There isn't any single option that may be considered the best treatment for back pain. Talk to doctors and the only thing they can tell you would be that the specific condition ultimately dictates the very best treatment option. If one were to prescribe epidural shots or therapy or surgery not understanding the severity of the condition under consideration, then the patient could receive treatment that was either too excessive or too underwhelming and for that reason cause much more problems.
To understand this better, let us look at three of the very most commonly prescribed treatments for back pain - rest, therapy, and surgery - and analyze the conditions where each is deemed the very best strategy to lower back pain.
o Rest - Rest is usually prescribed for back pain in its early stages. This is true when you're in pain regularly but the pain is tolerable enough that you often push through it because it is insufficient to hamper your daily activities. Early-stage back pain can often be brought on by tension in the back muscles or is potentially a precursor for any herniated disc. In these instances, the best treatment for lower back pain would be to set time aside of labor and avoid doing physically intensive activities like lifting heavy weights or perhaps sitting in-front of the computer for extended periods without any stretch breaks every relax time.
o Therapy - Treatments are prescribed when some mild amount of disc herniation is observed and is determined to not be severe enough to require immediate surgery. A mildly herniated disc causes lower back pain because it presses around the nerve roots round the spine. Therapy including, but not restricted to chiropractic sessions, stretches the back muscles to loosen the strain and naturally push the herniated disc back into place. Since this is a delicate procedure it takes the services of a chiropractor, which is a doctor skilled in physical rehabilitation and the utilization of manipulative therapies to regulate the musculoskeletal structures from the back. Your physician may also recommend physical therapy with a licensed physiotherapist that will place you through various exercises to strengthen the rear muscles. There are more treatment options which may be used when lower back pain reaches a moderate level and though regularly felt, isn't so severe as to impair walking and other physical activities. Generally these treatments will be accompanied by medication to relieve the pain involved with the problem.
o Surgery - When the condition is not treatable with rest, therapy, medication, or other treatments, herniated disc back surgery can become the final resort. It should continually be remembered that surgery carries its great amount of risks, so it is not the best option to make use of when back pain first begins. However, it's best when other procedures have failed. The particular type of surgery will depend on the nature from the herniated disc as well as the severity. In certain extreme cases, the herniated disc must be removed and the remaining discs cemented together to supply mechanical rigidity to the spine. In milder cases, shimming or lightly scrapping the protruding disc to reduce pressure on the surrounding nerves is already sufficient. There are more surgeries that may be used according to the condition.