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If your back discomfort persists for three months or more, it is called chronic. Temporary relief followed by dissatisfaction are common outcomes. 

• It's extremely difficult to deal with persistent back pain when you don't know what's causing it.
• Back pain rehabilitation expert Andrew Nava, M.D. , shares insights into common chronic back pain reasons and nonsurgical treatment options—and urges not to give up hope.

Chronic Back Pain: Some of the Most Common Causes

The most common cause of chronic back pain is ageing, although it may also be caused by an incident in the past. The following are the most typical causes:

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• When cartilage in one's spine wears away, it's known as arthritis.
• As the spinal canal becomes narrowed, nerve discomfort may result. This is known as spinal stenosis.
• Problems with the discs, such as a bulging or ruptured disc
• Syndrome of myocardial pain—pain and soreness in muscles without apparent cause

Chronic back pain may be difficult to diagnose in certain instances. Nava suggests seeking a second opinion from a back pain expert if your doctor has exhausted all diagnostic possibilities. 

It's critical to avoid making hasty judgments or undergoing expensive medical treatments until the source of the discomfort is discovered. Nava advises that they may not only be ineffective, but that they may even make the agony worse.

Even if the cause of your pain is unknown or untreatable, you may still work with your doctor to reduce flare-ups and improve your quality of life by using methods other than surgery.

Chronic Back Pain Treatments That Do Not Involve Surgery

1. Physical Therapy

• In order to alleviate chronic back pain, you must begin with exercise. 
• Under the supervision of your physician and a spine physical therapist, this is one of the first therapies you should attempt. 
• However, the same set of activities doesn’t work for everyone, explains Nava. To get the best results, the workouts must be adjusted to your individual needs. 
• Success also hinges on the ability to keep up a regular workout regimen at home.
• A physical therapist's treatment for persistent back pain may include:
• Developing a better body posture
• Attempting to push one's pain tolerance to the utmost.
• Flexibility and stretching workouts
• Exercises that burn off excess energy via aerobic activity
• Strengthening the core
• Meditation and mindfulness

Experiencing chronic back pain is physically and emotionally taxing. You may be referred to a rehabilitation psychologist for help with the emotional and psychological effects of living with chronic pain. 

Meditation, yoga, tai chi, and other cognitive and relaxation techniques may be recommended by this professional to distract your mind from concentrating on pain.

2. Diet

Trans fats, refined carbohydrates, and processed foods are very high on the inflammatory diet list because of their pro-inflammatory effects. 

• To find out whether your food is to blame for your persistent back pain, go to your doctor. Reduced strain on your spine might help ease back pain treatment if you maintain a healthy weight.

3. Adjustments to One's Habits

With chronic pain, it's necessary to accept your limits and adjust to the new environment. Nava's advice is to "listen to your body and learn to pace yourself." 

• If you're mowing the grass or carrying groceries, take a break or make numerous trips. Make a list of the activities that aggravate your discomfort and steer clear of them whenever you can. 
• This may not only alleviate your back pain, but it may also halt the progression of the underlying problem. Giving up smoking is a vital step toward a healthier living. 
• Nicotine has been shown to exacerbate pain and impede recovery, according to scientific research.

4. Treatments using Injections

Chronic back pain may be treated using a variety of injection-based techniques, such as nerve blocks, epidural steroid injections, nerve ablations, and more. 

As a last resort, they may be used to rule out other possibilities if the therapy fails. Pain may be relieved temporarily with injections, but they are not meant to be long-term remedies and should not be used as the only back pain treatment option.

5. Treatment Options Not Conventional

Nonsurgical therapies for persistent back pain solution include acupuncture, massage, biofeedback therapy, laser therapy, electrical nerve stimulation, and more. Find out if there are any other treatment options available to you.

6. Uses of Drugs

Drugs such as analgesics, anti-inflammatory medicines and muscle relaxants are all options for treating back pain. However, many have unpleasant side effects and are not meant to be used long-term.

• Nava advises against using opioid drugs to treat persistent back pain as a primary, exclusive, or long-term therapy option. 
• The majority of these drugs are highly addictive and fail to treat the underlying source of your discomfort. 

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The use of opioids should be reserved for those who have exhausted all other treatment options and are still experiencing pain. Consider getting a second opinion if you've become dependent on opioids to get you through the day.