Emergency Treatment for Back Pain
Severe low back pain usually comes on suddenly and caused by a minor movement such as bending over. The pain may increase over a couple of hours as inflammation develops. The pain is usually in the lumbar area of the spine but can radiate into the buttocks.
What can be done for acute or severe lower back pain?
- Get into a position of least pain. Suitable positions may be lying on the back (supine), on the front (prone) or on the side. Whatever the most comfortable position for the patient is best.
- If it hurts dont do it. Avoid movements or positions that make the pain worse.
- Bed rest may help but not for more than two days as resting for too long can make back injuries worse. Often movement is needed after the initial pain and inflammation has gone.
- Taping the lower back can relieve pain and give support, as can use of a specialist back support belt or back brace.
- The doctor may prescribe NSAID's (non steroidal anti inflammatory drugs) such as ibuprofen or stronger prescription medicines to relieve pain and muscle spasm.
- Electrotherapy can be used to relieve pain. For example TENS (electrical stimulation) or magnetic field therapy or ultrasound therapy may be helpful.
- Avoid sitting in the same position for long periods of time.
- Very light massage techniques may help reduce pain.
- Use of an inversion table to apply gentle traction may also help relieve symptoms.
Once the severe back pain symptoms have gone then the patient is usually treated as if having mild to moderate back pain and more intensive treatments can be started.
