The primary goal of nonsurgical spine care is to get you back to your everyday activities with little to no pain — without the need for surgical intervention. Most of these soft tissue injuries heal well, and this is why most people with back injuries recover without surgery if they follow a treatment plan from a physical medicine and rehabilitation physician.
For damaged structures to heal, good blood supply is essential for repair and to remove waste products. The bones, ligaments and muscles in the back have a good blood supply, so the back can heal reasonably well. The problem is that they usually heal with a special type of tissue called scar tissue, which is strong but not as flexible as normal muscles, ligaments, etc. However, discs have a poor blood supply and this often results in slower healing. Discs, therefore may be more easily damaged if care is not taken to prevent this. The most common type of injury to the back is to the soft tissue – the muscles, tendons and ligaments.
Back pain is often an unseen injury to others. As such, it is sometimes difficult to understand the problems that a person with back injury has to live with daily. To help yourself, it is important to keep as mobile as possible and learn how to move your body to prevent strain on your back.
Doctors who focus mainly on pain symptoms often recommend the exact opposite course of action that is optimal for recovery from a back problem. For example, years ago, doctors treated back pain with bed rest and heavy drugs in order to mask the patient’s discomfort. Patients became sedentary and increasingly dependent on drugs. It was later discovered that this treatment was actually damaging to the back, because it weakened muscles and caused more pain.
Pain is a signal from the body to the brain that something is wrong. Either a certain motion placed too much strain on the back, or the back is too weak or inflexible. Your specialist will help determine the origin of your pain and the best treatment for it.
A physiatrist, or physical medicine and rehabilitation doctor, specializes in the nonsurgical management of spine and musculoskeletal pain, including back, neck, hip, knee, shoulder, arm, ankle, foot and elbow. While many doctors provide drugs to mask symptoms of pain, these drugs leave a patient debilitated and dependent upon them for pain relief. A physiatrist, on the other hand, provides techniques and treatments that enable musculoskeletal and spine pain sufferers to return to activity without surgery.
With so many subspecialties in medicine, it is no wonder that many people do not know exactly what a physiatrist does, even if they have heard the term. It has become a nationwide trend for highly respected spine and joint centers to use physiatrists to treat cases of back, neck and joint pain.
A physical medicine and rehabilitation (PMR) doctor may use a variety of tests to diagnose your back, neck, hip, knee, shoulder, arm, ankle, foot and elbow pain. Physiatrists may also use interventional injection procedures for pain relief and for diagnostic purposes.
Essentially, a physiatrist has unique skills to offer a spine and musculoskeletal pain sufferer. Instead of masking pain with drugs, a physiatrist identifies the cause of the pain. They often help patients relieve pain symptoms without surgery.
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