Logo of Neurosurgeon Dr. Balamurali

Back and Neck Pain Management

Non-surgical treatment

The first line of treatment for patients at the Kauvery Advanced Spine Center is always a combination of non-surgical therapies. About 90% of patients with no serious spinal ailments can be managed with non-surgical adjuvant therapy initially and they can improve with conservative treatment, including spinal injection, physical therapy, rehabilitation, medication etc.

Non-surgical treatments include
Physical therapy
Medications
Patient education
Epidural spine injections
Facet joint intra-articular injections
Sacroiliac joint injections
Medial branch nerve blocks
Selective nerve root blocks
CT guided injections
Robotic guided injections
RF ablation

Physical Therapy (Physiotherapy & Exercise)

Physiotherapy is the treatment of disease, injury, or deformity by physical methods such as massage, heat treatment, and exercise rather than by drugs or surgery. Physiotherapists are professionals who are specifically trained to help people through movement and exercises, manual therapy, education and advice. However, your involvement is a must for the success of the therapy and they cannot do the exercises for you!

Physiotherapy is extremely effective for back and neck pains. In one study, 80 per cent of people who had physiotherapy for this problem were able to carry on working and did not have to go off sick. If you see a physiotherapist early enough, it can not only speed up recovery but also prevent the problem happening again. They will also advise you on appropriate exercise and pain relief.

Meet the doctor

Benefits of exercise

There is no controversy that physical activity is harmful for the body when there is no serious problem. The following are the benefits of doing regular exercise. Your exercise should be according to your age, physical ability, medical conditions and feasibility.

Keeps the body fit and active
Creates muscle flexibility
Helps in bone strengthening
Increases good cholesterol
Reduces blood pressure & diabetes
Controls weight by burning fat
Improves endurance
Reduces stress
It is better to learn some form of physiotherapy or exercise from a qualified person specifically for your back and neck. The exercises they teach are focused on specific muscle groups. Once you know the exercises, you can do it at home by yourself and visit the specialist once in a while for review. However if there is some discomfort or the pain increases, you should check with the same person again. You may not be following the instructions correctly or there may be some other cause.
Some of the exercises are:
Swimming
Running & Jogging
Skipping
Cycling
Brisk walking
Weight training
Step climbing
Stretching
Yoga

Different types of exercise

How much exercise should you do?

  • 1
    Generally, you may exercise for 30 to 45 minutes a day and 3 to 5 times a week.
    2
    But your physiotherapist will be able to guide you better.
    3
    Please do the exercises in the morning and evening regularly
  • 4
    Do not overdo the exercises especially in the beginning
    5
    Start the exercises slowly and carefully
    6
    Do not be alarmed if the exercises cause mild discomfort
  • 7
    But if the pain persists for more than 15-20 minutes, stop the exercise and consult doctor immediately

Get The Back/Neck Pain Relief
You Had Wished For

We know it is hard to be in pain. And, we are here to help you and give you that relief you had always wished for!Fix an appointment and live life better!
Fix Your Appointment

Injection Procedures

Epidural steroid injection

This injection technique is done commonly in lumbar canal stenosis associated with severe back pain or persistent leg pain, and also in multilevel disc prolapsed. The effectiveness of this injection is dependent on many factors like severity of the disease, duration of the symptoms, degree of nerve compression and individual variability. The best way to decide about taking the injection is by having a thorough discussion with your doctor regarding the benefits and risks involved and then making a combined decision.

The injection cannot widen the spinal canal, repair the disc damage or reposition/ dissolve the slipped disc. It alleviates the pain by washing off the inflammatory chemicals at the diseased site and steroid suppress the inflammation already set-in. Thus the chemical irritant and physical compression by inflammatory swelling are reduced, providing the pain relief. The local anaesthetic drug also soothens the damaged nerve.

Selective nerve root block

In this method, the medicines are deposited at around a particular nerve root that is being compressed by the slipped disc. The mechanism is similar to that of epidural steroid injection, but it is more specific and targeted.

Facetal injection

In case of facetal arthritis or cyst, inflammation can cause severe pain with movement in the back or neck. The medicines are injected directly into the facet joints under X-ray or CT scan guidance. The pain relief works in the same way as mentioned above.

Sacro-iliac joint injection

Sacroiliac joint pain usually presents as buttock pain and can be due to degeneration, inflammatory disorder or infection. Inflammatory disorder is most common and the injection technique can be utilized for pain relief after ruling out infection.

Ablative procedures

This procedure is done in an operating theatre for its sterile environment and under local anaesthesia. Patient will be conscious throughout the procedure and can actually interact with the doctor during the procedure itself. If the patient is anxious or afraid, mild sedatives can be given. The radiofrequency probes are placed at the preplanned targeted site under x-ray guidance and then ablation is done using the RF waves which may take up to 90 seconds. It is a day-care procedure and the person can go home after 2-3 hours of observation in the hospital. There may be procedure related pain in your neck or back which usually subsides within 2 weeks.

The procedure is safe with 70-80% efficacy in pain-relief and the complications are very rare in experienced hands. Minor complications include temporary increase in nerve pain, neuritis, neuroma, localized numbness, infection, allergic reaction to medications used during the procedure, and/or lack of pain relief (in less than 30% of patients).

We strongly recommend you to buy this book written by Dr G Balamurali on Management of Back and Neck pain.
Front page of A New Approach To Back & Neck Pain Book Written By Dr.G.Balamurali

back & Neck pain management

In Association With

Back and Neck pain management videos

  • Dr Balamurali – Understanding back and neck pain
    Dr Balamurali Red flags in serious back pain
    Dr Balamurali Back pain in pregnancy
  • Dr Balamurali – Back pain and injury to the spine
    Dr Balamurali Sitting = Smoking
    work from home
  • Lumbar strengthening
    Lumbar stretching
    Cervical exercises
  • News channel
Dr.G.Balamurali
Dr. G. Balamurali is one of the leading spine surgeons in Chennai. He is internationally trained in all niche aspects of Spine Surgery. He has over 24 years of surgical experience in this field.
Kauvery Hospital,
No.199 ,LUZ Church Road,
Mylapore,Chennai– 600004
Tamilnadu, India
Kauvery Hospital Front Area
Copyright ©2020 All Rights Reserved | Designed by DigitalSEO | Sitemap
chevron-right-circle linkedin facebook pinterest youtube rss twitter instagram facebook-blank rss-blank linkedin-blank pinterest youtube twitter instagram