Surgery to create more space within the spine is sometimes helpful for people who have increasing muscle weakness or back pain that goes down a leg. Devices implanted under the skin can deliver electrical impulses to certain nerves to block pain signals. Damaging the nerves interferes with pain signals to the brain. Radio waves are passed through the needle to damage the nearby nerves. In this procedure, a fine needle is inserted through skin near the area causing the pain. A cortisone injection helps decrease inflammation around the nerve roots, but the pain relief usually lasts only a month or two. If other measures don't relieve pain that radiates down the leg, an injection of cortisone plus a numbing medication into the space around the spinal cord and nerve roots might help. Procedures used to treat back pain may include: Physical therapists also will provide education about how to modify movements during an episode of back pain to avoid flaring pain symptoms while continuing to be active. Regular use of these techniques can help keep pain from returning. Some types of antidepressants - particularly duloxetine (Cymbalta) and tricyclic antidepressants, such as amitriptyline - have been shown to relieve chronic back pain.Ī physical therapist can teach exercises to increase flexibility, strengthen back and abdominal muscles, and improve posture. Drugs containing opioids, such as oxycodone or hydrocodone, may be used for a short time with close medical supervision. These products, including creams, salves, ointments and patches, deliver pain-relieving substances through the skin. Muscle relaxants can cause dizziness and sleepiness. If mild to moderate back pain doesn't improve with pain relievers, a muscle relaxant might help. If pain relievers you can buy without a prescription don't help, your health care provider might suggest prescription NSAIDs. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve), might help. Medications depend on the type of back pain. If home treatments aren't working after several weeks, your health care provider might recommend stronger medications or other therapies. Stop activity that increases pain, but don't avoid activity out of fear of pain. Bed rest isn't recommended.Ĭontinue your activities as much as you can with back pain. Pain relievers and the use of heat might be all that's needed. However, for many, the pain lasts several months. ![]() Most back pain gets better within a month of home treatment, especially for people younger than age 60.
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