In Search of the Best Pain Clinic in LA: Acute Radicular Back Pain, Conservative Therapy

By | January 30, 2012

Antiepileptics, NSAIDs and steroids can be useful, but narcotics have no place in the treatment of acute lumbar radiculopathy.

The best pain clinic in Los Angeles would know that the conservative therapy for acute radicular back pain is not synonymous with inactivity (at least not for the physician). Acute low back pain with radiation to the lower extremity should be treated aggressively, but narcotics have no place in the treatment of acute lumbar radiculopathy. Acute radicular pain is either inflammatory in which case it should be treated with an NSAID or a short course of oral steroids or it is neuropathic in which case it should be treated with gabapentin or pregabalin. Physical methods, which are often used in this early phase are rest, warm soaks and massage. If the pain persists traction and inversion therapy may be considered.


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