Why Back Pain Diagnosis is Difficult
Back pain is common, but a back pain diagnosis is a challenge. There is no set guideline to do this. There is a lot to understand regarding backaches. The diagnosis of the cause is therefore difficult.
It takes time to discover the root cause of back pain. There are many possible causes. It can also require different physicians and collaborative efforts. A full diagnosis may require any of these professionals:
- Primary Care Doctor
- Physical Therapist
- Orthopedic Surgeon
- Physiatrists
- Orthopedic Specialists
The cause of back pain can be simple. But, it can also be something more serious. It is important to get an accurate back pain diagnosis. There are several reasons why this can get delayed.
Identifying the Source is Difficult
There are so many possible reasons to rule out. It takes time. Problems can occur with the anatomical structure. This involves nerves, bones, joints, and muscles. It can also involve organs in the abdominal cavity. Additionally, there are times when your brain sends abnormal signals. This neuropathic pain can be tricky to identify. Back pain can also be linked to stress, depression, and anxiety.
As a matter of fact, the causes can be any one of these factors. Or it can be a combination. An example would be having spinal stenosis and a herniated disc. Pain can originate from one of these or both. Treatment for each is very different. Therefore, an inaccurate diagnosis could be harmful. To relieve pain effectively, the exact cause needs to be identified.
Limited Value of Diagnostic Testing
There is not one single test that can provide an accurate diagnosis since back pain has too many possible causes. Many of the tests, therefore, have limited value. For example, diagnostic nerve block injections. They can provide false-positive results.
The limits to diagnostic tests do not mean back pain diagnosis cannot be done, however. There are certain conditions that are easy to identify. For instance, a lumbar herniated disc causing sciatica can be diagnosed quickly. In many cases, imaging, clinical tests, and questions can identify the pain source. A single test, however, can be inadequate. This is why different doctors can provide different diagnoses.
Pain is Subjective
Pain is very personal. What is mild to one can be severe to another. The same condition can affect individuals differently too. This means treatment will also vary. The same condition though may need different treatment. This depends on the affected person. Back pain can be treated with over-the-counter medications. This along with exercise works for some people. If your pain is severe, you may need a stronger treatment plan. Epidural steroid injections are common in this case.
Lifestyle is to Blame
Even after an accurate diagnosis, back pain can linger. It may even get worse. Your lifestyle choices could be to blame in this case. A sedentary life, smoking, excessive drinking are a few hidden causes. Additionally, eating an inflammatory diet can trigger back pain. Psychosocial factors like stress and anxiety also affect your back. The cause may be stemming from your life choices. Pain relief will come from changing these habits.
If you suffer from chronic back pain, get educated. Become familiar with possible causes. You can work with your doctor to identify and treat the cause. Also, start taking better care of your back. Ergonomically supported postures and daily exercise are a great way to start. Eat a balanced diet, stay active, and quit unhealthy habits. You can do a lot to prevent back pain. That part is not a challenge.