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Back pain: the facts

continued from page 2
Many forms of treatment have been tried but controlled clinical trials show limited effectiveness for most of these, compared with the regime described above. Ice, heat, short-wave diathermy and ultrasound are popular, but not proven to be effective. There is weak evidence that acupuncture works, but manipulation can be effective in acute back pain.

Surgery
Surgical treatment is only needed in very few cases, and orthopaedic surgeons specialising in back problems may try several other types of treatment before embarking on surgery. Recent developments have meant that damaged discs can be removed by microsurgery, and in some centres the damaged disc can be dissolved away by injection. If you need back surgery, do make sure that your surgeon is experienced in the field and that all the risks and benefits have been explained fully to you.

The role of work
Some people are more vulnerable to attacks of back pain than others, for example those who drive a lot, sit answering the phone, work as a cashier, use a computer all day or have a heavy manual job. It is important to maintain a good posture even when seated, and to get up and move around from time to time. Lifting should be done with the legs, not the back, and things should be carried close to the body. Take as much exercise as possible. If the back pain is related to your occupation then discuss this with your employer.

Help yourself

  • Bed rest does more harm than good.
  • Get moving as soon as possible with the help of medication if required.
  • If you spend all day sitting down get up and move around frequently.
  • Don't slouch on soft furniture.
  • Use a firm mattress in your bed. A board under the mattress can give temporary improvement.
  • Take regular exercise. Walking and swimming are particularly good if you have a history of back problems.
  • If pain persists then seek professional advice.

Resources
Backcare
16 Elmtree Road
Teddington
Middlesex TW11 8ST
Tel: 020 8977 5474
Visit www.backpain.org

If you have back pain, you're not alone. Get sympathy and support from fellow iVillagers on the Let's Talk About Health message board.

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