressive muscle weakness caused due to nerve compression. Then your doctor might recommend you to undergo surgery.
Our Doctors at Yashoda Hospital perform the following surgeries for back pain management:
- Minimally Invasive Spine Surgery
- Neuro-endoscopy Surgery
- Functional Neurosurgery
- Microscopic /Endoscopic Disc Surgeries
- Spine Fusion Surgery
What Are The Precautions You Should Take After The Treatment Of Back Pain?
The crucial precautionary measures one must consider after the treatment are:
- Don’t sit in the same position for longer durations
- Do not lift heavy equipment.
- While sitting and sleeping, maintain a proper posture
- Perform gentle exercises.
- Follow doctor’s advice and medicines
- Go for physical therapy
- Avoid forward bending
- Use western toilet system
Are There Any Complications Involved?
Complications which may with various back pain management treatment include:
Complications associated with Medication
- Dry mouth
- Blurred vision
- Increased appetite
Complications associated with Surgery:
- Infection at the location of the incision
- Nerve damage
- Blood clots
- Excess bleeding
- Complications from anaesthesia
The risk factors associated are very mild and rare. But see a doctor immediately, if symptoms persist.