Back Pain Treatment

Medication
Several medications are available to help with back pain, including over-the-counter and prescription anti-inflammatory medications as well as muscle relaxers and nerve-pain medications. We will work with you to find appropriate medication(s) that address your pain while minimizing your risk for side-effects, dependency, or other unwanted reactions.

Physical Therapy
A trained physical therapist guides you in exercises and stretches designed to reduce pain, improve range of motion, and strengthen supporting muscles. 

Chiropractic Care
A skilled chiropractor manipulates or adjusts your spine and other joints, reducing pain and improving function. May also include soft-tissue therapies, exercises, and daily activity instruction.

Injections
Depending on the type and cause of your pain, your doctor may inject anesthetic agents or steroids directly into your back, neck, or spine. In some cases, the doctor uses fluoroscopy (a type of X-ray imaging) to guide the needle to the exact location.

Radiofrequency Ablation / Radiofrequency Denervation
The doctor guides a needle into the correct nerve in your back and then applies radio frequency energy. This creates a lesion on the nerve that blocks pain signals to your brain.

Electrical Stimulation
A TENS unit (transcutaneous electrical nerve stimulator) sends mild electrical current through your skin to stimulate nerves and reduce pain.

Behavioral Pain Management
A clinical psychologist can help you understand the mental and emotional aspects of pain, develop skills and strategies to cope with it, and improve your quality of life.

Acupuncture
Traditional Chinese medicine technique in which fine needles are inserted into the skin in specific places to reduce pain.

X-Rays

Allow your doctor to look at the bones and joints in your spine. X-rays can help identify fractures, tumors, dislocations, bone spurs, or other potential causes of pain. 

MRI (Magnetic Resonance Imaging)

Creates detailed pictures of your spine, including views of your discs and nerves. Can help identify disc damage or whether your nerves are “pinched.”

CT Scan (Computed Tomography)

Another option for imaging bones and soft tissues of your back, neck, and spine. May be used if you aren’t able to have an MRI due to metal implants in your body.

Electromyogram (EMG)

Checks the health of your muscles and the nerves that control them by measuring electrical activity.

Nerve Conduction Study

Measures how fast electrical signals move through your nerves, to identify nerve damage.

Our Team of Back Specialists
Our team includes physiatrists (physical medicine and rehabilitation doctors) who specialize in spine care, a chiropractor, orthopaedic physician assistants, and physical therapists. We work together to ensure you get comprehensive care.

Committed to Improving Your Symptoms 
Treating back pain, as well as spine conditions that cause back pain, is our expertise. Our goal is to find the most-effective, least-invasive treatment option that manages your pain and maximizes your ability to function.

Nonsurgical Options
There are many medications and injections available to treat back pain. Other approaches include spinal manipulation, physical therapy, and acupuncture. Our back doctors will recommend the most appropriate, targeted therapies.

When Conservative Treatments Aren't Effective
If conservative treatments don’t improve your symptoms or functionality, our back doctors may refer you to the Duke Spine Surgery team. Our spine specialists offer the latest surgical techniques, including minimally invasive spine surgeries that use smaller incisions for faster recovery, less pain, and fewer complications; and spinal cord stimulation, in which a pacemaker-like device is implanted under your skin to control pain signals.