Top Tips for Managing Acute Back Pain
Don’t panic. Don’t forget that the severity of the pain is usually not an indication of how serious the problem is. Most patients in extremely acute pain have got simple muscle spasms which, although incredibly painful, are usually resolved quickly.
Use ice – not heat. The worst part of an acute condition is that the inflammation makes the joint swell. Think of it as a sprained ankle and put a packet of frozen peas wrapped in a thin tea towel on the painful area. Apply for 10-15 min every 1-2 hours - even if initially it feels sore, it will help. NOTE: Do not use if suffering from diabetes or poor circulation.
Keep mobile - or as mobile as you can. If you are able to get out of bed, do so at regular intervals and gently move around the room.
Listen to your back - pain is a warning sign. If what you are doing hurts - STOP. Don’t try to push through the pain.
Rest as comfortably as you can. There isn’t any right or wrong position, just do whatever feels best. Most patients find lying on their back with their knees bent (stick a rolled up blanket under your knees) is fairly comfortable.
Don’t lie flat on the floor - unless it’s your most comfortable position. Lying with your legs straight on a very hard surface generally increases the load at the base of your spine.
Don’t have a hot bath - the heat will aggravate the inflammation and the position will make you seize up.
Be careful with medication. Do take whatever you need to get relief (ask your doctor for advice/a prescription), but remember that the tablets don’t actually cure or heal the problem - they just mask the pain. Therefore you should still be very careful, even when you start to feel better.
Accept help from your family and friends. Don’t be proud, you can always make it up to them later!
See your Chiropractor. If the pain persists beyond 48 hours you will need a thorough examination to diagnose the exact nature of the problem. We can then make sure that it doesn’t develop into a chronic back problem, and get you back to normal activities as soon as possible. Early manipulation is suggested in The Royal College of GP’s guidelines for treating acute low back pain.