Welcome to Pain and Spine Clinics

Lower Back Pain is an endemic problem in the United States of America with over 80% of people suffering some kind of back problem in the course of their lives. From 1992 to 2006 the % of the population with chronic lower back pain rose from 3.9 to 10.2% – a significant rise. It is also true that between ⅓ to ⅔ of the population suffers from some sort of chronic pain syndrome – as reported by the BMJ. Now there is evidence that the cycle of chronic pain could be contributing to people’s Insomnia after studies that indicate lower back pain causes female patients with disturbed sleeping patterns.

Lower Back Pain as a cause for female patients suffering from disturbed sleeping patterns

There is mounting concern that the prevalence of back pain, particularly within woman (where the sacroiliac joint pain is highly prevalent), could be contributing to disturbed sleeping patterns in the US population. One study looking to find a link between lower back pain and sleep disturbance found:

  • A massive 58/7% of women suffering from lower back pain had some kind of sleep disturbance (often as a result of the back pain).
  • This is significantly higher than the general population and is a clearly a stat that keeps doctors up at night.
  • How likely these patients were to suffer from sleep disturbance was also found to be directly related to how to back their lower back pain was – indicating that the back pain CAUSES the loss of sleep and not just that these patients are more likely to have sleep problems.

Clearly, new treatments are needed to help cure people of chronic lower back pain and specifically sacroiliac joint pain treatment in women.

 

Lower Back Pain Treatment: New and Old

Traditional treatments include both drug and non-drug based treatments. Some non-drug based treatments include:

  • Acupuncture – this traditional treatment is suggested to have a moderate effect. Needles are inserted into the patient’s back which supposedly helps to relieve blockages in one Qi
  • Physical therapies – These exercises aim to improve a patient’s core muscles which in turn should take pressure off of the back muscles and ease the pain felt by patients.
  • Activity – Many doctors recommend getting out and about and avoiding bed rest. This simple treatment relies on the face that immobilizing the back often makes the pain worse.

Medication-based treatments include the following:

  • Non Steroidal anti-inflammatory drugs (NSAIDs) – these work by reducing inflammation across the body. Inflammation is a process that increases pain receptors and means patients feel more pain. If the back is inflamed, these medications will work well. However chronic pain often has no inflammation and is untouched by traditional NSAIDs like Ibuprofen
  • Opioids – These are strong painkillers that include morphine and codeine. They work well for pain but have the downside of being addictive.

 

Other treatment options:

  • Transcutaneous electrical nerve stimulation – this is a battery-powered device that makes electrical pulses that supposedly stop pain signals.
  • Nerve Blocks – Can work well for a number of causes of back pain. Is one of the preferred sacroiliac joint pain treatment, along with radiofrequency ablation. Local anesthetic is injected around the nerve, directly blocking pain messages