Back Pain (Slipped disc) and Sciatica

In simple words, low back pain can be defined as pain experienced in the bottom region of spine (between lower margins of ribs and the gluteal folds). It may remain localised to back or radiate to the legs.

Sciatica is a term used for pain radiating down from the lower spine to the legs. Most common cause of sciatica is irritation or compression of the nerves as they exit the spine on their way to the legs. It may be accompanied by numbness, tingling and weakness in the distribution of the affected nerve.

Globally low back pain (LBP) is one of the leading causes of disability. LBP is an important cause of limitation of activities, absence from work with resultant economic implications. In industrialised countries lifetime prevalence of non-specific low back pain is estimated at 60–70%.Despite the high incidence and intensive research into this area, pain generators are not easy to identify and the diagnosis Nonspecific Low Back Pain is used commonly. This is different from situations where a specific cause such as fracture, infection, neoplasm etc. responsible for pain generation can be identified.

Management

Pain Clinic offers non-surgical, minimally invasive management options.  A combination of comprehensive history, examination and investigation findings is used to identify pain generators and draw up a management plan. Like with other chronic pain conditions, multimodal multi-disciplinary management based on biopsychosocial model of pain is the preferred approach. This involves using a combination of different modalities to provide maximum relief with minimal side effects. Please follow these links to find out how medication optimisation, physiotherapy and psychology can be helpful. These are used in combination with injections, lifestyle changes (such as pacing of activities, weight management, giving up smoking etc.) and complimentary therapies (such as acupuncture, meditation).

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