The first reason is that the source of the structures has never been treated directly.

A very common cause of chronic back pain is the fact that the source of the pain has never been identified or treated.

Low back pain can come from various structures such as:

• Intervertebral discs

• Facet joints

• Sacroiliac joints

• Muscles and ligaments

• Nerves

Without determining the cause of the pain, treatment may effectively relieve symptoms in the short term, but then they return once the medication or rest effect has ceased.

That's why a detailed clinical examination (and ultrasound or image-guided examination if necessary) is critical before treatment is considered.

Reason 2: The wrong structure is being targeted.

Sometimes, the tissue that is painful is not the tissue that caused the back pain.

For instance, if you have lower back pain, you may actually have an irritated disc or an inflamed facet joint or even a compressed spinal nerve.

If the incorrect structure is treated, the symptoms may go away temporarily, but not permanently.

This is often seen when people have had several treatment sessions without any long-term success.

If physio has been provided and the back pain has persisted, perhaps the treatment focussed on the presenting symptoms and not the pain generator.

If the symptoms are chronic, patients may need to be evaluated for other conditions including Low Back Pain → /conditions-treated/low-back-pain.

Reason 3: Reflexively, the pain–spasm cycle has never been broken.

Muscles tighten in response to pain while trying to protect the spine.

Unfortunately, the longer the muscle tightness persists, the less movement there is, the more stress there is on the spine and the more pain there is. This forms a pain–spasm cycle, pain increasing muscle tension, which in turn increases pain.

With time, this cycle can persist after the initial trauma has healed.

Patients often describe:

• Tightness in the lower back that doesn't go away.

• Morning stiffness

• Aching back or legs after sitting for long periods of time

• Trouble getting back to regular functioning

In some instances, associated Myofascial Pain contributes greatly to recurring symptoms and is a target for treatment in conjunction with the overall treatment plan for Low Back Pain – Myofascial Pain.

Without addressing the pain–spasm cycle, treatment of inflammation alone can lead to reoccurring inflammation.

Reason 4: Ergonomic Cause Has Not Changed

If nothing changes with the problem, even the best treatment won't get you long lasting results.

Professionals at Kattankulathur who work for more than eight hours a day on a laptop are under constant stress on their spine due to being seated for a long time, the poor posture of their workstation and lack of movement.

In the same way, people working in the oragam factory and using the same muscles to lift, bend, twist or stand for long periods of time may continue to strain the same muscles of the spine.

In both groups, prior to medical management, the occupational cause should be considered. Regardless of the treatment, preventing recurrence of back pain is much harder without making any changes to posture, lifting techniques, workstation setup or habits.

Sometimes the missing component of long term recovery is understanding and changing these common conditions.

How can Targeted Interventional Treatment help to break the cycle?

If back pain comes back, then doing the same thing won't help the problem. The first step is to determine the exact structure that is causing the pain, and then decide what to treat.

All patients receive a thorough clinical evaluation prior to any procedure at Dr. RRB Pain Care. Treatment can involve:

• Ultrasound-guided pain interventions

• Rehabilitation and physiotherapy based on structure.

• Disability and lifestyle changes

• Medications when appropriate

• Exemplifying image-guided regenerative treatments (e.g., intradiscal PRP for recurrent disc pain) in carefully selected patients

The aim is to alleviate the immediate pain, but also to prevent any further flare-ups by trying to cure the cause.

A customized treatment plan, based on a correct diagnosis, has the greatest potential for long-term improvement if you have been looking for a way to keep your chronic back pain from returning.

Getting the Right Diagnosis for Recurring Back Pain

It is a common phenomenon to suffer from recurrent back pain in all working professionals and manual labourers in the GST Road corridor. Prompt diagnosis of the cause of the pain helps to prevent re-occurrence and minimise the effect on the person's quality of life.

Dr. RRB Pain Care on the GST Road treats people suffering from back pains from Kattankulathur, Oragadam, Tambaram and surrounding areas, offering complete evaluation for chronic back pains.

Many patients are:

• The IT professionals of Kattankulathur, who are seated in front of computer screens for extended periods of time.

• Oragadam factory workers whose work entails repetitive lifting, bending and standing for extended periods of time.

Approximate travel times:

• Kattankulathur: 10–15 minutes

• Oragadam: 20–25 minutes

• Tambaram: 25–30 minutes

Clinic Address

Dr. RRB Pain Care

GST Road No.1/164, Singaperumal Koil, Tamilnadu 603204

But have you experienced back pain that doesn't go away completely when you go to the Tamil Nadu, or it appears and reappears every few months? A specialist assessment can be used to determine if the pain is structural, muscular or disc related or a mix of these.

Give us a call today via phone and schedule a consultation with us via WhatsApp.

Frequently Asked Questions

1.If your back pain is ongoing, does it indicate a problem?

Back pain is very common, but should not be ignored. If there are repeated episodes, it may mean that the cause(s) have not been completely identified or addressed.

2.How is it that my back pain is not cured for good by physiotherapy?

Many patients will benefit from physiotherapy but for a long-term solution, the right treatment of the right pain source is necessary. If there is a structural problem that remains after rehabilitation, then symptoms can return.

3.What are the differences between structural and muscle pain?

Treatment of a muscle pain, may be improved by activity and rest while a structural problem can lead to chronic pain, radiating and recurrent pain outbreaks. These causes can be distinguished by a clinical examination.

4.What is the best option of treatments for chronic back pain near singaperumal koil?

Treatment will be determined by the diagnosis and the most effective treatment is located. Depending on the cause of the problem, a detailed analysis may result in a recommendation of rehabilitation, image guided procedures, ergonomic correction, and/or other targeted treatments, as necessary.

5.How many times may I go for an epidural injection?

For each patient, there is no set solution. The number of epidural injection and its timing will be based on your diagnosis, response to previous treatment and overall clinical condition. Your doctor will advise you what is best for you.

Conclusion

Chronic back pain is not just a coincidence. There is often a particular cause for the pain to persist — it might be a problem that hasn't been resolved, wrong diagnosis, persistent muscle spasm or work-related strain.

The key to selecting the right recurring back pain treatment near Singaperumal Koil and decreasing the risk of a reoccurrence is to grasp the cause.

There's a cause and a remedy to persistent back pain.

Dr. RRB Pain Care on GST Road Singaperumal Koil is 10 mins from Kattankulathur and 20 mins from Oragadam. See your doctor for a thorough evaluation of the cause if back pain recurs after treatment.

Give us a ring or book now and get your Whats-App consultation and Make an appointment today