Address:  Plot No-HIG 2, Nandan Enclave, Nandan Vihar, Bhubaneswar-751024

Pinnacle Neuro Centre

From a neurologist’s perspective, back pain treatment requires a precise diagnosis to address its diverse etiologies—musculoskeletal, neurological, or systemic—while prioritizing functional restoration and symptom relief. Neurologists focus on identifying neurological involvement, such as radiculopathy or myelopathy, and distinguishing benign causes from red flags like tumors or infections.

Non-Pharmacological Management: Physical therapy is central, emphasizing core strengthening, flexibility, and posture correction to alleviate mechanical pain and prevent recurrence. Techniques like manual therapy or traction benefit lumbar strain or mild radiculopathy. Neurologists advocate early mobilization over bed rest to avoid deconditioning. Ergonomic adjustments (e.g., proper seating) and weight management reduce spinal stress. Cognitive-behavioral therapy helps chronic pain patients manage psychological amplifiers like anxiety.

Pharmacological Management: For acute pain, NSAIDs (e.g., ibuprofen) reduce inflammation; acetaminophen is an alternative for mild cases. Muscle relaxants (e.g., cyclobenzaprine) address spasms but are short-term due to sedation risks. Neuropathic pain from radiculopathy responds to gabapentin or pregabalin, titrated to minimize dizziness. Oral corticosteroids are reserved for severe radicular pain, but neurologists avoid prolonged use due to systemic risks. Opioids are rarely justified, given dependency concerns and limited evidence in chronic back pain.