Shallaki
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TREATMENT FOR CHRONIC BACK PAIN
The initial treatment plan for chronic back pain is the same as for acute back pain: applications of moist heat twice daily, a regular exercise program, and medications to relieve pain.
For chronic back pain, exercises are especially important. We find that those patients with chronic back pain who are able to do a regular exercise program are much more likely to improve, to resume their usual activity, and to return to work. Patients are often surprised at their own ability to exercise and increase their overall well-being. Try to allow a few weeks to two months to see results, after you start your exercise program.
We saw a federal marshal who considered retirement because of repeated attacks of severe back pain. The attacks could come on at any time, with or without activity. As is most common, no specific treatable cause of the attacks was found. He began a basic program including heat, exercise, and medications when needed, and continues to work with little limitation.
We commonly see patients who have had months or years of back pain but have never begun an exercise program. With help from a physical therapist and with proper care, these patients can gradually increase and maintain an exercise program at home.
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