Treatment for low back pain

Specific treatment for low back pain will be determined by your physician based on:

• your age, overall health, and medical history
• extent of the condition
• your tolerance for specific medications, procedures, or therapies
• expectations for the course of the condition
• your opinion or preference

How is low back pain diagnosed?

In addition to a complete medical history and physical examination, diagnostic procedures for low back pain may include the following. However, during many initial assessments and examinations, specialized tests are not necessary.

• X-ray - a diagnostic test which uses invisible electromagnetic energy beams to produce images of internal tissues, bones, and organs onto film.
• Computed tomography scan (Also called a CT or CAT scan.) - a diagnostic imaging procedure that uses a combination of x-rays and computer technology to produce cross-sectional images (often called slices), both horizontally and vertically, of the body. A CT scan shows detailed images of any part of the body, including the bones, muscles, fat, and organs. CT scans are more detailed than general x-rays.
• Mmagnetic resonance imaging (MRI) - a diagnostic procedure that uses a combination of large magnets, radiofrequencies, and a computer to produce detailed images of organs and structures within the body.
• Radionuclide bone scan - a nuclear imaging technique that uses a very small amount of radioactive material, which is injected into the patient's bloodstream to be detected by a scanner. This test shows blood flow to the bone and cell activity within the bone.
• Electromyogram (EMG) - a test to evaluate nerve and muscle function.

Treatment may include:

• activity modification
• medication
• physical rehabilitation and/or therapy
• occupational therapy
• weight loss (if overweight)
• no smoking
• following a prevention program (as directed by your physician)
• surgery
• assistive devices (e.g., mechanical back supports)