When there is chronic back pain
Whereas with acute back pain that pain you feel when you cut your finger or sprain a muscle, is a warning signal that tells your body that a part may have been damaged and needs your attention. Chronic or persistent back pain, may have been present for weeks or months, no longer acts as a warning signal. Instead your body has gone into overdrive and the pain that you perceive no longer refers to possible damage.
When seeking treatment for chronic back pain it can be treated initially like the drug regime for acute back pain. Other drug regimes that can be used are;
Non Medication route-– Treatment Available to Help Ease The Pain
Like with acute pain it has been recommended that chronic back pain sufferers receive a course of manipulative therapy such as osteopathy or physiotherapy.
Similarly exercise rehabilitation have also been recommended for chronic back pain management.
Acupuncture can also be used for short term relief of low back pain.
Psycho-social Factors and Yellow Flags for Chronic Back Pain
It is also important for any therapist or GP to identify factors that may predispose that person to having back pain. A management programme should then be set up in order to aid recovery and prevent or reduce the risk of further problems. There may well be a strong mental-emotional barrier for people who suffer with chronic back pain which may prolong the chronic back pain and impede recovery. These are called yellow flags. They include:
- Belief that pain and activity are harmful
- Sickness behaviours, such as extended rest
- Withdrawing socially
- Emotional problems such as low or negative mood, depression, anxiety and stress
- Problems and/or dissatisfaction at work
- Problems with claims or compensation, or time off work
- Overprotective family; lack of support
- Inappropriate expectations of treatment, including low expectations of active participation in treatment.
- Where work plays a role in maintaining back pain the factors within the work environment it needs to be discussed and a plan or way forward found.
- Look at lifting techniques
- Seating and posture are often more important nowadays - Consider desks, chairs, computer screens and keyboards at work.
- Look at time spent in the car and how comfortable it is and adjustment of the seat and steering wheel.
- Fork lift trucks and large goods vehicles may transmit vibration all day.
- Make a plan on getting back to work, perhaps doing a return initially on a part time basis.
- Look at what improvements may be made to the workplace to reduce the risk of recurrence.
British Medical Journal: United Kingdom back pain exercise and manipulation (UK BEAM) randomised trial and Back Pain: The Facts
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Content by Jane Morris - connect with me on Google+