What is neural back pain? Causes, symptoms and home and medical treatment methods

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What are its causes?

Different reasons can cause pressure or damage to the lumbar nerves:

lumbar disc herniation: the most common cause; The displaced disc puts pressure on the nerve.
Spinal canal stenosis: the narrowing of the spinal canal causes compression of the nerve.
Arthritis of the vertebrae (spondylosis): wear and tear and joint changes cause inflammation of the nerves.
Underlying diseases: diabetes (diabetic neuropathy), MS and chronic inflammation can affect the nerves
Unhealthy lifestyle: sitting for a long time, bad posture, inactivity, stress and nervous tension also play a role in its occurrence.

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Warning symptoms you should pay attention to

You should see a doctor immediately in the following cases:

Urine or stool incontinence
Sudden and severe leg weakness
Extremely severe and unbearable pain

How to diagnose Is it possible?

The doctor first conducts a physical examination and, if needed, takes help from tests and imaging:

MRI and CT scan: to check for disc herniation or spinal canal stenosis
Neurological tests (EMG and NCV): to evaluate nerve function
Blood test: to check for underlying diseases such as diabetes

pain specialist at Pain Clinic.

Lifestyle modification

Weight loss
Avoid long sitting and bad postures
Regular and light physical activity

Surgery for neuropathic back pain

Surgery is recommended if there is no response to non-surgical treatments or danger signs are present.

Surgery required: severe disc herniation, spinal stenosis Spinal cord and progressive leg weakness
Types of surgery: discectomy, laminectomy and fusion (fusion of vertebrae)

Home treatment of this type of back pain

Many patients look for home remedies before going to the doctor. Some of these methods can be effective in addition to the main treatment:

Hot or cold compress to reduce inflammation and muscle relaxation
Gently massage the painful area
Short-term rest (no more than 2 days)
Relaxation techniques such as meditation and yoga to reduce stress

Complementary treatments

Acupuncture: some studies of its effect on pain reduction have shown.
Yoga and Pilates: they help to improve flexibility and reduce nervous tension.

Exercise for nerve back pain

Regular exercises play an important role in recovery and prevention. It is recommended to do the following exercises with the opinion of the physiotherapist:

hamstring and back stretching
strengthening the abdominal and back muscles
swimming and pilates to increase flexibility
regular slow walking

Contact Nervous back pain and stress

Many patients ask if nervous back pain is due to stress? The answer is that stress and anxiety can tighten the muscles and aggravate the pain. Chronic stress also increases the sensitivity of the nervous system to pain. Therefore, stress and back pain are related, and stress control (meditation, yoga, and deep breathing exercises) is an important part of treatment. Its reasons include hormonal changes, weight gain and pressure on the sciatic nerve. Using a pregnancy belt, gentle stretching exercises and sleeping on your side can help. The use of medicine should be done only with the doctor's opinion.

Nervous back pain and leg pain

Nervous type back pain often does not remain only in the lower back, but also spreads to the leg due to the involvement of the nerves. This happens especially when the sciatic nerve or other nerve roots are under pressure.

Common symptoms of low back pain with leg pain

Pain shooting from the back to the thigh, leg, or sole of the foot (usually in one leg)
Tingling, numbness, or tingling in the lower limb
leg muscle weakness or heaviness while walking
pain worsens when sitting for a long time, sneezing or cough

Prevention and long-term care

Strengthening exercises for the back and abdomen
Maintaining a healthy weight
Avoid lifting heavy objects
Quit smoking
Having enough sleep and proper sitting position

Difference between neural back pain and lumbar disc

Neural back pain: a type of pain caused by damage or pressure on a nerve (It can have various reasons; including disc, spinal stenosis or arthritis).
Lumbar disc: It is a structural disease in the spine which is one of the most common causes of this type of back pain.

In simple words:

Lumbar disc is the cause, this type of back pain is the result.
Any disc is possible. It can cause nerve-type back pain, but every nerve pain in the back is not necessarily from the disc. What is neural back pain and how is it different from sciatica?
It is any type of pain caused by pressure on the spinal nerves; Sciatica is a type that involves the sciatic nerve.
What is the best medicine for back pain?
Anti-inflammatory drugs, muscle relaxants, and in special cases, anticonvulsant or antidepressant drugs are prescribed.
Is home treatment for back pain effective?
Yes, hot and cold compresses, massage and yoga can reduce pain, but they are not a substitute for medical treatment.
How is back pain controlled during pregnancy?
With gentle stretching exercises, using a support belt and consulting a doctor.
When is surgery needed?
When non-surgical treatments are not effective or dangerous symptoms such as severe weakness and incontinence develop.
How long is the recovery period?
Depending on the cause and severity of the disease, it lasts from a few weeks to a few months.

Resources:
https://lluh.org/services/neuropathic-therapy-center/blog/nerve-pain-vs-muscle-pain-there-difference
https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/not-all-low-back-pain-is-the-same
https://www.christushealth.org/connect/your-health/neurology/how-to-know-if-back-pain-is-muscular-or-spinal
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- Tehran, Jordan, after Mirdamad Qobadian West Street, No. 9, 1st floor, Dard Rad Clinic
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- Alborz, Karaj, Golshahr St. 45 meters, Arghvan West, Maryam Hospital, Dard Clinic
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About the doctor

Dr. Mohammad Hossein Delshad, a super-specialist fellowship in pain control, has years of experience in the field of controlling severe back and spine pain. The process of pain control, procedures and nerve blocks are performed with ultrasound guidance in the operating room using a closed surgery method. In the pain clinic, they treat patients who are unable to perform open surgery for any reason, such as those who have underlying diseases, heart problems, or have undergone surgeries in the past.
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