Back Pain Can Be Treated Without Pain Meds
Lower back pain is one of the most common complaints for Americans today. About a quarter of all U.S. adults have reported lower back pain lasting at least one day in the past three months, according to statistics published by PubMed.
Of those adults, many are women and men who may be considered ‘weekend warriors,’ meaning those of us who work a day job during the week and then are very active on the weekends. It could mean long hikes, bicycling the state parks, or simply playing baseball with your kids in the backyard. Often, our weekend activities lead to back pain.
In 2006, costs associated with those seeking treatment for lower back pain were estimated at $100 billion. These costs include missed work and low productivity.
However, many people suffering with lower back pain are concerned about starting a pain medication, especially with the rise of opioid addiction. There is some good news – new recommendations have found that treatment of lower back pain can be successful with alternative therapies and without opioids.
Study Shows Success in Pain Treatment Without Opioids
New guidelines released by the American College of Physicians state that treatment of back pain no longer needs to include pain medications. These guidelines specifically point to the treatment of back pain with nonsurgical options.
A study compared results from noninvasive use of pain medications against results from noninvasive treatments without pain medications. The study found that patients did not need pain medications in all cases in order to have relief from back pain.
There are several ways physicians were able to reduce back pain without drugs:
- For severe lower back pain, patients found relief with superficial heat such as that used in massage, acupuncture, or spinal manipulation. In some cases, physician may also recommend a pain medication to accompany these types of treatment, however the study stresses the use of anti-inflammatory drugs that do not contain a steroid.
- For patients with chronic lower back pain, physicians are recommended to initially utilize treatment with exercise, either through a rehabilitation program such as Beebe HealthyBack, or utilizing acupuncture, mindfulness-based stress reduction, tai chi, yoga, relaxation therapy, biofeedback, or spinal manipulation, among other techniques.
- In cases when patients are not responding to non-medication techniques, the American College of Physicians recommends anti-inflammatory drugs that do not contain a steroid. The ACP cautions that physicians should only consider an opioid in patients who have attempted all other treatment options and are still not improving.
Programs such as Beebe HealthyBack, administered by Beebe Physical Rehabilitation Services, have shown that targeted exercises, yoga, and stress reduction can improve lower back pain.
Over the last 25 years, the University of Florida, the University of California at San Diego, and medical institutions around the world have published compelling research showing that specific spinal strengthening using the FDA-registered PHB Lumbar and Cervical Extension machines improve patient outcomes even after multiple failed attempts at other forms of treatment.
The machines used by Beebe Physical Rehab allow patients to strengthen muscles, improve disk health, increase endurance, mobility, and function over the duration of their treatment. Beebe’s team of care professionals teach patients how to continue strength and flexibility exercises at home and the team provides ongoing support and motivation for patients.
There are some cases where opioid use is still the recommendation, including for those people who suffer from spinal stenosis (pinched nerves) in the neck and back. For these patients, opioid use is sometimes recommended, however it is important that opiates are used for short term (about 1 month) to control pain. They are also recommended in some cases to control pain post-operatively.
In cases where pain is not relieved with continued conservative care there are surgical options available that have been proven to have high success rates at reducing and eliminating pain.