Back or neck injury
Medication – For nerve injury and neuropathic pain, medications include gabapentin, pregabalin, and duloxetine. Anti-inflammatory agents will decrease inflammation and pain, such as ibuprofen, naproxen, and ketoprofen. For severe pain, narcotic analgesics include oxycodone and hydrocodone.
Epidural steroid injection (ESI) – With this procedure, a corticosteroid agent is injected into the space outside of the spinal fluid sac (epidural region). This will reduce swelling, alleviate pain, and eliminate inflammation. The ESI is proven to be around 90% effective, based on current studies.
Physical therapy – To strengthen the back and improve flexibility, physical therapy is used. The therapist works with the patient 2-3 times each week for several weeks.
Selective nerve root block (SNRB) – For people with nerve compression and sciatica, this block has an 80% efficacy rate. The doctor will inject a long-acting anesthetic agent near the nerve root to block pain signal transmission.
Acupuncture – Based on ancient Chinese therapy, acupuncture is useful for many forms of chronic back pain. The practitioner inserts tiny needles along the skin and subcutaneous tissue of the back to cause the release of endorphins (special neurotransmitters that block pain). In addition, this therapy helps restore energy balance and flow in the body. Studies show that acupuncture is superior to placebo treatment for back pain.
Radiofrequency denervation – For this procedure, radio waves are used to interrupt nerve signals and destroy a portion of the nerve root. According to a recent clinical study, this procedure was found to be effective for long-term therapy related to radicular discomfort.
Transcutaneous electrical nerve stimulation (TENS) – This procedure involves the use of a small device to deliver electrical current for nerve signal interruption. With a 75-90% success rate, the use of TENS is popular for treating low back pain.
Spinal cord decompression therapy – This procedure involves the use of a specialized table to decompress the intervertebral disc that is painful, and it also elongates the spine to ease pain. A computerized unit controls the force and allows for precise controlled movements.