Which Back pain treatment do I need?

Back pain treatment is wide ranging and confusing because everyone offers “the best” therapy in town. The public are largely unaware of the differences between them & often ask for recommendations. Unfortunately, however well intended these recommendations are, they’re only based on their injury. Your injury may have similar symptoms but the cause can be very different. There are many considerations to take on board, so many reasons for Back pain and many different Back pain treatments. So how do you choose the right one for your Backache? First questions are, somewhat obviously, how severe is the pain and do I need to go to hospital? In the majority of cases, Backache is a common issue that will have no long-lasting impact upon you.

Do I need emergency services?

 If you have a loss of feeling & are unable to move a limb, or you have lost Bowel and/or Bladder control then this is the only times that I would advocate dealing the emergency services. This is because you may have a severe damage where the spinal chord is in danger of being damaged. There may be a brief feeling of being unable to move but that is more likely to be shock related.

Do I need medication?

There is normally no harm done by a brief course of medication (painkillers and anti-inflammatory drugs). However, you may suffer adverse side effects from these. Also, it is vitally important that you read the instructions carefully as well as eat at the appropriate time. This is essential as these drugs cause spikes in your stomach acidity &, if you haven’t eaten inline with their instructions, this excess acid can cause damage to your stomach lining. Painkillers should only be used to the level that makes the pain bearable. If you take enough that you feel no pain, you can make your injury worse by overdoing things.

Back pain treatment available.

It would be implausible to break the world of therapies and therapists down to cover all eventualities. But this article aims to reduce some of the complexities and help you choose your treatment path. My recommendation, based upon over 40 years of treating clients, & having occasional bouts of back pain myself, is to see a multi-skilled therapist. Experience and qualifications both matter BUT “Titles”, “Colleges” and “Institutions” really don’t. (View my page https://myosteo.com/back-pain/ for more info)

Using cars as an analogy

An analogy, based upon cars, will be used to try to make it a little more simple. You know you want help to regain your well-being because you feel something isn’t right in your life. You instinctively pick a destination of ‘Better’ and now need to organise your travel route; by working either forwards from where you currently are, or backwards from ‘Better’. On the assumption that ‘Better’ is some distance away, we can now start our analogy.

What caused my problem?

Is your problem a physical issue, a psychological issue, or a perception/misconception about you or those around you? This will determine whether you need tension or physical (mechanical) therapy from somebody like myself, or you just feel run down & need more fuel (psychological) therapy from someone like https://www.mindaffinity.co.uk. They can help you through enabling you to reevaluate and appreciate your surroundings more. This is like bringing ‘Better’ to you rather than you traveling to ‘Better’. For the purpose of this editorial, & because it is my specialisation, we will consider physical Back, Muscle and Joint pain.

Petrol, Diesel or Electric car? 

Complimentary therapists work with medical practitioners and use techniques that have a measurable result. That is treating for either a physical or a psychological improvement. Alternative therapists work outside of this framework and their results can be a little less determinable. But, even if only a placebo, any improvement is appreciated. Energy based therapies have probably the least measurable outcome on a physical scale. But that may be because we haven’t found an effective way of measuring it. I occasionally use a very select few energy healing techniques for very specific problems.

As technology has advanced we have developed hybrid vehicles. I, like many others, aspire to this transport system as it has the best of all worlds. This is why I utilise predominantly Complimentary techniques with some Alternative and Energy therapy interposed.

Type of vehicle

Do you want a 4×4, a SUV, Sports car, Hatchback? Any style of vehicle will have some benefits, but none will be capable of doing ALL your jobs. So you have to pick the one that works for you in your everyday activities. Most injuries are mechanical because they suffer wear and tear. This is why MOT road tests are carried out annually.

Just as you would take your vehicle to the appropriate place for the work you need carried out & wouldn’t trust a tyre fitter to work on your engine, you need to find a therapist trained in the therapy that is most appropriate to your condition. The majority of therapists are qualified in some form of manual, mechanical or manipulative ‘engineering’. This enables them to work on your body’s components, but not necessarily the bit that is causing your pain.

The ‘vehicles’ in this study relates to the modalities of manual based treatments. Styles of vehicles overlap with each other in regard to transporting people/loads. Likewise, treatment lines frequently blur between many different therapies.

Massage as a Back pain treatment.

figure of a confused mechanic working on a toy car, an analogy of Back pain treatment therapist

(don’t let the wrong guy under your bonnet)

Massage is good for the muscles and ranges from almost a tickle to something akin to sadism – neither end of the scale will be beneficial on a long term basis. Beauty massage is merely for relaxation whilst unnecessarily harsh massage may actually damage muscles. Remedial and Therapeutic massages smooth damaged muscle tissues. This regains a healthy muscle tone and allow the body to finish the job of healing those muscles. Deep tissue massage is also beneficial and, somewhat obviously, penetrates further into the body beyond the superficial muscles.

Manual therapy and Sports Injury treatments

These are aimed at rehabilitation from injuries through hands-on treatments. They are aimed at specific injury issues initially & followed up by prescribing exercise regimes and stretching techniques; often the client neglects to do these and blames the practitioner when it doesn’t go away.

Manipulative therapies for Back pain treatment

These are, in my opinion, the ultimate tool for a quick correction of the musculoskeletal system. These practices go back far beyond the concepts of Osteopaths (1892) and Chiropractors (1895). There were Bonebenders in Anglesey (1745) and manipulation was known to Hippocrates and the physicians of ancient Rome. As a Back pain treatment specialist qualified in Manipulative Science (Dip. M. Sc.) I am obviously biased to Independents like myself, rather than global organisations who have become somewhat stereotypes.

Acupuncture/Acupressure for Back pain treatment

Acupuncture/Acupressure are more of a hybrid and fall into the ‘works for some, but not for me’ category – many people will prefer acupressure (and derivatives) because of needle phobia and infection worries. Although it may stop pain in some cases, pain is there for a reason; to tell you something is wrong. Block pain sensation and you could injure yourself further by continuing to use a damaged part (a little like taking a bulb out of the dashboard warning light). Some acupressure is used in clinics such as mine to re-open energy flow lines and release deep muscles.

Orthotics for prevention of Back pain

These devices are, if prescribed properly, so much more than arch supports! They address issues far beyond the foot they support. Arch supports are like buying new tyres whereas orthotics also correct wheel alignment. Damage to tyres, steering, shock absorbers and many other components would result.

Make and Model

This is where things get can unnecessarily complicated. So, trying to show a minimal veneer of bias, Who do I recommend? I obviously prefer the styles I have majored in but I’m trying to be objective.

If we cut out all the superior airs and graces & the over-specialisation of their ‘Particular College or School’. Also remove the political ‘bull’ and the name calling we arrive at a basic conclusion. Volkswagen, Audi, Ford or Jaguar, it comes down to personal preference and past experience.

Firstly, the therapist (maker) must be qualified and insured. Secondly, they must act in a professional and courteous manner & explains what he believes the problem is. Thirdly, they must be effective with their techniques or they are not worth seeing. Fourthly, they should guide you on stretches and exercises to assist your recovery at home. And lastly, you should feel a bond with them, helping you to trust them and relax. If the therapy (model) has a reputation of being safe and relevant for your discomfort, it should work for you. A combination of all this will help you to recover more quickly.


Being qualified in a wide spectrum of therapy techniques makes any therapist more efficient. They become a one-stop body pain relief clinic that can treat all aspects of your muscle and joint injuries. A Back pain treatment specialist must be able to listen and understand your requirements. Only then they can tailor a treatment that is as close as possible to your optimum.

A final word of warning – Never buy a ‘bulk offer’ until you know the quality of the goods. Many unscrupulous organisations exist out there, if you aren’t getting any benefit go somewhere else. Buying 10 sessions could mean you paid twice the price advertised (if cured in 5). Alternatively, you have bought an awful lot of rubbish in one go; neither are beneficial to your wallet or your health.

I hope that has reduced some of the confusion out there. It is a maze and, inevitably, there will be people I rub up the wrong way. I refuse to conform to their image of their therapies or organisations but they don’t matter ….

….This article is about you and what matters to you, especially in your time of need!