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Management of low back pain.

M M Ray1

  • 1Department of Orthopaedics, Burdwan Medical College.

Journal of the Indian Medical Association
|September 11, 2002
PubMed
Summary

Back pain affects many globally, with causes often unclear. Diagnosis relies on imaging like MRI, while treatment ranges from physical therapy to surgery.

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Area of Science:

  • Orthopedics
  • Radiology
  • Pain Management

Background:

  • Back pain is a prevalent global health issue, frequently lacking a specific etiological diagnosis.
  • Numerous conditions, including trauma, infections, malignancy, rheumatological, neurological, and degenerative diseases, can manifest as back pain.
  • Systemic illnesses can also contribute to the development of back pain.

Purpose of the Study:

  • To outline the diagnostic importance of radiological studies in identifying causes of back pain.
  • To review the spectrum of non-surgical and surgical treatment modalities for back pain.

Main Methods:

  • Diagnostic workup involves various radiological procedures such as plain radiographs, myelography, computed tomography (CT), magnetic resonance imaging (MRI), and bone scintigraphy.
  • Treatment strategies encompass non-surgical approaches including rest, pharmacotherapy, physical therapy, and injection therapy.
  • Surgical interventions are considered for specific conditions and may involve disc surgery, spinal canal widening, spinal fusion, or tumor/sequestrated disc removal.

Main Results:

  • Radiological imaging plays a critical role in diagnosing the underlying causes of back pain.
  • A comprehensive range of treatment options exists, tailored to the specific diagnosis and patient condition.
  • Both conservative and interventional (surgical) management strategies are available for addressing back pain.

Conclusions:

  • Effective management of back pain necessitates accurate diagnosis, often guided by advanced radiological assessments.
  • Treatment selection is individualized, ranging from conservative measures to surgical procedures.
  • Further research may elucidate the specific etiologies of idiopathic back pain and refine treatment protocols.

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