Epidural For Back Pain
Epidural For Back Pain and Other Treatment Options
At some point in their lives, four out of five adults will experience lower back pain. It is one of the most common conditions in the United States and one of the leading reasons why people visit the doctor’s clinic every year.
The consequences of lower back pain can be great. But ironically enough the extent of the pain is wholly unrelated to the extent of the damage. For instance, muscle spasms as a result of back strain can be so excruciating that persons suffering from it will find it difficult to walk or even stand.
Whereas, degeneration of one of your vertebral discs (herniated disc) will cause virtually no pain at all to arise.
There is no definitive cause of lower back pain. Sometimes, the causes of the condition are so complex that it is difficult to pinpoint just a single one. For this reason, lower back pain treatment largely aims only to help patients manage their pain by providing relief.
Epidural steroid injections (ESIs) are a common treatment option for many forms of low back pain and leg pain. They have been used for low back problems since 1952 and are still an integral part of the non-surgical management of sciatica and low back pain.
The goal of the injection is pain relief; at times the injection alone is sufficient to provide relief, but commonly an epidural steroid injection is used in combination with a comprehensive rehabilitation program to provide additional benefit.
Although many studies document the short-term benefits of epidural steroid injections, the data on long-term effectiveness are less convincing. Indeed, the effectiveness of lumbar epidural steroid injections continues to be a topic of debate. This is accentuated by the lack of properly performed studies.
Potential Benefits of Injections
Epidural steroid injections deliver medication directly (or very near) the source of pain generation. In contrast, oral steroids and painkillers have a dispersed, less-focused impact and may have unacceptable side effects.
Additionally, since the vast majority of pain stems from chemical inflammation, an epidural steroid injection can help control local inflammation while also “flushing out” inflammatory proteins and
chemicals from the local area that may contribute to and exacerbate pain.
Below are a few common lower back pain treatment methods suggested by therapists other than epidurals and other healthcare professionals:
Rest
The good news is that most cases of lower back pain last only for a couple of days. The suggested lower back pain treatment method therefore is rest. This will allow the muscles of your lower back
to regain its supply of blood, nutrients and proteins which are necessary for healing to take place.
However, if pain persists even after a couple of days or a period of a couple of weeks, then resting as a lower back pain treatment method is not advisable. That’s because resting for longer than two weeks will lead to weakness of the muscles, which would in turn slow down the healing process, or worse, lead to atrophy (muscle wasting).
Exercise
Lower back pain that lasts more than two weeks should be treated with exercise. The general rule is that people who are active and well-conditioned are less likely to suffer from lower back pain.
Regular exercise will stretch the muscles of your lower back, thus reducing the risk of strain, tear, or spasm.
Manual Physical Therapy
Sometimes, rest and exercise, the most common forms of lower back pain treatment, may not produce the desired results. Even so, pain may still be treated without going for surgery.
Manual physical therapy is a method of lower back pain treatment that uses a specialized type of physical therapy to relieve pain.
Basically, this lower back pain treatment method delivers with the hands as opposed to a device or machine. The practitioners of this type of therapy will be using their hands to decrease back pain by applying pressure on the muscle group affected.
There are several more forms of lower back pain treatment options available for those seeking to relieve pain due to muscle strains of the lower back.
