Lower back pain is a symptom that is rarely addressed. Most people associate it with working in a sitting position, lifting weights or osteochondrosis and are in no hurry to see a doctor. The initial examination and the collection of anamnesis become a good reason for the appointment of an additional examination.
Non-steroidal anti-inflammatory drugs are the most commonly used pain relievers. These are drugs based on diclofenac, nimesulide, ibuprofen, meloxicam and their derivatives. The decision on the dosage of the drug, as well as the duration of the course, is made by the doctor since the uncontrolled use of these drugs can cause unpleasant side effects.
If non-steroidal anti-inflammatory drugs are ineffective, doctors prescribe hormonal drugs. They also stop the inflammatory process and help reduce pain.
The third group of drugs that improve the patient’s condition is antispasmodics (medical, sirdalud). They relieve muscle spasms in the lumbar region.
Additionally, the following may be assigned:
- decongestants to reduce swelling of the pinched root;
- B vitamins to improve nerve conduction;
Non-drug treatment complements drug regimens. Depending on the clinical situation, this may include:
- physiotherapeutic procedures (magnetotherapy, laser exposure, electrophoresis, etc.);
- physical therapy: a course of exercises is developed individually by the underlying and concomitant diseases; gymnastics should be performed regularly, not only in the clinic’s office but also at home, only in this case it has an effect;
- restorative and therapeutic massage (performed without exacerbations);
- manual therapy and osteopathic assistance.
In some situations, additional consultation with a neurologist, or gynecologist will be required. Tomography and X-ray will help clarify the diagnosis and determine the location of the destructive process of the spinal column or soft tissues. The list of diagnostic screening procedures for each patient may differ. It all depends on the specific clinical picture. Depending on the cause of the pathology, various methods of treatment are used.
The help of surgeons is necessary if the attending physician, based on the general picture, reveals one of the indications for surgical treatment. In itself, the presence of a herniated disc is not an indication of surgical treatment, regardless of its size. Depending on the indications, doctors can remove a herniated disc, eliminate compression of the spinal cord root, remove a tumor, etc. The decision to conduct a particular operation is made on an individual basis.
Even slight discomfort can be a sign of dangerous diseases, such as urolithiasis or malignant tumors. Do not ignore this symptom, sign up for an examination with a competent specialist. Modern medicine is the maximum efficiency and convenience for the patient.