Providing enough pain relief to be able to participate with physical therapy and rehabilitation
Preventing further injury to the spine through improved ergonomics and posture
Maintaining an ability to function at home and at work
Non-Surgical Back Pain Treatments
There are a wide variety of non-surgical options for treatment of the lumbar spine. The more common treatments include:
Pain medication.
Pain medications used to treat the lower back pain can include acetaminophen, NSAIDs, oral steroids, narcotic drugs, muscle relaxants, and anti-depressants. Each type of medication has strengths, disadvantages, and risks, and one's particular problem in the lower back and overall health will determine which pain reliever, if any, is indicated.
Heat or ice.
Application of a ice or heat can help relieve low back pain.
Some people find that alternating between the two works.
Manual manipulation.
This treatment can be administered by a chiropractor, osteopathic doctor, or other qualified health professional. It is thought to help relieve lower back pain by reducing pressure on sensitive structures, increasing flexibility, improving blood flow and decreasing muscle tension.
Therapeutic massage.
Massage therapy can improve blood flow, reducing muscle stiffness, and decrease stiffness.
Exercise.
A program of back exercises and physical therapy can usually include a combination of strengthening, stretching, and low-impact aerobic exercise.