Low back pain treatment methods

The exercise program starts as short as 3-5 minutes at the beginning. The time is increasing day by day. The same exercise program is used after the surgery.

Spine Manual Intervention, Waist Pulling (Chiropraxia):
It is not known how this form of intervention is beneficial. However, many patients with low back pain believe in the superiority of this method.

Those with serious ailments such as severe lumbar hernia, rheumatic complaints, tumors, infections should stay away. To fix it, the result could be even worse.

Injection Treatment: You can find the place that causes pain
and give drugs that prevent pain.
Apart from treatment, it is also helpful in diagnosing.

Ozone therapy: It is applied like injection therapy, ozone gas, which is a good anti-inflammatory, is applied to the damaged area in appropriate conditions and doses.

Acupuncture, Biological Feedback (Bioenergy): Although it provides short-term improvement, its effect on the prevention and recovery of low back pain has not been proven.

Education (Waist Schools, Work Environment): Back schools provide practical information by introducing false waist movements in daily life. It is ensured that our waist is strong and mobile.

It is aimed to improve working conditions and work environment in a way that protects the waist.

Tension-Reducing Stress and Exercise:
Tension-stress is the most important enemy of our back. Prohibitions, the stress of the business environment, accumulated debts, family quarrels and economic problems always increase the tension. Stress and tension cause our muscles to contract. Some of the ways to relieve tension in our lifestyle are:

Regular exercise

Vacation

Sauna / Jacuzzi / Spa

Massage

Yoga / meditation

Hobbies

Social pursuits

Fine arts

Appropriate relationships, motivation

Surgical treatment

Who is Recommended for Surgical Treatment?

· Those who have tumor or abscess in the spine,

· Loss of urine and stool control (Cauda Equina Syndrome), (Requires Urgent Surgical treatment)

· Progressive loss of muscle strength, sensation and reflex loss, (neurological deficits)

· Those whose complaints last 4-6 weeks despite treatment,

· Some types of spinal fractures,

· Spondylolisthesis in the spine (Low back)

· Those whose diagnosis was confirmed by radiological examinations (Myelogram, CT, MRI).

Surgical methods:

Simple Discectomy: Under general anesthesia, the surgeon reaches the spine with a 5-6 cm incision in the middle of the waist. It opens a window on the bone and removes the jelly-like cartilage tissue from the damaged disc from the side of the nerve tissue.

Removing 30% of the disk is sufficient. There is no need to replace the ejected disc. The chance of disc reoccurrence is less than 1%. Anesthesia risk, nerve rupture, infection, blood collection, adhesion formation in the late period and fear of being disabled are the most important problems of herniated disc surgery. The incidence of all these complications is less than 2%.

Microdiscectomy: A smaller incision is made under general anesthesia. With the same method, cartilage tissue is removed with the help of a microscope. The recurrence rate is slightly higher than simple discectomy.

It has been reported that recovery is faster due to less trauma during the intervention.

Factors contributing positively to the surgery:
-Compatibility between the patient’s complaints, examination and MRI
-Operation before the damage in the compressed nerve tissue is fully established
-The patient’s normal weight.
-The patient does not have diabetes and hypertension
-The patient’s pain threshold is normal
-The patient has a good understanding of the treatment principles and trusts his physician. Financial problems do not pose a problem between the patient and the doctor.
-The patient is psychologically stable at a level to be able to understand the post-operative rehabilitation program.
-The patient does not expect other benefits due to the surgery (for example, the person who is waiting to retire after this surgery.)
-The surgeon’s experience and the ability to choose the appropriate surgical method for the patient