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Treatment of lumbar spondylosis depends on the symptoms and the areas of the spine that are affected. Our initial approach is physical therapy, which targets the strengthening of muscles that support the spine. If needed, our doctors may also prescribe medication such as NSAIDs, muscle relaxants, or antidepressants. Should the pain persist despite these measures, we may consider minimally invasive spine procedures based on the specific location of the pain or abnormality in your spine.
Acute Pain
Home treatment includes applying heat or ice and using over-the-counter pain relievers. If these modalities don’t relieve your pain, you should then see a pain physician.
Chronic Pain
If the pain persists for several months, you should not waste any more time and contact a pain physician. The treatment options are defined by the exact cause of such a pain. The various options that are available are:
Physical Therapy
Neck and back exercises to strengthen the muscles and increase mobility and function. Physical therapy should not be recommended to treat acute conditions.
Pharmacotherapy
This includes a combination of nerve medicines, muscle relaxants and other pain medication which are prescribed depending on the exact cause of pain.
Interventional Therapy
If a combination of physical and pharmacotherapy is unable to provide adequate pain relief, then we may recommend interventional pain management techniques, such as cervical epidural and trigger point injections. These techniques are safe, effective, and produce rapid recovery.
Contact our back pain specialist in Madison, WI.
Pro Spine & Pain
34 Schroeder Ct suite 110,
Madison, WI 53711
(608) 200-3420
Web Address: https://prospinepain.com/
Office Location: https://prospinepain.com/madison-clinic/
Google Maps: https://maps.app.goo.gl/dBQEe29fYarXP4NTA
https://plus.codes/86MG2GXC+7G Madison, Wisconsin, USA
Nearby Locations:
Greentree, Orchard Ridge, Summit Woods, Westmorland, Midvale Heights
Working Hours:
Monday: 8AM - 4:30PM
Tuesday: 8AM - 4:30PM
Wednesday: 8AM - 4:30PM
Thursday: 8AM - 4:30PM
Friday: 8AM - 4:30PMSaturday: ClosedSunday: Closed
Payment: cash, check, credit cards.
Joseph Fortin
SPINE TECHNOLOGY AND REHABILITATIONThe team at Spine Technology and Rehabilitation specializes in being your pain detectives, offering minimally invasive procedures to help you avoid unnecessary surgery, and creating individualized treatment plans to give you optimal relief.
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Mo Akmal
Posted to: Spinal SurgeryLAser Spine Surgery is a revolutionary, NICE approved, treatment for bulging discs performed under local anaesthetic and sedation as a daycase procedure.
Spinal Surgery
Created by: Mo AkmalMo Akmal
Consultant Orthopaedic Spine SurgeonMr Mo Akmal is an Internationally renowned spinal surgeon with clinics in Central London Harley Street, Dubai, Islamabad and works at UK's Top University Hospital, Imperial College.
Mr Akmal has a specialist interest in minimally invasive keyhole spinal surgery. He is an expert in Laser disc surgery also known as PLDD (Percutaneous Laser Lumbar Decompression), Lumabr Fusion, Disc replacement, balloon kyphoplasty, spinal injections and specialises in the management of spinal stenosis, sciatica, disc prolapse, bulging discs, back pain and spinal trauma.
More details can be found at https://www.londonspine.com and http://theharleystreethospital.co.uk
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- In high-income countries populations are aging
- By 2050 the world population of people over 60 is projected to reach 2bn
- Age-related low back pain is the highest contributor to disability in the world
- Over 80% of people will experience back pain at some point in their life
- Older people with back pain have a higher chance of dying prematurely
- The causes of back pain are difficult to determine which presents challenges for the diagnosis and management of the condition
- The US $100bn-a-year American back pain industry is “ineffective”
- Each year 10,000 and 300,000 spine fusion surgeries are carried out in the UK and US respectively
- 20% of spinal fusion surgeries are undertaken without good evidence
- In 10 to 39% of spine surgery patients pain continues or worsens after surgeries
A triumph of 20th century medicine is that it has created the “age of the aged”. By 2050 the world population of people aged 60 and older is projected to be 2bn, up from 900m in 2015. Today, there are 125m people aged 80 and older and by 2050 there is expected to be 434m people in this age group worldwide. The average age of the UK population has reached 40. Some 22% will be over 65 by 2031, and this will exceed the percentage of the UK population under 25. 33% of people born today in the UK can expect to live to 100. However, this medical success is the source of rapidly increasing age-related disorders, which present significant challenges for the UK and other high-income nations. Low back pain (LBP) is the most common age-related pain disorder, and ranked as the highest contributor to disability in the world.
At some point back pain affects 84% of all adults in developed economies. Research published in 2017 in the journal Scoliosis Spinal Disorders suggests that LBP is the most common health problem among older adults that results in pain and disability. The over 65s are the second most common age group to seek medical advice for LBP, which represents a significant and increasing workload for health providers. Each year back pain costs the UK and US Exchequers respectively some £5bn and more than US635bn in medical treatment and lost productivity. LBP accounts for 11% of the total disability of the respective populations. This Commentary discusses therapies for LBP, and describes the changing management landscape for this vast and rapidly growing condition.
Ranjeev Bhangoo, a consultant neurosurgeon at Kings’ College Hospital Trust, London, and the London Neurosurgery Partnership describes the nature and role of intervertebral discs and how treatment options should be assessed.
“When a person presents with a problem in the lower back, which might manifest as leg or arm pain, you need to ask 3 questions: (i) is the history of the pain compatible with a particular disc causing the problem? (ii) Does an examination suggest that a particular disc is causing a problem? And (iii) does a scan show that the disc you thought was the problem is the problem? If all 3 answers align, then there maybe some good reason to consider treatment options. If the 3 answers are not aligned, be weary of a surgeon suggesting intervention because 90% of us will experience back pain at some point in our lives, and 90% of the population don’t need back surgery.”
Back pain affects approximately 700m people worldwide. A 2011 report by the US Institute of Medicine, estimates that 100m Americans are living with chronic back pain, which is more than the total affected by heart disease, cancer, and diabetes combined. This represents a vast market for therapies that include surgery and the prescription of opioids. Estimates of the prevalence of LBP vary significantly between studies. There is no convincing evidence that age affects the prevalence of back pain, and published data do not distinguish between LBP that persists for more than, or less than, a year. Each year LBP affects some 33% of UK adults, and around 20% of these - about 2.8m - will consult their GP. One year after a first episode of back pain, 62% of people still experience pain, and 16% of those initially unable to work are not working after 1 year. Typically in about 60% of cases pain and disability improve rapidly during the first month after onset.
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