Dr Carlo Brembilla
Dr Carlo Brembilla
MD
Pope John XXIII Hospital
MD, Dr
Bergamo, Lombardia, Italy

Low back pain is one of the leading causes of disability and remains a major public health concern in many developed countries. What is your philosophy of treatment?

Despite the plethora of treatments and health-care resources devoted to LBP, back-related disability and the population burden have increased. Greater emphasis is now being placed on self-management, physical and psychological therapies, and some forms of complementary medicine, with less emphasis on pharmacological and surgical treatments. However, at a global level, gaps between evidence and practice exist, with an inappropriately high use of imaging, rest, opioids, spinal injections, and surgery.
16 Comments
Order by: Votes | Oldest | Newest
Natasha E Wright
Natasha E Wright
University of Wisconsin-Milwaukee
United States
2mon ago
Hello my friend,and good day to you.This is an important question which needs to be answered by every one with a back. I was suffering from this problem for a long while,so I check with my Orthopaedic doctor,then with his advise and medication he referred me to a physiotherapist .I did about six secession with her ,then I was send home with some exercise to do,I invest in a ball and other items that would help me in the process of getting rid of this pain completely. Now the remember the above procedures cost me financially ,now I am not bashing the professional they did help in terms of what cause the pain and can be done from their point of view to help me. But I think their help was not enough to help the pain,(now back pain is a real problem that need serious attention because it do affect our life greatly in a negative way).So what really help me is my personal attention and attitude towards myself in getting rid of this problem,I when back to the basic,I am a train soccer player so I went back to some of my basic exercise that I enjoy doing and this work for me and is still working for me.And this method cost me nothing financially,but some fresh air and sunshine while I am enjoying my exercise.The result for me was 100% pain free back,therefore I sleep very comfortable now.This is what is working for me,( my basic soccer exercise,2 to 3 times per week, and I do these exercise the right way on the right surface.SAFETY is key to every thing I do including my exercise.)I also think ,education in human biology is important to treating the human body and keeping healthy.Learning how the human body function and work is important to keeping our body healthy and staying happy. Exercise,Sunshine,Water,Fresh Air,and our Fruits and Vegetables with pray is my remedy for back pain. Get involved in a sport that you enjoy doing,those basic exercise if done correctly can eliminate a lot of our pains and mental illness. So whatever sports one learned in primary and high school,the exercise that we learned from our P.E teachers and coach can help us a lot and it will reduce our doctor bill and we would be much happier and healthy individuals. Have a NICE day and best of health for the NEW YEAR and always.
Recommended 3 times
Heba Mahmoud Diab
Heba Mahmoud Diab
Ain Shams University
But you had to be sure there was nothing seriously injured in your back first, no one can just try exercise and neglect the doctor examination to rule out a disc prolapse or muscle tears or any other injuries before exercising freely
2mon ago
Dr. Hamid Bakhshi
Dr. Hamid Bakhshi
PhD
Rafsanjan University of Medical Sciences
academic member
rafsanjan, kerman
2mon ago
LB pain is a problem that occur in people with extremity weakness muscles and over wight .only treatment way for this is preventional education ,because pain relief is not main treatment and must strength muscles before happening of LBP. some simple exercises can be useful for it.
Recommended 1 time
Prof ,Mrs  Prabha Nini Gupta
Prof ,Mrs Prabha Nini Gupta
MD ,DM ,FCSI,FSCAI
Medical College Hospital
Professor of Cardiology
Trivandrum, Kerala , India
2mon ago
I am a Cardiologist but I advise absolute bed rest for 3 or 4 days then gradual ambulation I advise hip flexing exercise for elevation of the limb till 20 degrees and holding for a count me 10 .I then add a 1 kg weight on the thigh .This improves the strength of the back muscles and and the back ache is prevented
Recommended 1 time
Heba Mahmoud Diab
Heba Mahmoud Diab
Ain Shams University
Egypt
2mon ago
First of all diagnosis of the cause of pain, this is realy the pivot for direction of management, if there is no evidence for organic causes excluded by good history from patient and proper clinical examination and radio investigation whenever suspected a needy investigation ,i would personally go for sensible physical exercise, pain killers when needed may be massage therapy.
Recommended 1 time
Madhoosudan Patil
Madhoosudan Patil
University of Colorado, Denver
Postdoc
Aurora, CO, United States
2mon ago
Light daily consistent exercise.
dr. Bita Moudi
dr. Bita Moudi
Zahedan University of Medical Sciences
Iran
2mon ago
Exercise
Mr. Ajay Kumar
Mr. Ajay Kumar
PhD
Himachal Pradesh University
Shimla, Himachal Pradesh, India
2mon ago
Light consistent exercise.
Antonio Simone Laganà
Antonio Simone Laganà
MD
University of Insubria
Medical Doctor
Varese, Italy
2mon ago
Exercise as first step, corticosteroids as second line treatment.
Elalfy Mohamed
Elalfy Mohamed
MD
Mansoura University
Dr
Mansoura, Dakahlia, Egypt
2mon ago
Adequate clinical examination
Then investigations as regard the clinical findings to perform the best correlation.
Dr. Mohamed Ahmed Hefny
Dr. Mohamed Ahmed Hefny
PhD
Suez Canal University
Professor
Ismailia, Ismailia, Egypt
2mon ago
Knowing the work environment
Knowing the psychological state of the patient
Detailed examination
Then medical treatment
Dr. Roddy Hiram
Dr. Roddy Hiram
PhD
Montreal Heart Institute
Post-Doctorate Fellow
Montreal, Quebec, Canada
2mon ago
Low back pain can come from several prior factors: overweight? scoliosis? trauma? injury?
According to a precise diagnosis, the appropriated treatment will be adopted.
A person with obesity suffering with low back pain could start exercise, weight lifting, etc..
But this would be irrelevant for someone with scoliosis where lifting weight unproperly could aggravate the problem.

To sum up,
1- Diagnose
2- Choose the best-appropriated habit to solve the problem.
Andrew Andayi
Andrew Andayi
University of Cape Town
1mon ago

I have experienced LBD for the last 4years. Most doctors have prescribed drugs and non has told me to excercise except for one who send me to a physiotherapist. Out of self discovery I have learned that non strainous excercise, good posture and good rest improves my situation. I had to quit jogging since it worsened the pain.

All the docs I have seen diagnosed a showed significant injury. They didn't do much imaging except X-ray. Experts role in LBD is essential in addition to patient self evaluation

Dr. Robert John Zagar
Dr. Robert John Zagar
PhD MPH
Juvenile Division Circuit Court of Cook County, ART LLC, Chicago School of Professional Psychology
Psychologist, General Manager, Professor
Chiago, Illinois, United States
1mon ago

The key is to differentiate somatic and psychic low back pain. After determining that it is somatic low back pain, one might explore massage, weight loss, diet, life style changes to reduce stress, acupuncture, meditation and then if these do not alleviate the pain explore medication and surgery.

Dr Alfredo I Servín-Caamaño
Dr Alfredo I Servín-Caamaño
Md
Hospital general de mexico
Dr
Mexico city, Mexico, Mexico
1mon ago

Its important always believe the pain of patients be concience of the felling of the patients

Prof Cagatay Ozturk
Prof Cagatay Ozturk
MD
Istinye Unıversity Medical School
Professor
Istanbul, Turkey
2weeks ago

life modification first and then the treatment modalities...

Top Quality Posts
Nader Ale Ebrahim
Nader Ale Ebrahim
Kuala Lumpur, Malaysia
Alka Hasani
Alka Hasani
Tabriz, Iran
jalal azadmanjiri
jalal azadmanjiri
Melbourne, Australia
Nathalie M Malewicz
Nathalie M Malewicz
New Haven, United States
Niroshan Sivathasan
Niroshan Sivathasan
London, United Kingdom
Alun Jones
Alun Jones
Wrexham, United Kingdom
Natasha E Wright
Natasha E Wright
United States
James M Mutunga
James M Mutunga
Thika, Kenya
Rumi Khajotia
Rumi Khajotia
Seremban, Malaysia
Theofanis Vavilis
Theofanis Vavilis
Thessaloniki, Greece
Best Feedback
Ann M. Callahan
Ann M. Callahan
Richmond, United States
Roddy Hiram
Roddy Hiram
Montreal, Canada
Mostafa Dianatinasab
Mostafa Dianatinasab
Shahroud, Iran (Islamic Republic of)
Mahmoud Benatta
Mahmoud Benatta
oran, algeria
Bikash Ranjan Jena
Bikash Ranjan Jena
guntur, India
Faruk Skenderi
Faruk Skenderi
Sarajevo, Bosnia and Herzegowina
Daniel Prieto
Daniel Prieto
Montevideo, Uruguay
Chunming Cheng
Chunming Cheng
Columbus, United States
Most Involved
Mahdi Aalikhani
Mahdi Aalikhani
Iran (Islamic Republic of)
Most Active Members
Monica BUTNARIU
Monica BUTNARIU
Timisoara, Romania
Alfredo I Servín-Caamaño
Alfredo I Servín-Caamaño
Mexico city, Mexico
Roddy Hiram
Roddy Hiram
Montreal, Canada
Ajay Kumar
Ajay Kumar
Shimla, India
Mostafa Dianatinasab
Mostafa Dianatinasab
Shahroud, Iran (Islamic Republic of)
Ann M. Callahan
Ann M. Callahan
Richmond, United States
Faruk Skenderi
Faruk Skenderi
Sarajevo, Bosnia and Herzegowina
Chunming Cheng
Chunming Cheng
Columbus, United States