Understanding the natural history of low back pain, biomechanics of the body is essential in implementing the nonsurgical option for the treatment of the low back pain. The aim of this treatment is to control pain, improve function, restore biomechanical alignment of the Lumbar spine and preventing the chronicity of the problem.
- Patient Education – The aim is to improve Lumbar spine biomechanical center of gravity and to restore the balance between the loading levers of the Spine. This includes assessing the patient on an individual basis and using biomechanical concepts in educating about proper posturing in driving, sitting, walking and redesigning the methods to adapt to everyday occupational or social activities with a view to controlling the pain, maintain mobility and prevent the development of long-term back pain.
- Medication – We recommend an analgesic ladder in addressing the pain balancing the safety of each drug on an individual basis. Possible groups of drugs include over-counter medications like Paracetamol/ Ibuprofen or prescription medication Nonsteroidal anti-inflammatory drugs, centrally acting drugs like Tramadol, Gabapentin, Morphine. Antidepressants and muscle relaxants are beneficial in few cases. Topical anti-inflammatory creams are good for local spasm control, however, the long-term benefits questionable.
- Massage & manipulation
- Spinal injections