Non-Surgical Spine Treatments

In most cases, back pain can be resolved without surgery. The conservative treatment involves the use of pain medications and other methods to reduce inflammation and restore normal function. Usually, some self-care methods and medications can help to overcome back pain, but if pain and inflammation persist over 72 hours, it is necessary to consult your physician.

What are Home Care methods?

  • Ice and Heat: Use of cold and hot compresses over the affected area helps in relieving the pain and swelling, and also in improving mobility. A cold pack or compress should be applied to the affected area immediately following trauma and kept there for at least 20 minutes. This can be done several times a day. Heat treatment should be started after 2–3 days of cold compresses. This helps to relax the muscles and increase the blood flow.
  • Bed rest: Bed rest is recommended for 1–2 days and you should resume normal activities as soon as possible. While sleeping, you should lie down on one side, with a pillow kept between the knees or you can rest on your back with a pillow below the knees.
  • Exercise: Appropriate exercises ensure fast recovery and also help to strengthen the back muscles. Your physical therapist can advise some gentle stretching exercises to relax the back muscle and relieve pain. If your pain increases and lasts for more than 15 minutes during exercise, you should stop exercising and consult a doctor.

What are the medications used?

A combination of over the counter pain medications and prescription drugs offer effective pain relief. Certain medicines may be unsafe to be taken during pregnancy or may have interaction with some other medicine you are taking, so it is best to consult your doctor before taking any medications.

  • Nonsteroidal anti-inflammatory drugs – Aspirin, naproxen, and ibuprofen.
  • Anticonvulsants – Carbamazepine, gabapentin, and pregabalin.
  • Antidepressants – Amitriptyline and desipramine
  • Opioids – Codeine, oxycodone, hydrocodone, and morphine. Care should be exercised for these drugs as you may develop an addiction.

What are the non-invasive therapies?

There are several options of non-invasive techniques that can be considered when the more conservative methods fail to respond. These include:

  • Spinal manipulation: Spinal manipulation or osteopathic manipulation is a non-surgical “hands-on” technique in which professional chiropractic specialists use leverage and exercises to adjust spinal structures and restore mobility of the back. During pain, the nerve that is interconnected with the muscles, joints, becomes weak and loses its ability to function. With this therapy, the nerve will be made to work normally and the blood circulation in these areas also increases. Osteopathic manipulation is not recommended in certain conditions. Therefore, discuss in detail with your doctor for more information.
  • Acupuncture: Acupuncture is the procedure that involves insertion of fine needles into specific points throughout the body in order to relieve pain. Insertion of needles at specific points releases chemicals called peptides in the muscles, brain, and spinal cord which provide local inhibition to the incoming pain signal. It is a method of encouraging the body to promote natural healing and to improve functioning. This procedure may involve the insertion of needles at appropriate points or maybe twirled or energized electrically to intensify the effect of the treatment. The tingling sensation is common when electricity is applied.
  • Biofeedback: Biofeedback can be used to treat most acute pain including back pain. A special electronic machine is used and the patient is trained to be aware of and to follow and gain control over body functions such as muscle tension, heart rate, and skin temperature (done by controlling local blood flow). The patient is also taught to change his or her response to pain by using relaxation techniques.
  • Interventional therapy: Interventional therapy is used to treat chronic pain by blocking the nerve signals between specific areas of the body and the brain. The treatment approach involves injections of local anesthetics, steroids, or narcotics into the affected soft tissues, joints, or nerve roots. It may also involve complex nerve blocks and spinal cord stimulation.
  • Traction: In this therapy, a continuous or intermittent force is applied to the skeletal structure in order to bring it into alignment. Force is applied using some weights. This treatment is not recommended for acute back pain.
  • Transcutaneous electrical nerve stimulation (TENS): This technique uses a device to send electric pulses along the nerve fibers so that the pain signals to the brain are blocked. Small electrodes are placed on the skin at or near the site of pain. Mild nerve impulses are produced which block the pain signals coming from the peripheral nerves. TENS may also stimulate the production of endorphins (chemicals produced in the brain having pain-relieving properties).
  • Ultrasound: Ultrasound is a non-invasive technique that uses sound waves that can pass through the skin and injured muscles. It can cause the soft tissues to warm up and thus relax the muscles and ease some amount of pain.
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Rating & Review

Melinda Bess
Melinda Bess
2024-02-14
Dr. Iqbal is the best pain management doctor I have ever had and will have. She does her homework first which I think makes the difference in diagnosis. She is the total package, a very smart and beautiful doctor, wife, and mother. Hand on Bible she changed my life, and I will forever be in debt to her. I can't say thank you enough. I appreciate her staff; they are all awesome as well. I laughed and cried in her office, but her smile and staff always made me feel welcome like part of their family. I would and will drive across country to see her. The referral to a new knee surgeon to fix a bad knee replacement was the best. I got a new knee, and it has been a huge blessing as well. Thank you, Dr. Iqbal and staff you all are 5 stars, in my life.
Nikin Mehta
Nikin Mehta
2024-02-13
Brian Knopf
Brian Knopf
2024-02-13
Dr. Iqbal and her staff are fantastic! I couldn’t have asked for a better experience. I highly recommend her and her team
Brenda Jones
Brenda Jones
2024-02-02
I visited this facility in January for severe back pain I was experiencing. The whole ordeal from beginning to end was amazing. I wish I had known about this place years ago before suffering from so much pain. Dr. Mehreen Iqbal, her assistant Michealle Dooley and their staff is the best. I had a procedure done on 1/17/24 and I no longer suffer from back pain and I'm able to walk again. I highly recommend this facility, 10 Stars!!!
Ann Adkins
Ann Adkins
2024-02-01
Wonderful experience with Dr. Iqbal & her staff! She is amazing! She listens to her patients & immediately developed a plan to address my back & neck pain. I already feel SO much better and am confident that her plan for me will mean continued improvement. Her staff is wonderful too - friendly, helpful & responsive. I highly recommend Dr. Iqbal & her team!
Camille Adams
Camille Adams
2024-01-22
The staff are very kind and helpful, and Dr. Iqbal is very good at what she does. Would recommend to all my friends and family.
Noor Malik
Noor Malik
2024-01-02
My PCP recommended Dr. Mehreen and she was wonderful through out the entire injection process. She took her time explaining everything and was patient through out the process. In my opinion, she is the best pain management doc around.
Jessie Wilson
Jessie Wilson
2023-12-08
I love Dr. Iqbal and her staff, I couldn't be any luckier to have found her practice. Dr. Iqbal listens well and explains in detail any procedures. She is honest, caring, and down to earth. She and her staff are the greatest. I would recommend her to any of my friends or family.
Shimmerynight Skies
Shimmerynight Skies
2023-12-08
My mother is a patient here and the staff is super nice, fun, and sweet! I highly recommend coming here for friendly service
M
M
2023-12-04
Excellent doctor. Dr. Iqbal explained every thing in detail and laid out a very clear plant to treat the problem/pain.