Back Pain

Updated 15 November 2016

Most back pain can be treated without surgery

According to a rehabilitation specialist, a physician should ask about the history of your back pain, including its exact location, what makes it feel better or worse and what may have caused it.


Back pain is a common problem, but most cases can be treated without surgery, a sports medicine specialist says.

Isolating the cause

Sometime during their lives, up to 80 percent of people will have back pain that lasts more than three days.

The first step in treating back pain is understanding it, according to Dr Gregory Billy, a physical medicine and rehabilitation specialist with Penn State Sports Medicine.

"A physician should ask about the history of your pain, including its exact location, what makes it feel better or worse and what may have caused it," Billy said in a university news release. "A physical exam helps isolate the cause of the pain – for example, what happens when you stand, sit, lift your leg or walk?"

Read: Unbearable back pain

While an MRI can help with a diagnosis, it has limitations.

"Because the back changes with age, MRIs of many older adults are likely to depict damage, but the damage captured in that image may not be the current cause of back pain," Billy said.

For minor back pain, treatments include over-the-counter pain relievers or non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, or applying ice to stop spasms and heat to relieve soreness/aching, he said.

It's important to continue normal daily activities as much as possible. Too much time in bed can result in muscle and spine tightening, he added.

If those steps don't help, other non-surgical treatment options include: physical therapy and supervised exercise; prescription drugs such as anti-inflammatories, muscle relaxers, oral steroids and topical pain relievers; and steroid injections into the space around the spine, Billy said.

Read more:

What is back pain?

Diagnosing back pain

Exercise may reduce back pain


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Backache expert

Susan qualified as a Physiotherapist in 1990, and completed her master’s degree in Physiotherapy in 2013 at the University of Pretoria. She has a special interest in human biomechanics, as well as the interaction between domestic and work-related ergonomics.

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