– Back pain – Part II. Conservative-non-operative therapy possibilities

Most back pain is harmless and often disappear spontaneously after a few days without treatment. If, however, the doctor is needed, a step-by-step approach to the “actual state of health” and the respective individual requirements should always be used to decide together with his patient which further different acute therapies are possible and up-to-date. However, the principle always applies from simple to severe, and from the low-complexity to risky treatment. In this case, various measures are often combined or integrated. Here, some of the so-called “conservative spine methods” used are once briefly and orientated.

I. The massage – it gives it in different technique & application procedures. A mechanical influence of the skin, connective tissue and musculature by stretching, pulling and compressive stress will relieve the symptoms. The effect of the massage extends both from the directly treated site, as well as over the whole organism including the psyche.

II. Manual Therapy / Chirotherapy: – using certain manipulation techniques and special relaxation exercises, “movement restrictions” of the joints and muscles, which can be responsible for pain and other symptoms.

III. The electrotherapies: – metabolic processes are activated at cellular levels by means of different direct or alternating current processes, which flow through the body or parts of the body. Energy fields can also be generated by means of special magnetic fields, which also have regeneration / activation potential.

IV. Balneo physical measures: means the most diverse therapeutic treatments of water and temperature applications of any form and intensity to support regeneration / healing phases

V. Osteopathy: -and physical disturbances are assessed and treated under the conceptual assumption of a philosophical and not entirely scientific concept of thought. The body is regarded as a functional unit, which is basically capable of self-regulation. By means of manual technique, a series of manipulative techniques are developed in order to recognize disturbed functions and to apply them therapeutically in order to activate and promote the individual healing powers.

VI. Other regulation therapies such as “craniosacral therapy, acupuncture / acupressure and other procedures” also use different techniques to determine the causes of the occurring malfunctions and then directly / indirectly regulate the respective disturbed function to a “normal state”.

VII. Yoga / Pilates / Callenetics, and other related movements also have many therapeutic spine & trunk stabilizing exercise elements where the positive effects of physical exercises directly affect the muscle / joint status and indirectly affect the overall well-being of the human being.

VIII. Medical strengthening therapies such as MedX / Kieser / EMS-Miha and other training forms try to eliminate pain by specifically strengthening the muscles and improving the body’s perception.

IX. Autogenic training / Progressive relaxation techniques / Hypnosis and psychosomatic treatment procedures also have their entitlement in the overall “back” concept.

But a basic change of the back consciousness in the sense of a so-called “back school” as the basis of a long-term success is usually necessary. In addition to the long-term successful integration of a back-specific awareness of movement and action, his working and leisure environment must also be adapted accordingly. And despite or even because of a large number of successfully established spinal column surgery, it is nevertheless absolutely necessary for the back as the center of the movement apparatus and for its general health to do the decisive “right”.

But please: Beware of the many better / omniscient or “all-crackers” among the “specialists”. The right therapy at the right time is and remains the central theme.