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Low Back Pain

Our lower back is the hinge between the upper and lower body, and is especially vulnerable to strain and injury when we are lifting, reaching and twisting. Most of us have experienced back pain at one time or another. However, when the pain is persistent and/or recurring regularly, it may be time to seek professional help.

Symptoms

The pain may radiate down the front, side, or back of your leg, or it may be confined to the low back.
The pain may become worse with activity.
Occasionally, the pain may be worse at night or with prolonged sitting such as on a long car trip.
You may have numbness or weakness in the part of the leg that receives its nerve supply from
a compressed nerve.

Causes

The most common causes of low back pain are:

Strain or inflammation of muscles, ligaments and tendons
Pressure on nerve roots in the spinal canal
Fractures of the back bones (vertebrae)

Treatment Options at THE PAIN SPECIALIST

At the THE PAIN SPECIALIST CENTRE, we will perform an initial assessment of low back pain that typically includes a medical history and physical examination. By asking you certain questions and doing strength and movement tests, we can check for serious underlying conditions, such as fractures, tumours, infection and severe nerve damage.

Treatment can be either surgical or non-surgical, depending on your specific condition.

Non-surgical

Medication
Many patients benefit from medication, which relieves low back pain and reduces inflammation
or muscle spasms.


terventional therapy
Mainly in the form of injections, this is used to treat the underlying spine disease.

Subsequent treatment may include:
a) radiofrequency, and/or
b) nerve roots repair using microcatheters.

Such procedures last for about 30 minutes and are performed under local anaesthesia with mild sedation. You will be fit to go home after one to two hours under observation.

Surgical

You will be referred to an orthopaedic surgeon for further assessment.




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