It used to be that if a person had a lot of back pain their doctor would recommend surgery to fix the problem. Following the surgery, the person would usually be on bed rest for a few weeks, and then, if all went well, their back would be better - unless it wasn’t. In the past, experts agree, there was too much back surgery done. Most people weren’t any better after the surgery, and many were worse.

Now, research has shown that most back pain, even lower back pain, will resolve itself without surgery, given rest and time. In fact, for most back pain, all other options should be tried prior to scheduling surgery on the back. Less than one percent of all people ever actually need surgery for their back pain, though four out of every five people have back pain at some time in their life.

Who Needs Surgery?

Generally, physicians believe that surgery should only be considered if other methods have been tried and were unsuccessful at relieving the back pain (or the pain returns), the pain is significantly affecting a person's day-to-day life, or if left alone the back condition could deteriorate into a more serious state.

Non-Surgical Treatments

Physical therapy can be a great way to help the back and spine heal. Along with special, specific exercises, often the physical therapist will use other modalities, such as heat or cold therapy (reduces inflammation, pain and muscle spasms), ultrasound (uses sound waves to head and encourage circulation and reduces inflammation, pain and muscle spasms), massage, spinal traction, Transcutaneous Electrical Nerve Stimulation (TENS) (uses a painless electrical currently on certain nerves to relieve pain and improve mobility of the back) and water therapy.

Some patients find relief by using medication to relieve their back pain. There are many kinds, some over the counter and others prescription. They include muscle relaxants, analgesics and NSAIDS (non-steroidal anti-inflammatory drugs).

Spinal injections can relieve pain and help the doctor determine the reason for the back pain. Two kinds are Facet Joint Injections and Epidural Steroid Injections. Spinal injections are not used alone, but are used along with physical therapy and exercise. They should always be recommended or prescribed by your doctor.

Often, chiropractic care can help relieve back pain. They can palpate, apply pressure, manipulate, massage and use other methods to re-align the vertebrae of the spine.

Other methods for dealing with back pain are considered alternative medicine. They include acupuncture, certain herbal medicines and biofeedback. If you use one of these therapies, be sure to have a reputable practitioner.