The first step is to go to a noninvasive practitioner, such as a family
physician working with a physical therapist or a chiropractor.
The first thing that a doctor will do is rule
out dangerous conditions such as infections or cancer, then figure out
if you
have "back pain alone" or "back pain plus." If
you have lower-back pain alone, which is by far the case in the majority
of
people, you have a series of options. These
include exercise, education, anti-inflammatory medications or mild
analgesics,
manipulation, manual therapy, mobilization, and
possibly acupuncture. If you have acute "low-back pain plus," meaning
you
have nerve involvement or severe pain to the
point where you can't get out of bed, you may require more intensive
evaluation
and treatment.
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