Treatment of low back pain

Written by: Dr. Carlos Esteve de Miguel Honour
Edited by: Top Doctors®

¿Where originates back pain


All structures of the spine can contribute to back pain, both the muscles and ligaments, the joints, nerve disc and also within the backbone. However, the vast majority of back pain patients have one of the following situations. First muscle contraction. The vast majority of patients, especially young people in sport have lumbar pain of musculo - skeletal, lesion in most cases by an overload or repeated microtrauma. Secondly the most common injuries are intervertebral discs, which first become dehydrated as a form of natural aging of the disc. This weakens a lot and after the break and can be moved. Third are the nerve lesions within the vertebrae, usually by a disc injury or a herniated disc that compresses these nerves, or osteoarthritis that causes a narrowing of the channels through which these nerves pass.

¿What is the treatment for back pain


Most patients with acute low back pain improved with treatment with anti-inflammatories, muscle relaxants, local heat or ultrasound in a few days. Absolute rest should be limited to the maximum, 1 or 2 days or until the muscle spasm refers. In the case of back pain Long eliminate evolution advise overweight. The gym can be useful especially with a program of exercises to relax and strengthen the muscles of the trunk. In the case of osteoarthritis of the posterior elements of the lumbar vertebrae may be indicated resorption, which is a noninvasive local anesthesia technique in which through special needles radiofrequency current is sent to the joints that are get damaged and thus eliminate the painful sensation of the spine.

¿That cases are candidates for surgical intervention


Firstly those who have a broken or herniated disc, ie displaced, this compressing the nerves, causing the leg pain or sciatica and has not improved with conservative treatment. Secondly, the generally older patients with a stenosis or narrowing of the channels through which the nerves. This narrowing is caused by a bone in a production situation vertebral arthritis, which blocks and closes production these channels. The intervention consists of these channels to expand so leave a good step to nerves. In the case there is also a herniated disc is removed from the interior of the channel.

¿, As is the postoperative period


The vast majority of these interventions have a column short stay in clinic, of only 2 or 3 days, after which patients and walk, so homecoming is in your own car. After having to do some rest and avoid stress during 8 weeks, a period that carry a slight corse of elastic material rods. The recovery in most cases is very rapid and the pain usually disappears during the stay at the clinic.

*Translated with Google translator. We apologize for any imperfection

By Dr. Carlos Esteve de Miguel Honour
Orthopaedic Surgery

He is a recognized expert in the treatment of osteoarthritis and the technique of arthroscopy for knee and shoulder. I earned a doctorate with Cum Laude rate and expanded its training in the US and the UK. Also has a long career and has exhibited more than a thousand conferences and scientific meetings conferences.

*Translated with Google translator. We apologize for any imperfection

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