Back Pain

Understanding Back Pain

Back pain is one of the most common musculoskeletal conditions, affecting the majority of people at some point in their lives. While many cases resolve on their own with time and simple measures, for some individuals, back pain can persist or recur, significantly impacting their daily activities, work, and quality of life.

Back pain is complex due to the wide range of structures involved, including muscles, ligaments, joints, discs, and nerves. Identifying the underlying cause is the key to effective treatment and long-term relief.

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Causes of Back Pain

There are numerous possible causes of back pain, ranging from minor muscle strains to more serious spinal conditions. Some common causes include:

Muscle or ligament strain – Often due to poor posture, heavy lifting, or sudden movements.
Herniated or slipped disc – A bulging disc pressing on nerves, causing pain and discomfort.
Arthritis – Degenerative changes in the spine, leading to stiffness and pain.
Spinal Stenosis – Narrowing of the spinal canal that compresses nerves.
Spondylolisthesis – A vertebra slipping out of place, causing instability.
Osteoporotic fractures – Bone weakening leading to compression fractures.

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Symptoms of Back Pain

The symptoms of back pain vary depending on the cause and severity of the condition. Common symptoms include:

Dull, aching pain in the lower or upper back.
Sharp or shooting pain that may radiate down the legs (sciatica).
Stiffness and reduced mobility, making it difficult to bend or twist.
Pain that worsens with prolonged sitting, standing, or activity.
Muscle spasms or tightness in the back.

When to Seek Specialist Help

Most episodes of back pain improve with rest, gentle movement, and pain relief. However, you should seek specialist advice if:

The pain persists for more than six weeks.
It worsens despite conservative treatment.
You experience weakness, numbness, or tingling in the legs.
You have difficulty controlling your bladder or bowels (a medical emergency requiring urgent attention).

Treatment Options at Thames Spine

At Thames Spine, we take a structured and patient-focused approach to back pain, beginning with a detailed clinical assessment and, if necessary, targeted investigations such as MRI scans. Once a diagnosis is established, treatment is tailored to the individual’s needs.

Non-Surgical Treatments

Physiotherapy & Rehabilitation – A structured exercise program can strengthen the back and prevent recurring pain.
Pain Management – Medication and nerve pain treatments to help control discomfort.
Spinal Injections – Targeted injections to reduce inflammation and confirm the pain source.

Surgical Treatments

For a small number of patients with severe or persistent symptoms, surgery may be necessary:

Microdiscectomy – Removing part of a herniated disc pressing on nerves.
Spinal Decompression Surgery – Creating more space for compressed nerves.
Spinal Fusion – Stabilizing the spine in cases of instability.

Expert Back Pain Care at Thames Spine

At Thames Spine, Consultant Spinal Surgeon Mr. Daniel Rolton provides expert diagnosis and treatment for patients struggling with back pain. Our goal is to help patients regain mobility, reduce discomfort, and improve their overall quality of life.

If back pain is interfering with your daily life, contact Thames Spine today to book a consultation and explore the best treatment options for you.