HEALTH ADVICE

August 21, 2024

Comprehensive Guide to Managing Chronic Back Pain Without Surgery

By Laurie Melrose-DoeringOsteopath & Applied Kinesiologist

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Chronic back pain, defined as pain persisting for three months or longer, can be a significant burden, often bringing fleeting relief followed by frustrating recurrences. It can be particularly challenging if the underlying cause of the pain is not well understood.

This guide aims to provide a comprehensive understanding of the common causes of chronic back pain and the nonsurgical treatment options available. The goal is to offer hope and actionable steps for those navigating the complexities of chronic back pain, with an emphasis on alternative approaches.

Common Causes of Chronic Back Pain

Chronic back pain is frequently age-related, but injuries can also play a crucial role. The most common causes include:

  • Arthritis of the Spine: The gradual thinning of the cartilage inside the spine.

 

  • Spinal Stenosis: Narrowing of the spinal canal, potentially leading to nerve pain.

 

  • Disk Problems: Issues such as herniated or bulging discs.

 

  • Myofascial Pain Syndrome: Muscle pain and tenderness without a clear cause.

 

When it comes to back pain, osteopaths and chiropractors are the specialists. As such, the first port of call should be an osteopath or chiropractor. Surgery should be viewed as a last resort after more conservative treatments have been explored, as it does not guarantee pain relief and often exacerbates the problem.

Nonsurgical Treatments for Chronic Back Pain

  1. Osteopathic Manipulative Treatment (OMT)
  • Osteopathic physicians use OMT to diagnose, treat, and prevent illness or injury. By using their hands, they can move muscles and joints using techniques including stretching, gentle pressure, and resistance. OMT can help relieve pain, promote healing, and increase overall mobility.

 

  1. Exercises
  • Exercises can be very useful in the management of chronic back pain. Work under the guidance of an osteopath, chiropractor or physio. The exercises should be tailored to your specific symptoms, condition, and comfort level. Consistent home exercises are crucial for maintaining spine strength and stability. Exercises may include:
      • Core strengthening
      • Stretching and flexibility exercises
      • Retraining posture
      • Testing the limits of pain tolerance
      • Aerobic exercises at a comfortable pace

 

  1. Mindfulness and Meditation
  • Chronic back pain can be both physically and emotionally draining. Rehabilitation psychologists may recommend mindfulness techniques such as meditation, yoga, and tai chi to help manage the psychological aspects of chronic pain. These practices can enhance your control over your nervous system and its response to pain.

 

  1. Diet Change
  • Some diets can be highly inflammatory, especially those high in trans fats, refined sugars, and processed foods. Consult with your consult with your therapist
    nutrition specialist or herbalist to determine if your diet could be contributing to your chronic back pain. Maintaining a healthy weight can also reduce pressure on your spine. A nutrition specialist can provide personalised advice to help you develop healthier eating habits.

 

  1. Lifestyle Modifications
  • Adapting your behaviour and activity can significantly improve chronic back pain. Pay attention to your body’s signals and pace yourself. Take breaks during strenuous activities, make multiple trips or ask for help when carrying heavy objects, and avoid activities that worsen your pain. Minimising harmful habits like smoking, which can increase pain and delay healing, is also important.

 

  1. Injection-Based Treatments
  • Treatments such as trigger point injections, epidural steroid injections, nerve blocks, and nerve ablations can provide temporary pain relief and help diagnose the source of pain. These procedures should be part of a broader pain management strategy, including physical therapy and home exercises.

 

  1. Alternative Treatments
  • Treatments like acupuncture, massage, biofeedback therapy, laser therapy, and electrical nerve stimulation can also be beneficial. These strategies generally have minimal risks and can be worth exploring. Discuss alternative treatments with your osteopath to see which might be appropriate for you.

 

  1. Pharmacologic Treatments
  • Various medications, including anti-inflammatories, muscle relaxants, nerve pain medications, and antidepressants, can help manage chronic back pain. However, they are best avoided as they often came with side-effects. Opioids should only be considered after other medications have been tried and should not be used as a long-term solution due to the risk of dependence and other complications.

When is Surgery a Good Idea for Back Pain?

Surgery may be necessary if you experience “red flag” symptoms such as new or worsening bowel/bladder issues, weakness in the limbs, gait and balance problems, or increased reflexes. Surgery can also be an option if imaging confirms a specific cause of the pain and other treatments have not been effective.

However, surgery is the most invasive and high-risk option, and it does not guarantee complete pain relief. It’s advisable to consult with multiple surgeons to make an informed decision.

Conclusion

While chronic back pain can be challenging, there are numerous nonsurgical treatment options available. Osteopathic approaches, combined with other strategies, offer a comprehensive pathway to manage and alleviate chronic back pain.

It’s essential to work closely with your healthcare providers to develop a pain management plan that reduces the severity and frequency of flare-ups, focussing on improving your function and quality of life.

Holistic and Integrative Approaches at Aston Clinic London

At Aston Clinic London, osteopaths, acupuncturists, and other healthcare practitioners offer a variety of treatments that can significantly contribute to managing chronic back pain. Osteopaths use hands-on techniques to improve circulation and correct altered biomechanics, which can alleviate pain and improve function. Acupuncture, an ancient Chinese medicine practice, involves inserting thin needles into specific points on the body to stimulate nerves and muscles, promoting natural healing and pain relief.

 

Other practitioners offer therapies such as massage and herbal medicine, all aimed at addressing both the physiological and underlying factors of pain rather than just the symptoms. These holistic and integrative approaches can serve as standalone treatments or complement conventional medical treatments, providing a comprehensive pathway to pain management and overall well-being.

 

To book an osteopathy session with one of our practitionersclick here. Alternatively, you can contact us at020 8942 3148 to learn how our treatments can benefit you.

 

Aston Clinic London is a third-generation complementary health clinic located in New Malden, serving Kingston, Norbiton, Wimbledon, Raynes Park, Surbiton, Chessington, Worcester Park, Sutton, Richmond, and other areas of southwest London and Surrey.

By Laurie Melrose-DoeringOsteopath & Applied Kinesiologist

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