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Treatments

Medication

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Many people get relief with over the counter medications such as Paracetamol and Nonsteroidal Anti-inflammatory drugs (NSAIDs), such as Ibuprofen or Naproxen. NSAIDs can be very effective in reducing the inflammation of structures in the back and improve your symptoms. NSAIDs are not suitable for everyone , especially if you have a history of asthma, high blood pressure, kidney failure or stomach ulcers. 

Muscle relaxant can be added for spasms.

If the pain is severe then narcotic painkillers can be considered but only under your doctor's supervision and for short periods of time as there is a risk of addiction and dependence if used incorrectly.

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Physiotherapy Treatment

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In many cases of spinal conditions, treatment performed by experienced physiotherapist and under guidance of your treating doctor will help to improve the vast majority of your symptoms.

We, as a whole team, are committed to provide you with the best treatment option that can suite your need and meet your expectations. Our main aim is to ensure that you are able to regain your normal activities with the most efficient and effective treatment.   

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Spinal Injections
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Some patients may not gain benefit from the conservative treatment. One of the options that we may recommend is to consider spinal injections. These  are performed to reduce pain and inflammation generated around your nerves in the spine. The same injections can also be a diagnostic tool to confirm a suspected cause of your symptoms, allowing appropriate planning of further treatment.

 

Injections can be used to treat many painful conditions in your spine. In many of these cases, pain is caused by irritation of a nerve around your spine, or pain within the neck or back, which may be arising from wear of the small joints in you spine. 

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The procedures involve the injection of local anaesthetic and anti inflammatory material into specific areas in your spine. The local anaesthetic gives immediate, and short lasting pain relief. The anti-inflammatory drug will reduces the irritation and swelling and expected to last for longer period of time.

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Radiology Services
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Following your assessment by the spinal specialist, further investigations for your back may be required. In many cases, MRI scans are commonly used to investigate your symptoms. Although other tests such as X-rays or CT scans may also be important to assess your condition.

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MRI scans of your spine spine are extremely sensitive. Scans may show changes that are due to natural aging of the vertebral column. MRI scans are also extremely sensitive at identifying or excluding serious causes of spinal pain.

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We will always give you the best advice for which specific radiology investigation is needed for your specific condition, so that your correct diagnosis is made with confidence. We also have the set regular meetings with our radiology team to discuss your X rays and scans so we can achieve accurate report for each individual case.  

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Surgery

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Surgery on your spine might be an option, if all other treatment options don't work and your pain is persistent to be severely disabling.

 

Surgery often more predictably relieves associated pain or numbness that goes down one or both arms or legs. These symptoms often are caused by compressed nerves in your spine. Nerves may become compressed for a variety of reasons, including:

  • Disc problems. Bulging or ruptured (herniated) disks — the rubbery cushions separating the bones of your spine — can sometimes press too tightly against a spinal nerve and affect its function.

  • Overgrowth of bone. Osteoarthritis can result in bone spurs on your spine. This excess bone can narrow the amount of space available for nerves to pass through openings in your spine.

 

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We as a team believe that surgery on your back should be only considered as the last resort to help you to control your symptoms. We will always discuss all the options giving you the chance to make your own decision in view of your case and expectations. 

 

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