A Back Pain specialist deals with treatments for back pain.
Top back pain specialists are able to offer a variety of treatment options and not only a single modality.
The following specialists deal with back pain
- Orthopaedic Spine Surgeon
- These are doctors who have completed medical school training. They then specialise in Orthopaedics. Once completing their orthopaedic training they undertake advanced training in spinal surgery. Treatments they offer include, pain management using medications and spinal injections, minimally invasive spinal surgery for disc herniations, spinal instrumented surgery for fusion and disc replacement procedures. Most orthopaedic surgeons offer the full spectrum of spinal surgical treatments. They rarely deal with tumours within the spinal cord.
- These are medically qualified doctors. They specialise in neurosurgery and during their training they deal mainly with brain conditions. They undertake basic spinal surgery throughout their neurosurgical training and deal with most disc conditions. These specialists are trained to deal with conditions that affect the spinal cord nerves such as spinal tumours. Most neurosurgeons do not specialise in back pain and they are not so well trained in using implants in the spine.
This pathology can range from mild and constant pain to sudden sharp stitches that make movement difficult. It can arise suddenly, with a fall or when lifting something very heavy.
Where is the pain located?
The pain can adopt different locations. For instance, it can extend from the cervical area of the spine (neck), dorsal region (upper back), lumbar region (lower back) and the sacral region (lower part of the spine).
In addition to pain, people may experience weakness, numbness or tingling.
What is the cause?
Various structures in the spine can cause back pain when the following occurs:
- Irritation of the roots of the nerves that go to the legs and arms.
- Irritation of the smaller nerves that are placed in the spine.
- Distention of the pair of large muscles of the back (erector spinae).
- The bones, ligaments or joints are injured.
- The intervertebral space itself is a source of pain.
Can back pain be treated?
There are many treatments available for back pain.
- It rarely requires surgery.
- Physical therapy which allows improving your core muscles around the lower back and also can enhance pain.
- Pain killers such as anti-inflammatory medications and muscle relaxants.
- Resting in a comfortable position. Avoid poor posture.
- Keep on doing some moderate activity but no lifting or twisting of your lower back.
When is surgical treatment necessary?
Of all patients with this condition, only a minority are candidates for surgical treatment. The most relevant indications are:
-There is a compression of the nerve roots or the spinal cord, sufficiently important to leave sequels in case it is not resolved quickly, this is the case of the intervention by Cauda Equina Syndrome.
-There is a compression of the nerve roots that, although it will not necessarily leave sequels, causes symptoms and lasts more than 6 weeks without improving, despite the non-surgical treatments.
-The characteristics of the clinical manifestations and the result of the physical examination show that the compression is undoubtedly due to the detected structural anomaly.
- Caudal Epidural, nerve root injections, facet joint injections are methods of bringing immediate relief. They may not get rid of all your pain but in over 90% cases will reduce it significantly.
- They should always be tried before surgery as long as there is no progressive nerve damage.
At The London Spine Unit, The Harley Street Hospital, we have some of the best specialists, like the worldwide recognized Mr Mo Akmal, to diagnose and treat your sciatica. Book an appointment to get a check up.