Spine and back care
Most cases of neck or back pain will resolve with conservative treatment over 2-4 weeks. However, more severe of persistent cases may need medical evaluation.
- Overuse or strenuous activity, muscle weakness or tightness
- Improper use or poor posture/body mechanics
- Degenerative disc or joint disease
- Inflammatory conditions
- Ligament or muscle tear
- Disc herniation or bulge
- Nerve compression or sciatica
Evaluation starts with a thorough history and physical examination. X-rays may be needed as well as possible MRI or other imaging depending on the symptoms.
Treatment may include:
- Work station modification, ergonomic evaluation
- Activity modification or rest
- Specific exercises to target weakened or tight muscle groups (physical therapy)
- Anti-inflammatory medications, muscle relaxants
- Trigger point therapy, myofascial release, or dry needling
- Injections for pain relief
- Spinal bracing
- Smoking cessation counseling, stress management, weight management
Neck and back pain can be caused by one or multiple problems. A thorough history, examination, and appropriate diagnostic testing is necessary to determine the cause of the pain and will help guide the best treatment plan for you.