In some cases, we recommend first alleviating back pain with conservative therapies. In this context, we have a range of medication-based and physical therapy methods to choose from, including injection treatments, physiotherapy and massage as well as heat and cold therapy.
With injection treatments, we inject pain and inflammation-inhibiting medicines directly into the affected nerve roots. The injections can also be performed with greater accuracy under image converter, CT or MRI scanning guidance.
Using physiotherapy, you will learn how to consciously use and coordinate your body again. Gentle, targeted movements encourage the perfusion of blood and the supply of nutrients to the affected muscles, bones and soft tissues. Physiotherapy also builds the muscles back up, which enables them to act like a supportive corset for the spine.
Massages or manual therapy
Massages or manual therapy are used for muscle spasm. Kneading, rubbing, percussion and stroking encourage the perfusion of blood through the muscles. This relaxes the muscle fibres. The application of heat has a similar effect. It can also help relieve pain. The long-term application of cold can also be useful in certain cases for relaxing muscles. Since vessels contract under the influence of cold, cold therapies reduce both the conduction of pain signals by the nerve fibres and the perfusion of blood. This simultaneously prevents the spread of bruises and swelling.
There are also other conservative methods, such as electric current, TENS, soft laser radiation, magnetic field and shockwave therapy.
Your individual condition determines which of these therapies is best for you. It is even possible to combine multiple methods of treatment. In other cases, we recommend bypassing conservative therapies and addressing the cause of the problem directly with minimally invasive methods or with microsurgery.