A Review of Back Pain Treatments
Back pain affects millions of people each and every year. For many, their lives
are never the same.
Unfortunately, many people suffer for weeks, months and even years unnecessarily
and one of the reasons is a lack of good information.
Much of the information that is given to people regarding back pain is out-dated,
inaccurate and often dangerous!
So the purpose of this is to educate you about many of the treatments that are available
for back pain.
But before we get started, itâ€™s important you know that very rarely is one treatment
the answer. Back pain is often times a complex problem and it often requires treatments
that address multiple areas simultaneously.
Also, my experience working with tens of thousands of back pain sufferers has shown
that, the people who get lasting relief are the ones who are constantly researching
and experimenting with as many treatments as possible.
Ok, letâ€™s review some of the many treatments that are available for back pain and
One of the first places many people go when they experience back pain is the orthopedic
specialist (surgeon) and a visit usually last 5-10 minutes. They will typically
look at the problem/symptomatic area and often fail to look at the body as a whole.
If you've been to an orthopedic specialist for your back pain, did they do a
full body physical evaluation (takes 30 mins. or more)??? Not likely.
Here are some of the common treatments used / prescribed by orthopedic specialists:
Cortisone is a catabolic steroid which is intended to reduce inflammation by killing
off the tissue in the inflamed areaâ€¦ now let me ask you, does that make any sense
to you at all?
Not only are these injections quite painful, but they rarely result in any pain
relief and if they do it is short lived, usually 1-2 weeks if at all. Plus, it does
NOTHING to identify or address the cause of the painâ€¦ it is only intended to treat
the symptom. Itâ€™s for those reasons that we do not recommend them.
Just the name should scare you awayâ€¦ just like cortisone shots, anti-inflammatory
medications do not identify or address the cause of your pain and for many people,
they deliver little pain relief. These medications also deliver serious side effects!
The main reason they are prescribed is moneyâ€¦ and if you donâ€™t believe me, do the
research and youâ€™ll see for yourself. The drug industry is huge and unfortunately,
they have a huge influence on the whole medical community, including the doctors.
I challenge you to find a drug that will fix your back problemâ€¦ youâ€™ll be looking
forever because there is no way a medication can fix a physical problem so avoid
medications at all costs!
Surgery for back pain is very common and more often than not, the individual still
has pain afterwards (or it returns within weeks) and sometimes even new problems!
Very rarely is a surgery the answer...
For example, many people have surgery for herniated discs. The logic behind the
surgery is if you remove the piece/portion of the disc that is putting pressure
on the nerve the problem is solved.
Unfortunately, the same forces that forced that disc to protrude or bulge will likely
force more of the disc out, or another disc out.
Surgery should always be the last resort... and even then I'd question it!
Physical Therapy is traditionally the next step after seeing an Orthopedic Doctor.
That is if surgery is not recommended. So what should you expect?
The process will start with an evaluation and here may be the start of the problemâ€¦
here is whyâ€¦. the doctor has to write a prescription with a diagnosis on it.
You give the prescription to the PT and he or she will perform an evaluation...
chances are the PT will simply confirm the diagnosis from the doctor, however the
hope should be that they take the extra step to look for the root cause of your
pain. They may but chances are they have several other clients in the office at
the same time and simply do not have the time.
So without a comprehensive evaluation to identify the root cause of you pain they
will simply treat your symptoms. We have just identified the second problem.
The health care industry is required to show improvement with each and every session
so the push is to reduce your symptoms to show progress in order for them to get
paid. The long and short of it is that yes your pain can be reduced but the root
cause rarely gets addressed, meaning that the pain and your suffering will return
again and again.
So what should you do? When selecting a Physical Therapy office you may want to
ask how many patients the office sees in a day and how many PTs they have on staff...
then ask how many patients can a PT work with in an hour. Do not be surprised to
hear that a PT can see up to three patients in an hour. Do you think you will get
the attention and proper treatments you need? I doubt it.
There is a little joke in Physical Therapy when treating patients and it has to
do with what course of modalities you will get. The joke is called Shake and Bake
and it refers to the fact that everyone gets the same treatment protocolâ€¦ that way
it can be timed so that your PT can see other people simultaneously.
What goes into a shake and bake treatment? It may start with a spin on a stationary
bike or a trot a treadmill than you will get a 3 to 5 minute Ultrasound over the
effected area followed by Electrical Stimulation to the area with a little Ice strapped
to your body and to finish off your session you will get a hand out with exercises
you should do at home. Certainly not a recipe for success!
One of the most common treatments for back pain is Chiropractic Care. The approach
consists of physical manipulations of bones and joints in an attempt to line things
back up and it's recommended typically 2-3 times per week.
The problem with this approach is that the same forces (muscles, tendons, and ligaments)
will likely pull the bones and joints right back out of place again. Also, most
(not all) chiropractors will spend 15 minutes with you if your lucky.
Ask people who see a chiropractor how long theyâ€™ve been goingâ€¦ I hear of people
who have been going for 10-15 years and still donâ€™t have a healthy back. Look, the
fact is chiropractic care is lackingâ€¦
Unless the chiropractor combines the two approaches, it doesnâ€™t make senseâ€¦
The ONLY way chiropractic care makes sense is if you are addressing the muscle imbalances
that are pulling the bones and joints out of place to begin with and that requires
strengthening and stretching exercises that are chosen specifically to correct your
Alternative Treatments for Treating Back Pain
Massage therapy, if done correctly can work wonders for people with back pain. This
is not to say that it is the best choice and that it will work for everyoneâ€¦ however,
most people will get great results from it if the massage therapist has a good understanding
of muscle imbalances and how to work on them.
NOTE: Not all massage therapists are the same! Just like any profession, there are
varying degrees of training and qualifications. When selecting a massage therapist
please check to see if they are licensed and insured in the state where you will
be seeing them.
You should also ask the massage therapist if they have training in one of the following
areas: Orthopedic massage, Medical massage, St. Johns technique and/or has a comprehensive
knowledge of muscle imbalances relating to back pain.
With that said the benefits are as follows. The root cause will be identified, your
discomfort will be addressed and you root cause will be corrected all in an attempt
to make you pain free and give you the tools you need to keep you that way. What
to expect when you see a massage therapist.
All massage sessions are one on one allowing you the opportunity to converse with
the therapist as well as get the attention you need to get results. You can ask
questions about how you compare to other people.
Feel free to ask the therapist what approach they will be taking so that you know
what to expect. The massage therapist has many different techniques they can use
when to dealing with you back pain and some are better than others.
On the down side sometimes a therapist can get distracted with other problem areas,
it is in your best interest to keep them focused on you back and associated problem
areas. Like anything else you may need to try several different therapists before
finding the one that works best for you and with you.
Post-rehabilitation Fitness Training
Another overlooked form of treatment that is very effective is post-rehabilitation
fitness training. This includes targeted strength and flexibility work to correct
/ improve the individuals muscle imbalances. This is specialized knowledge that
very few fitness trainers possess and there are certification programs designed
specifically for this.
There are of course, limitations as to what they can do for you. For example, they
can not diagnose a condition, prescribe any medications take x-rays, etcâ€¦ however,
if they are well trained they can pinpoint your muscle imbalances quickly and get
you started on a fitness program that will restore balance to your body and likely
eliminate your back pain.
Often times this can be combined with massage therapy and/or manual physical therapy
for a total solution. If you decide to go this route, which I recommend you do,
be sure to thoroughly check out the fitness trainer and ask to see their certification,
insurance, references, etc.
Manual Physical (muscle) Therapy
Manual Physical Therapy is NOT the same as regular physical therapyâ€¦ there are some
major differences. Here are just a few:
- Manual therapy consists of hands on muscle work primarily whereas traditional physical
therapy consists of heat, ice, ultrasound, electrical stimulation, etc
- Manual therapist will typically perform a much more thorough physical evaluation
- Manual therapists will usually be able to spend more time with each patient
- Manual therapy is more holistic in itâ€™s approach and focuses the body as a whole
unitâ€¦ something lacking from nearly all traditional treatments for back pain.
So before you say, â€œIâ€™ve already tried physical therapyâ€â€¦ did you try manual physical
therapy? They are two very different treatment approaches and I highly recommend
you consider manual physical therapy.
As you can see traditional treatments are the main stay of modern medicineâ€¦ not
necessarily for the patients benefit, but itâ€™s just how the system works.
The system will not change until the system is confronted with a very powerful competitive
force. That force may well be complementary or alternative care from the likes of
Personal Trainers, Acupuncturists, Massage Therapists, Manual Physical Therapists,
and the like.
So thatâ€™s what weâ€™ve tried to doâ€¦ force change. The traditional treatments that
people have been receiving for decades just donâ€™t work, and we have found a combination
approach that not only works the best, but itâ€™s safe, natural, and inexpensive.
Check out our â€œLose the Back Painâ€ system nowâ€¦ it will show you how to identify
the cause of your back pain and then show you the exact combination of steps to
take to eliminate it.
If you have tried other treatments with little or no relief, you owe it to yourself
to try this approachâ€¦ so take charge of your health and get started now working
towards not only a pain free back, but a healthy and balanced body! Only you can
fix your backâ€¦ all you need is the right approach.
For Further Reading