Back pain and absolute bed rest with strict restriction of movements are synonymous in most parts of the world. Movement induced pain and overemphasis on rest by peers further reinforce the belief that movement is bad for back pain and one should lie still in the bed. Many times, treating medical personnel also overstress the importance of restricting activities and false advice like “let pain be your guide” become ingrained in the minds of patients. The sick behaviour imposed by movement restricting treatment plans and unnecessary fear about incurability of spinal disc problems catalyse the conversion of acute pain into chronic pain disorder.
Despite the fact that the above notion has been debunked again and again by various scientific researches, the common perception has changed little over years. One major reason for this phenomenon is the fact that pinpointing root cause of back pain requires the combination of meticulous clinical examination, advanced diagnostic technologies and expert interpretation of the diagnostic tests, which unfortunately is very sparsely available. So absolute bed rest and movement restrictions actually come handy as a blanket approach in cases where the exact diagnosis can be made.
At Dept. Of Spine Surgery, Narayana Superspeciality Hospital, Gurugram, a blanket/generic approach for management of back pain is strictly prohibited. We firmly believe in finding out the root cause of a patient’s spinal problem and in this endeavour the spine team puts to use their combined clinical experience of over 80 years in treating thousands of patients with spinal disorders along with use of cutting edge diagnostic technologies like 3 Tesla MRI, Nerve studies, and diagnostic blocks. When and only when we have reached a certain diagnosis, we talk about the treatment plan. We neither practice nor advise hit and trial methods of back pain management for the simple reason that patients are not guinea pigs. At our centre, this target-directed approach has helped our back pain patients to get back to normal life quickly and with minimal interference of their daily routines. Furthermore, this has significantly brought down the percentage of acute back pains converting into chronic ones.