Back pain – Part II

Conservative-non-operative therapy options

Most back pain is harmless and often disappears spontaneously and without treatment after a few days. However, if the doctor is needed, it should always be decided as part of a step treatment concept on the “actual state of health” and the individual requirements with his patient together, which other different acute therapies are possible and timely. However, the principle always applies from simple to severe, and from uncomplicated to more risky treatment. Often, various measures are combined or affiliated. Here are some of the so-called “conservative spine procedures” once put together very briefly and orienting.

I. The massage is available in various techniques and applications. It comes by means of a mechanical influence of the skin, connective tissue and muscles by stretch, tensile and pressure stimulus to alleviate the symptoms. The effect of the massage extends both from the directly treated place, as well as over the entire organism including the psyche.

II. Manual Therapy / Chiropractic: – By means of certain grip and impulse (manipulation) techniques and special relaxation exercises, “movement restrictions” of the joints and muscles are to be solved, which may be responsible for pain and other symptoms.
III. The electrotherapies: – Metabolic processes are activated on cellular levels by means of different DC or AC procedures, which flow through the body or body parts. But also by means of special magnetic fields energy fields can be generated, which also have regeneration / activation potential.
IV. Balneo-physical measures: means the most varied therapeutic treatments of water and temperature applications of any shape and intensity to support regeneration / healing phases

V. Osteopathy: -there are judged and treated under the conceptual assumption of philosophical and not quite scientific concept of thought physical disorders. Here, the body is considered as a functional unit, which is basically capable of self-regulation. By means of manual technology, a series of manipulative techniques are developed to recognize disturbed functions and to apply them therapeutically to activate and promote the individual self-healing powers.

VI. Other regulation therapies such as “craniosacral therapy, acupuncture / acupressure and other methods” also use different techniques to detect the causes of the malfunction occurring and then to directly / indirectly regulate the respectively disturbed function back to a “normal state”.
VII. Yoga / Pilates / Callenetics, and Others: Related forms of exercise also have many therapeutic spine & core stabilizing exercises where the positive effects of physical exercises have a direct impact on muscle / joint status and, indirectly, on the overall well-being of the individual.
VIII. Medical strengthening therapies such as MedX / Kieser / EMS-Miha and other forms of training try to eliminate pain through targeted strengthening of the musculature and improvement of body perception.

IX. Autogenic training / Progressive relaxation techniques / hypnosis and psychosomatic treatment procedures are also justified in the overall concept of the “back”.
But in most cases a fundamental change in the awareness of the back in the sense of a so-called “back school” as a basis of long-term sustainable success is imperative. Here, in addition to the long-term successful integration of a back-specific movement and action awareness, also to regain his sense of body awareness in order to adapt his current work and leisure environment accordingly. And despite or even because of a variety of successfully established spine surgery, it is still imperative to do what is crucial for his back as the center of the musculoskeletal system and for his general health.
But please: beware of the many better / know-alls or “omnipresent” among the “specialists”. The right choice of therapy at the right time is and will remain the central theme.