It may be necessary to perform a physical examination to determine positive low back pain. A physical exam should include palpation, a neurological exam, a reflex test, range of motion, and a leg raise test.
X-rays look at the bony structures of the spine. They can detect arthritis, tumors, and bony spurs. Magnetic Resonance Imaging (MRI) can scan soft tissue, muscle, ligaments, and discs looking for tissue tears, tumors, or other abnormalities.
How Does Conventional Medicine Treat Low Back Pain?
Ice can be used to lower pain and local inflammation. Over the counter analgesics may be used, both topical and oral like Tylenol. Your physician may prescribe non-steroidal-anti-inflammatory drugs (NSAIDS) to lower inflammation and pain.
Physical therapy is commonly prescribed for strengthening weak muscle fibers that have become dysfunctional. Opioids and muscle relaxants like Baclofen are prescribed to relieve pain and discomfort.
Finally, surgery may be prescribed in cases where physical therapy and medications fail. A microdiscectomy is a surgical procedure to remove a small portion of a disc that could be pressing on a nerve causing pain. A laminectomy is a spinal surgery that is sometimes called a decompression surgery. It enlarges the spinal canal to give additional room for the nerve root.