Re: Forest Hill Road Surgery - again.
Posted by Penguin68
April 18, 02:36PM
The problem with back pain is that it can be caused by mechanical problems with the spine, by problems associated with muscles, by problems associated with discs slipping and trapping nerves (different from mechanical problems where manipulation or exercise may be a remedy) or referred pain from some other condition - when I had a back pain problem (broadly) some years ago I was sent for a chest X-ray in case I had a lung tumour pressing against the spine (I didn't). So back pain can be very difficult to diagnose as it may have multiple causes, and be difficult to address.
Some causes will respond to e.g manipulation and exercise regimes, others very definitely won't. Most specialists are specialists in their particular problem area. At times it may just be a matter of ruling things out, rather than quick identification.
There are often no quick or sure fixes for chronic back pain, and little pain relief medication which is helpful and can be used long-term. Don't want to sound depressing, but don't hope either for miracles or believe that a 'good' doctor can sort it. Some of the diagnostic tools (full MRI for instance) don't come cheap, and NHS practices will aim to avoid over-use. And some remedies (like CT guided spinal injections of steroids) aren't normally available on the NHS. And some remedies (e.g. spinal surgery) have pretty serious possible side effects, like paralysis.
The NHS tends to look for palliatives for chronic back-pain where they can (acute may be different, and opioids can address this, which aren't useful for chronic conditions).