Can Physical Therapy Help Your Back Pain?

29 Dec 2017 Back Pain, News And Events, Physical Therapy ,

Surprising Results When a Scientific Study Compared Surgery with Physical Therapy (Exercise) for Back Pain Treatment

A study on patients suffering from lower back pain due to lumbar stenosis (a narrowing of the space inside the lowest part of the spinal canal) was conducted on 169 Pittsburgh-area men and women with lower back pain due to lumbar spinal stenosis. All agreed to have surgery. Half would have surgery immediately, while the other half would wait. While waiting, the second half of the study group participated in a specifically designed physical therapy program, rather than going through with the scheduled surgery.

Both groups showed the same benefits throughout the recovery period, from 10 weeks after surgery to two years later. Both groups had no difference in pain levels and physical function.

Meanwhile, the surgery group had twenty-two participants (25%) who experienced surgery-related complications like repeat surgery or a surgery-related infection, while eight of those in the physical therapy group (10%) reported worsening symptoms as a complication.

This study shows that physical therapy, or exercise, is as effective as surgery for many patients with certain low back pain.

Standard Care: Conservative Treatment for Back Pain, Before Considering Surgery

Usually, doctors will try to initially treat back pain with conservative measures. Some of these treatment methods include:

·        Pain relievers

·        Anti-inflammatory medications

·        Injections of corticosteroids

If these methods fail, they will most often recommend surgery to their patients.

Many Doctors Now Consider Physical Therapy/Exercise as Part of Treatment Plan to Treat Back Pain Patients

Many doctors now consider a well-designed physical therapy program as an important step to treat patients with back pain, before making any final step toward surgery.

This, of course, depends on the cause of the back pain, and the overall condition of the patient’s health. For instance, immediate surgery may be necessary if there is so much pressure on the nerves that:

·        It becomes difficult to control bladder or bowel function

·        Muscles around the pelvis or upper legs become weak

·        Pain can’t be controlled with strong medicine

In these cases, surgery may be the only option for relief.

 

What to Expect If Your Doctor Recommends Physical Therapy or Exercise

If your physician considers you to be a good candidate for physical therapy or exercise to relieve your back pain, there are a few things you should know.

First, congratulations. You may be able to avoid surgery or medication to treat your back pain. Surgery may seem like the definitive fix, but it’s never a guaranteed success, and there is always a possibility for complications with any surgical procedure.

Second, any exercise or physical therapy program will not only be difficult at first, it is likely to cause pain. This is because your back pain may have caused you to limit certain movement. When your therapy has you begin to move all those muscles and ligaments again, they will be stiff and sore. It is the old story of “no pain, no gain”.

Also, if patients do not perform all recommended exercises or do not devote enough time to their program, physical therapy or exercise is not likely to alleviate pain.

However, if you commit to your physical therapy or exercise program, you should eventually find relief, just like the participants in the scientific study. Also, you will find continued exercise beyond the assigned therapy time may, in fact, further strengthen you back and help you to maintain better posture, which should help to prevent recurring pain.

Lastly, never engage in any physical therapy or exercise program when you are experiencing back pain without your doctor’s approval. This is very important, as your doctor will be able to determine exactly what you should, and should not do with your back.

If you are experiencing back pain, request an appointment at the Tucson Orthopaedic Institute at the location nearest you, to be examined by one of their highly qualified, board-certified orthopedic surgeons. They will use the latest diagnostic tools and years of experience to determine the cause of your pain, and suggest the best treatment options available. You deserve to live a pain free life.

Causes of Low Back Pain

13 Oct 2017 Back Pain , , ,

Low back pain is something that most people experience at some time in their lives. From herniated discs to pulled muscles or pinched nerves, there are many possible sources and types of lower back pain. Most of the time, low back pain can be traced to one of a few causes.

Your lower back must bear the weight of your upper body all of the hours you spend upright, not to mention the stress it endures while sleeping or sitting in certain positions. Over the years, bad habits like poor posture and too much time sitting at a desk can contribute to pressure that builds between the vertebrae.

The discs between vertebrae are meant to act as shock absorbers. They are made of tough but spongy cartilage, that will often wear down or become compressed as you get older. Arthritis is the result of the bones in your spine making contact, and painfully rubbing together.

Consistent pressure or a traumatic injury can cause a disc to bulge in the middle, called a herniated disc. Your spine is constructed to protect the nerves within it, but herniated discs can cause intense, shooting pain when nerves are pinched.

In everyday life, muscles in your lower back can be strained or pulled from activity. Lifting heavy things during a move, shoveling snow, bending with your back instead of your knees – these can all cause the soreness we’re all familiar with. However, while low back pain is a common complaint for many people, it is something that can be remedied by taking the proper steps.

In some cases, back pain goes away on its own with a little rest. Muscles heal, and even nerve pain is usually intermittent. But when the pain lasts for several weeks or longer, the frustration of chronic back pain sets in. Exercises learned in physical therapy can often help relieve or eliminate chronic back pain, as the muscles surrounding the affected area are strengthened. In rare cases, surgery may be necessary to correct back pain.

If you suffer from chronic lower back pain, the orthopedic physicians and physical therapists at Tucson Orthopaedic Institute can help. With expert diagnostic capabilities and experience with the full range of possible back ailments, our spine specialists will help determine the best treatment for your condition. Treatment could be as simple as making minor adjustments to posture, changing sleep position, and a little massage or physical therapy. There are plenty of treatment options available, so you shouldn’t feel resigned to having to choose between pain medication or a surgical procedure. Contact one of our convenient locations in the Tucson, Arizona area for an appointment today, or request one online.

March 2015 Patient of the Month – Mary Mahan

1 Mar 2015 Patient Appreciation , ,

Tucson Ortho is proud to present the March 2015 Patient of the Month award to Mary Mahan!

Over the last 10 years, Mary has been going to physical therapy from a variety of places to manage pain for her back. Recently, she began PT at Tucson Orthopaedic Institute with physical therapist, Kristin Sartore and PT tech, Raul Durazo.

From the beginning, Kristin expressed the goals she hoped for Mary to accomplish and proceeded to work closely with Mary to get her pain down to a manageable and comfortable level. Mary said, “Kristin and Raul were right beside me during all the exercises. If I was unable to do one, it was modified to suit my level.”

Kristin and Raul nominated Mary for Patient of the Month for her hard work and positivity. Kristin says, “Mary has worked through pain and made a commitment to improve her strength and mobility.”
Within the first 2 weeks of therapy, Mary’s husband told her ‘You’re walking better!” Mary began to feel more agile and fluid. Kristin always explained what each exercise was designed to do in terms Mary could understand. Mary says, “I found that once I understood the purpose of the exercises, I am far more likely to do them at home.”

Mary credits Raul for accomplishing what other people have not been able to do…getting her to go to the gym! She said, “Raul’s concern with my well-being made me feel I was indeed very well taken care of…I personally have not experienced that level of concern and care at other physical therapists.”

Mary ends with saying, “I am feeling better than I did when I started physical therapy. I hope to continue with them. Kristin and Raul’s experience, knowledge and attitude are impressive and have helped me a great deal.”

Congratulations Mary! We wish you the very best in continuing to improve!

Search

+