A real pain in the back: how to deal with back pain

Written in association with: Dr Kavita Poply
Published: | Updated: 05/11/2024
Edited by: Jessica Wise

Back pain, particularly in the lower back (called lumbago), is a common ailment that can affect anyone and can be caused by a variety of conditions or injuries. Back pain can be unbearable, but it can also be corrected. All back pain, between mild to severe, has a cause and that means that there is a solution. Dr Kavita Poply, a leading pain management specialist, clarifies the causes of back pain, and the ways it can be addressed.

 

 

What causes back pain?

Back pain is a symptom that isn’t so cut-and-dry, and cannot be attributed to any one issue, which is why a thorough investigation into its cause is necessary to devise an appropriate treatment plan. 

Some causes of back pain are:

  • Strained back muscles
  • Trauma, injury, or fracture
  • Degeneration of the spine
  • Arthritis
  • A herniated disc
  • Poor posture or sleeping arrangements
  • A sedentary lifestyle
  • Sciatica

There are two categories of back pain: inflammatory and mechanical. Inflammatory back pain is caused by arthritis, a disease called ankylosing spondylitis, or other autoimmune diseases that attack the spine, especially the lower part, and will feel better during physical activity and worse with rest. Whereas mechanical back pain is more likely to be caused by stress and wear on the spine, and will feel better when resting and worse during activity.

 

How is back pain treated?

The first steps for relieving pre-existing back pain include taking anti-inflammatory painkillers like ibuprofen and applying hot or cold compresses to the painful part of the back. These act more as pain management and not as a curative.

Physical therapy and massage therapy can help address muscular stiffness and knots, and improve mobility with pain reduction.

Aside from medicinal and physical treatment, some measures can be taken in everyday life to avoid or mitigate back pain, such as:

  • Improving posture when walking, standing, and sitting
  • Being sure not to lift objects that are heavier than can be safely handled, and remembering to always lift from the knees.
  • Keeping physically active with running, walking, swimming, or sports to strengthen muscles
  • Stretching to keep the muscles flexible
  • Sleeping on a supportive mattress

Typically, back pain is best managed with these lifestyle adjustments and simple medical interventions. If these don’t work and the pain is severe, or if the cause is a serious injury, surgery is often the next avenue to provide relief. Surgery can be used to correct herniated discs and compression fractures with a variety of different procedures. 

 

If you are having issues with your back and are struggling with pain, consult with Dr Poply via her Top Doctors profile today.

By Dr Kavita Poply
Pain medicine

Dr Kavita Poply is a highly accomplished and respected professional in the field of Pain Medicine and Neuromodulation. Currently serving as a consultant in Pain medicine and Neuromodulation at St Bartholomew's Hospital and Senior Lecturer at Queen Mary University, London. She has dedicated her career to advancing medical education and research in neuromodulation and pain management and providing exceptional care to her patients. 

She has been accredited with the Fellowship of Royal College of Anaesthetics and Faculty of Pain Medicine (FRCA, FPM RCA), London. She earned Doctor of Philosophy (PhD) from Queen Mary University of London for her novel and ground-breaking research on “Dynamic brain imaging (PET) response to SCS Differential Frequencies: A double blind RCT”, which has contributed significantly to understanding the effects of spinal cord stimulation treatment algorithms at the brain level in exploring objective outcome biomarkers.

Her area of expertise encompasses a wide range of painful conditions, including headaches (migraine, cluster headache and facial pains), trigeminal neuralgia, back pain, sciatica, neck pain, brachialgia, CRPS, fibromyalgia, shingles/pleuritic pain, shoulder, knee, hip and ankle joint pains, musculoskeletal pains, chronic abdominal, chronic pelvic pain, chronic groin pain (post-surgical/neuropathic), chronic anal pain, vulvodynia, cancer pain, bruxism and nonsurgical treatment for foot corns/callosities etc. 

Dr Poply is well-versed with the pain interventions and routinely performs various pain procedures, such as, Medial branch block, Dorsal root block, Epidurals, Radiofrequency (RF) treatments, Trigger point injections, Peripheral nerve blocks, Genicular nerve block and RF (knee pains), Intercostal nerve block and RF (shingle and chronic pleuritis), Stellate ganglion/Splanchnic nerves/Coeliac plexus/Ganglion of impar blocks, Botox infiltration (chronic migraine, bruxism and musculoskeletal pains) and Intravenous lignocaine infusions (Fibromyalgia). She offers the latest and advanced antiCGRP therapies to headache patients.
 
Dr Poply is highly skilled in the advanced stimulation therapies (Spinal cord stimulator, Multifidus stimulator, Peripheral nerve stimulator) for the multiple refractory painful conditions, such as Back pain with or without Sciatica, Neck pain with or without brachialgia, CRPS, Diabetic neuropathy, Osteoarthritic knee/Hip Pain, Ankle pain and Groin pain as a conservative and minimally invasive surgical option. Her neuromodulation expertise extends into occipital nerve stimulation for chronic migraine and cluster headaches.  Her clinical practice is entirely based on authentic evidence-based practices founded on research and education. Her commitment to the patient's well-being is evident through the excellent feedback she receives.  

Apart from her clinical roles, Dr Kavita Poply is running various research projects including NIHR trial and actively contributes to the medical community through various leadership positions and educational roles. She serves as the Program Lead for the "PGcert in Neuromodulation and Pain Management program" at Queen Mary University, London and Co-director for the Executive Education Program In Neuromodulation (EEPIN), City university of London.  She is successfully running these programs with international faculty collaboration across the globe.

Dr Poply's dedication to medical education extends her role beyond the geographical boundaries in the Education Committees, Examinership and Pain journal's editorship.

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