Back pain treatment in Epping: Back Pain and Whether Imaging Would Change Treatment
When back pain persists, a scan can seem like the only way to move forward. At Epping, we assess the symptoms and whether further investigation would change the management. Our diagnostic ultrasound service is for suitable musculoskeletal soft tissues; it should not be confused with the imaging used for a suspected lumbar disc or spinal nerve problem.
Understanding back pain
Lower back pain does not always have one identifiable damaged structure. Muscle sensitivity, joint irritation and changes in how much activity you can tolerate may all contribute. Pain severity alone cannot establish a diagnosis, and a scan is not routinely needed for an uncomplicated episode.
How we assess back pain at our Epping clinic
We discuss the onset, previous episodes, leg symptoms and the activities you want to regain. Examination may include spinal and hip movement, relevant strength tests and a neurological screen if symptoms suggest nerve involvement. The purpose is to decide whether osteopathic care is suitable and what needs medical investigation.
A practical plan for this problem
Bring any previous reports and explain which activities remain difficult. We discuss the clinical findings, suitable exercise and whether medical review is indicated. A scan is not routinely necessary for non-specific back pain, and an imaging finding is not always the sole cause of symptoms. The treatment plan should still focus on practical progress and be reconsidered if it is not helping.
Osteopathy and rehabilitation: what treatment may involve
Where appropriate, osteopathy can include soft-tissue treatment and joint mobilisation to help you move more comfortably. We combine this with an individual exercise plan and advice about activity. NICE recommends that manual therapy for lower back pain forms part of a package including exercise; repeated hands-on treatment alone is not the whole plan.
Does shockwave have a role?
Shockwave is not a routine treatment for non-specific lower back pain or a substitute for assessment of spinal symptoms. If examination identifies a separate persistent tendon problem, its suitability can be considered on its own merits.
When to seek medical help
Call 999 or attend A&E for new bladder or bowel changes, loss of sensation around the genitals or anus, or severe or worsening symptoms in both legs. Seek urgent medical advice for fever with back pain or rapidly worsening severe pain. Unexplained weight loss or persistent night pain needs medical review.
Questions patients often ask
Can I have an ultrasound scan of the lumbar discs at the clinic?
MSK ultrasound is not the routine test for lumbar discs or nerve roots. If spinal imaging is appropriate, a different investigation is chosen through the relevant medical pathway.
How will we know whether the plan is helping?
We agree a useful functional goal and review changes in symptoms and activity. The number of appointments depends on the findings and response. If progress is poor, the plan should be reassessed and another opinion or investigation considered where appropriate.
Book an assessment in Epping
Ben Cohen Osteopathy, 156 High Street, Epping, CM16 4AQ. Our focus is musculoskeletal assessment, suitable hands-on care and rehabilitation that fits your everyday goals. You can discuss the right appointment or clinician with our team on 020 8418 1331.
Related reading
Sources and further information
This article provides general information and does not diagnose your symptoms. Treatment suitability is decided through an individual assessment.
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