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Overview
Most cases of back pain resolve in a matter of weeks to months, but for some people the pain becomes a constant problem that interferes with many important aspects of daily life. If ignored, chronic back pain--generally defined as unremitting pain that lasts at least six months and is not relieved by standard treatments--can lead to depression, disturbed sleep, impaired balance, declining participation in physical and social activities, and decreased quality of life.
The first step in relieving chronic back pain is a careful medical evaluation by a doctor to assess the nature and degree of the pain and, if possible, to pinpoint the cause. If no specific cause of the pain can be identified (such as nerve entrapment that can be relieved by surgery), a variety of medications may be tried, ranging from over-the-counter acetaminophen or NSAIDs to prescription antidepressants, muscle relaxants, or opiates.
Regular stretching, flexibility exercises, muscle strengthening, and, if necessary, weight reduction are of particular value in treating chronic pain. Other strategies include self-application of heat and cold and cognitive and/or behavioral therapy. Spinal manipulation or alternative therapies such as acupuncture, acupressure, massage, relaxation therapy, or biofeedback may also help.
If these measures fail to relieve the pain, your doctor may advise you to enroll in a pain treatment facility.
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