There are several treatment options for taking care of lower back pain that can be customized as per patient needs. Treatments include medicinal remedies, care provided at home, alternative care, or surgery. Combination of treatments is thought to be the best.
Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, provides orthopedic surgery to patients in Los Angeles, Century City, CA, and surrounding locations.
Muscle relaxants act as central nervous system depressants. They increase mobility of tense muscles, which helps in relieving pain from the spasm or muscle tightness. Muscle relaxants should not be confused with chronic pain management medications.
Back braces can be used for providing comfort and reducing pain. There is some evidence suggesting that wearing of inelastic corset-style brace in combination with appropriate physical therapy exercise program can help in reducing pain and speeding healing.
Epidural steroid injections
These are injections that can be administered directly into the outer portion of the dural sac. This sac surrounds the spinal cord. Fluoroscopy, or a live x-ray, can be used for guiding the needle to the correct area. The goal of this injection is to relieve pain temporarily by reducing swelling and inflammation around the compressed nerve root.
Decompression surgery helps in removing whatever may be pressing on the nerve root from the spinal column. This may include a bone spur or a herniated portion of the spinal disc.
Decompression surgery can be of two types for treating lower back pain:
- Microdiscectomy is used for treating lumbar herniated disc that may cause radicular leg pain (sciatica).
- Laminectomy removes a portion of the soft tissue or bone compressing the nerve roots.
Decompression surgery can either be performed with minimally invasive or open techniques.
Lumbar Spinal Fusion Options
Fusion surgery refers to removing soft tissue around two or more vertebral bones and replacing them with metal or bone. This procedure allows for bones to grow together over a period of time. Typically, in 6 – 12 months the bones will fuse into one long bone. This stabilizes and eliminates motion at spinal segments.
Fusion, in the lumbar spine, can be done using side (lateral approach), front (anterior approach), back (posterior approach), or a combined technique. Modern navigation, implants, techniques, and biologics has made this type of surgery increasingly predictable with a quicker and easier recovery period.
Other Surgical Options
These are a few newer and more advanced surgical options for taking care of low back pain:
Lumbar artificial disc
Disc replacement, in some patients, is a potential alternative to fusion surgery for taking care of symptomatic degenerative disc disease. The procedure allows for quicker recovery and provides more spinal motion as compared to lumbar fusion.
Posterior motion device
The Coflex inter-laminar device is useful in patients with stenosis and mild degenerative spondylolisthesis. The approach results in similar goals as fusion surgery with faster recovery and smaller surgery. Southern California Hip Institute (SCHI), headed by orthopedic surgeon Dr. Tigran Garabekyan, receives patients from Los Angeles, Century City, CA, and nearby areas for orthopedic surgery.
Contact the Southern California Hip Institute
Dr. Tigran Garabekyan is a board certified orthopedic surgeon specializing in hip preservation. To learn more about Southern California Hip Institute or to schedule a consultation, click here to contact us or call:
Century City / Los Angeles: 310.595.1030
Serving patients in Los Angeles, Beverly Hills, Santa Monica, Century City, West Hollywood, North Hollywood Encino, Sherman Oaks, Van Nuys, Burbank, Glendale and other neighboring cities in the greater Los Angeles, California area.
Also visit http://www.drgorthopedics.com/