Therapy for chronic back pain – What helps best?

Introduction

Back pain must be treated early and sufficiently to avoid chronification. In chronic back pain, common painkillers alone are often no longer effective because a pain memory has developed, i.e. the back pain has become independent in the psyche of the person affected. A therapy for back pain is then much more difficult.

An interdisciplinary approach of orthopedists, anesthesiologists, neurologists, psychologists and physiotherapists in the context of a multimodal pain therapy is then often indicated in the treatment of back pain. Adequate movement: The best way to prevent and treat back pain is adequate EXERCISE. In everyday life, use the stairs instead of the elevator or simply leave the car for activities that are nearby.

Once back pain has occurred, the same applies to simple back pain: Move! In any case, long periods of bed rest should be avoided. Reconsider your sports habits in order to become (again) fit.

According to your individual level of performance, it is important to strengthen the back muscles through proper back training. Especially the trend sports walking and Nordic walking can help. Swimming and/or cycling are also considered suitable sports for strengthening the back muscles.

Since it is difficult to get up to move, especially in acute pain phases, it may be possible to start with a painkiller. Targeted sporting exertion ensures better muscle conditions and mobility. The entire spinal column is significantly relieved by the body’s own support corset.

As already mentioned above, the mobilization of the patient is of utmost importance in the therapy of back pain. Acute pain, however, tempts the patient to “take it easy” for longer than perhaps necessary. In order to shorten these possibly longer lasting “sparing” states and to get the patient moving again as quickly as possible, severe back pain can be temporarily relieved by means of painkillers.

However, it is important to mention that painkillers only dampen the pain, but do not treat or eliminate the cause of the pain. They should really only serve to get the patient pain-free as quickly as possible so that he or she can move again. The doctor treating the patient should determine the intake of painkillers in the course of the correct therapy.

He can decide individually on the spot which medication and which dosage seems to be appropriate. In addition to the painkiller medication (e.g. : paracetamol, Aspirin®, diclofenac, ibuprofen, muscle relaxants (muscle-relaxing drugs) such as Sirdalud® can be administered. It must always be pointed out that drugs have not only effects but also side effects.

Some of the painkillers in particular can cause stomach bleeding. A first indication of this is: black bowel movements. In such cases, you should consult a doctor immediately and stop taking any further medication for the time being.

Not least because of the side effects, a long-term therapeutic intake of pain medication is not recommended. They are only intended to help the patient “get back on his feet” as quickly as possible. It must always be pointed out that drugs have not only effects but also side effects.

Some of the painkillers in particular can cause stomach bleeding. A first indication of this is: black stool. In such cases, you should consult a doctor immediately and stop taking any further medication for the time being. Not least because of the side effects, a long-term therapeutic intake of pain medication is not recommended. They are only intended to help the patient “get back on his feet” as quickly as possible.