THEORY OF WHAT CAUSES BACK PAIN
There are many different opinions as to the cause of back pain.
Most practitioners believe that back pain is caused by degeneration of the vertebral bones, or the discs, causing pressure on major nerves. In many people this is probably correct, but only part of the answer. The most common finding when we examine back pain sufferers is that they have very localised tender points in the muscles near where they experience the pain. These are called TRIGGER POINTS and most patients are well aware of their existence. When these points are massaged, temporary relief often follows. It is likely then, that in most back pain sufferers, part of the pain is coming from vertebral of disc degeneration and part (often the major part) is coming from Trigger Points. These clearly must be pain transmission from the Trigger Points to the central nervous system.
TREATMENTS FOR BACK PAIN
Virtually all non surgical treatments for back pain look for the TRIGGER POINTS and deliver a stimulus to these points. This would include massage, physiotherapy, chiropractic, acupuncture, osteopathy and naturopathy. The patient almost always experiences a reduction in pain but this is seldom long lasting (ie. The pain comes back). Thus if the Trigger Points are stimulated hard enough, the pain transmission from them can be temporarily lessened. The patient has temporary pain relief.
HOW IS THIS TREATMENT PERFORMED?
It is a very simple procedure. This is what is done:
1. Painful trigger points are located and marked on the patient’s back.
2. A local anaesthetic is injected into each point.
3. When anaesthic has worked, a small incision is made with a scalpel into the MUSCLE through a puncture in the skin. The incision is about 2cm deep.
4. A pressure dressing is then applied, no sutures required.
5. The patient can then go home or back to work immediately.
1. The average number of treatments is two per patient, preferably no less than four weeks apart.
2. The treatment takes about five minutes, does not require hospitalisation, has no significant adverse side effects, does not require expensive equipment and need be done only once or twice. There is no scarring.
3. Following this very simple procedure, many people (70%) obtain a significant, usually permanent, degree of pain reduction.