





Back Pain:
Chronic Back Pain – Long-Term Relief Strategies

How would it feel if you had a 10 kgs backpack on my back for 12 long hours? Strenuous? Stressful? Painful? Simple tasks such as picking up groceries, bending down to pick up groceries and so on has become a substantial obligation. This is the reality of many of us and for years down the line people are suffering with Chronic (long term) back pain.
Let’s find out if there are any specific treatment protocols, management strategies that will allow us to cure this at a steady and faster rate.
What qualifies chronic back pain?
- Chronic pain is a type of pain that persists for twelve weeks or longer due to underlying injury or condition that leads to long- term illness or discomfort or disability.
- Chronic pain has a greater impact than acute back pain (that lasts for about 2-4 weeks) and sub acute back pain(that persists for about 6-12 weeks typically).
- Quite often the pain is “non-specific“ in nature. Chronic pain alter the daily life by:
- causing constant pain and discomfort which bears upon the muscle mobility;
- constant fatigue;
- mental health is affected due to the constant unbearable pain.
It is essential to identify the duration and type of pain and aid with necessary management strategies along with a comprehensive, multifaceted approach.
How do I manage chronic back pain naturally??
On the internet, you are going to see absolutely surgical interventions under the shadow of the latest treatment trends for chronic back pain.
Nobody likes to read the surgical ones- irrespective of whether you are affected or not.
Let us see first the interesting recent non- surgical and later the surgical interventions.
Acupuncture and dry needling– Though it is the oldest Chinese traditional treatment, it has recently been immensely used globally. Inserting needles at the specific regions on the back that gives an analgesic effect is acupuncture. Whereas, dry needling includes inserting needles in the myofascial tissue which decreases the responsiveness of the trigger points.
Kinesio taping (KT)- One of the latest treatment trends for chronic back pain. According to recent studies, it is said to be effective when combined with physical therapy in providing better therapeutic effects. Elastic therapeutic tapes are used that help in reduction of inflammation, pain and infection (if present).
Assistive aids– Usage of devices or materials that will help maintain the posture and adapt to the environment or circumstances. Use of lumbar braces, manual handling aids helps in limiting the pain and spinal movement.
Electrophysical therapy– Use of electrical, magnetic and light energy as a medical treatment for Chronic back pain helps in creating anti-inflammatory effects and work on the brain’s pain processing unit.
Mindfulness-based pain management (MBPM)- It is a mindful meditation strategy that helps manage the pain and enhances the quality of life.
Regenerative medicines– It is surgical in nature. Bone marrow aspirate concrete (BMAC) and Platelet-rich plasma injection (PRP) helps in significantly reducing the pain and improving the back functioning.
Spinal cord stimulation– It includes an implanting device that sends the electrical pulses to the spinal cord. It alters the pain before being processed by the brain.
Can chronic back pain be cured permanently?
Experiencing complete relief is yet miraculous.
Chronic back pain is a lifelong condition, it is not always cured but it can be managed tactically. The objective of the treatment is to minimise pain, enrich functioning, and enhance quality of living. A multifaceted approach in combination with medical interventions offers the best outcomes.
Conclusion
- Early intervention is needed to look for back pain treatment approaches more promptly.
- There is a need to combine physical therapies, lifestyle changes as well as mindful therapies in order to drive and overcome chronic back pain.
- Consult a healthcare provider before initiating any treatment modules
References
- Journal of Pain. Effectiveness of physical therapy and exercise on pain and functional status in patients with chronic low back pain: a randomized-controlled trial. Available at: https://pmc.ncbi.nlm.nih.gov/articles/PMC6709610/
- Cashin AG, Rizzo RRN, Wand BM, et al. Non‐pharmacological and non‐surgical treatments for low back pain in adults: an overview of Cochrane Reviews. Cochrane Database Syst Rev. 2021;2021(8):CD014691. Published 2021 Aug 22. doi:10.1002/14651858.CD014691
- Muff L, Stucki G. Physikalische Therapie bei Kreuzschmerzen [Physical therapy in low back pain]. Praxis (Bern 1994). 1996 Sep 10;85(37):1116-22. German. PMID: 8927887.
- Sahin N, Karahan AY, Albayrak İ. Effectiveness of physical therapy and exercise on pain and functional status in patients with chronic low back pain: a randomized-controlled trial. Turk J Phys Med Rehabil. 2017;64(1):52-58. Published 2017 Aug 9. doi:10.5606/tftrd.2018.1238
- Ma, J., Zhang, T., He, Y. et al. Effect of aquatic physical therapy on chronic low back pain: a systematic review and meta-analysis. BMC Musculoskelet Disord 23, 1050 (2022). https://doi.org/10.1186/s12891-022-05981-8.
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