At least 100% of spinal and lumbar disc pain %85can be treated without requiring surgery.
Diagnosing Spinal Pain
All the diagnosis and differential diagnosis we made spine pain, neck pain, back pain and waist pain. The entire diagnosis list that causes spine pain constitutes our patient group. Regardless of the diagnosis, at least of all spine pain with non-surgical treatments is getting better.
Remember that if there is no arm or leg pain or this complaint is not prominent, cervical and lumbar disc herniations account for less than of neck and low back pain. Therefore, using diagnoses such as cervical disc herniation and lumbar disc herniation in the sense of neck pain and low back pain is wrong and demoralizing.
The first complaint that causes spinal pain postural disorderIt is the stiffness of the spine and muscles related to it. It progresses with stiffness and sometimes severe pain related to it. segmental dysfunction is another common problem. Located at the back of the spine facet joint pain It often causes severe spine pain and accompanying arm or leg pain, and at least 1/3 of correctly diagnosed spine pains are in this group. Less commonly, cervical disc herniation And herniated discis.
The difficulty in diagnosing the spine is that examinations such as MRI only guarantee the correct diagnosis in half of the patients. This means that if the physician is not knowledgeable and experienced in history taking and examination, he will try to treat the patient with the MRI diagnosis. Trying to treat the findings in the MRI images instead of the patient means applying all treatment options with a trial and error method, from physical and exercise treatments that do not reduce pain and even increase it, to surgeries that do not reduce pain. This is not evidence-based medicine!
Necessary steps for correct diagnosis and effective treatment
- A detailed and numerous question history of the disease (how the pain started, at what levels it continued, when it occurred, under what conditions it increased or decreased, whether it responded to medications, etc.) and the patient's characteristics (sensitivity to pain, fear of illness, fear of not getting better, concern about being dependent on family members, etc.). After a history with these characteristics, the diagnosis of at least of the patients can be decided before the examination.
- An examination consisting of detailed and numerous tests, revealing the tissue from which the pain originates. After an examination with these characteristics, a correct and definitive diagnosis of the patients' can be made.
- The history and examination features are consistent with each other and support the diagnosis. If there is no incompatibility, imaging examination is performed.
- History, examination and imaging studies must be consistent and support the diagnosis. At this stage, it is necessary to discuss evidence-based treatment options appropriate for the patient.
Your spine pain diagnosis may be one or more of these.
- Stiff neck, stiff back, stiff waist,
- Neck hernia, back hernia, lumbar hernia,
- Spinal stiffness,
- Spinal muscle pain,
- Spinal ligament pain,
- Tension type muscle pain/myalgia,
- Myofascial pain syndrome/trigger point,
- Spinal segmental dysfunction,
- Spinal segmental instability,
- Facet joint pain,
- Spondylolysis,
- Spondylolisthesis,
- Unsuccessful spine physical therapy,
- Failed spine surgery.
Spine Pain Treatment
Depending on the diagnosis we make for your spine pain, we choose the treatment methods that are appropriate for you:
- Manual medicine,
- Home treatment exercises,
- Physical therapy agents,
- Manual techniques,
- Other methods: Physical therapy program consisting of (dry needling, kinesiotaping, Graston, Mulligan) and exercise (stretching exercise, ROM exercise, mobilization exercise, stabilization exercise),
- Caudal epidural injection and subsequent physical therapy program,
- Transforaminal epidural injection and subsequent physical therapy program,
- Radiofrequency neurotomy and subsequent physical therapy program,
- Prolotherapy and subsequent physical therapy program.
