According to WebMD, 80% of all Americans suffer from back pain at some time in their lives. Pain is subjective. It is suffered at whatever level the sufferer perceives it. What may be intense, debilitating pain to one patient is tolerable to another. What is unbearable to one may be low level to another. It is up to the patient to find a medical practioner who will listen and help the patient find a solution to their suffering.
Usually the first line of defense is the patients family doctor, who may be a general practioner or a internal medicine doctor. The GP is more likely to offer an exercise regimen, non steroidals, muscle relaxants and the ice, heat routine. This is often a satisfactory treatment for patients with back strain from heavy lifting, or other mechanical injury. Internal medicine doctors are more apt to refer their back pain patients immediately to an othropedic specialist who may also determine after their physical exam that the source of pain is a mechanical injury and prescribe a similar treatment with or without physical therapy.
Those patients who dont respond to conservative therapies may be candidates for the next level of therapy; epidural...
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