Lower back pain
Lower back pain affects most people in their lifetimes and is one of the most common reasons that people consult a doctor. There are many ways to treat lower back problems depending on the diagnosis. The history is a vitally important part of the visit with the doctor, chiropractor, practitioner or surgeon. It is also the most likely overlooked portion of the consultation to be omitted. Certain questions when asked in the history tell the doctor who takes the necessary time, the most likely diagnosis, and how to treat it. The questions then guide the physical exam which confirms the thoughts.
Many times I have had patients come to me after seeing numerous doctors and surgeons. I have many times asked them this question:
Q. Have any of the doctors touched your back like this? as I palpated the back muscles and joints moving the joints to feel the movement or lack of movement, they often responded no!
The doctor or surgeon often in these situations has completed a common scenario, they looked at the patient from across the room, asked a few quick rudimentary questions and didn’t even touch them in the exam, and instead went directly to the MRI, X-RAY or CT scans and jumped to a diagnosis. Often these diagnostic tests have positive results that have just been found on incident and are not really the cause of the pain. I will point out an example to illustrate this situation. Many people have degenerative disk problems and bulges as research has shown, as a normal part of ageing. The doctor looks at the MRI and says, you have a disc injury, you need surgery! But in this case it is a deep seated spasm or a locked up joint etc. If he proceeds to surgery, the problems will not be solved and likely worsened. This is one of the many reasons why so many back surgeries wind up as failed back syndrome. Surgery should be the last resort.
You may have lower back pain from facet syndrome, spondlylolistheisis, herniated disc, bulging discs, subluxation, strain, sprain, scoliois, spasms, stenosis, degenerative arthritis or one of many other common conditions. We need to diagnose the problem and then treat it properly to correct the underlying cause.
We will take the time in all steps of the process to try our absolute best to diagnose your condition accurately and treat it conservatively with the appropriate therapy. In our office the treatment may be physiotherapy, massage therapy, prescription medications, spinal decompression therapy, modalities, manipulation, exercise, specific stretching or other treatments or combinations of the above. If we cannot help you we will tell you so and send you to someone who can.
Call us today for an immediate appointment at 817-274-2343