The treatment of back pain for spinal rehabilitation is a great challenge for the traumatologist due to the difficulty that sometimes exists in finding the cause of the pain and the ineffectiveness of many treatments to reduce discomfort, especially in the chronic cases.
Significant Socio-Sanitary Expense
Back problems and their treatment are going to suppose a high cost to society due to the high health expenditure, as well as the amount of lost working hours. In order to avoid this enormous socio-sanitary expense, it is better to prevent the problem, putting the necessary means so that the diseases do not appear, rather than treating the consequences when they have already appeared, for a better socio sanitary expense you should hire experts and we will recommend physio Newcastle.
Chronic Back Pain
When treating a back problem, you must first separate what is an acute problem from what is a chronic problem, since many treatments are only effective for one type of problem.
Chronic back pain is considered to be pain that lasts more than 6 months. This type of back pain sometimes needs a multidisciplinary approach, that is, the intervention of various specialists in order to resolve it; in this way the problem can be approached from different angles. On many occasions, in the chronic patient there are other factors that have a powerful influence on the persistence of pain, such as the existence of a search for compensation or some type of labor or criminal litigation.
Chronic pain occurs more in people who abuse medication, many of them self-medicate, even reaching drug addiction. It is also associated with patients who change doctors very frequently and even visit multiple specialists. Therefore, in the cases of patients with chronic pain, it is important to do a psychological and social examination to see if there is any alteration in behavior or personality. Between 25 and 40% of patients have been shown to improve with personality modification programs, although these are very expensive. Only 3% of patients with chronic pain need surgical treatment.
Non-Specific Back Pain
Below we will analyze some types of treatment and their effectiveness in non-specific back pain, which is that type of pain in which no specific cause has been found.
Bed rest has been used as a treatment for back problems, but sometimes it is not known how long it takes, because if this time is excessive, there are harmful effects, such as muscle weakness and depression, which can make it chronic. the pain.
Bed rest is effective when it is less than two days in patients with acute back pain. Rest of more than seven days has not been proven to be effective in back pain of less than three months of evolution and is harmful in pain of more than three months.
Analgesic medication is effective in pain of less than three months of evolution but should not be used in chronic pain as maintenance medication.
Vertebral manipulations, back training, and general fitness enhancement exercises in spinal rehabilitation are effective for pain less than six weeks, but are much less effective for pain that persists beyond three months and it’s very easy now with physio Newcastle. That is, in those cases in which there are no hernias, osteoarthritis, rheumatic history or trauma, and which should be treated in a general way with those methods that help improve the patient’s symptoms but without tackling the origin of the problem. since it is unknown where it is.
If low back pain is accompanied by sciatic irradiation, the pattern to follow is slightly different. In this pathology, and in pains of less than four weeks, bed rest for one week and analgesic medication have been shown to be effective, while corset, traction, injections in the back or surgery of the disk.
When pain is greater than five weeks and less than three months, bed rest and medication are helpful, as well as chemo nucleolus’s and disc surgery.
If the pain lasts more than three months, bed rest is harmful and surgery is most effective. Back pain as a consequence of psychological disorders.
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