Backache & conservative treatment
Backache: Treatment Beyond Surgery
Backache does not always mean surgery. A careful clinical assessment, appropriate diagnosis and a structured conservative treatment plan can help many patients improve without an operation.
A structured, individual approach
Conservative care is not one fixed protocol. Its components depend on the cause of pain, examination findings, general health and day-to-day needs.
- Clinical evaluation
- Appropriate investigations when required
- Activity modification
- Physiotherapy or rehabilitation when appropriate
- Posture and ergonomic advice
- Strengthening and conditioning
- Medication when clinically appropriate
- Monitoring and follow-up
- Referral for surgery when there is a genuine indication
When not to wait
Some symptoms need urgent medical assessment
Seek appropriate emergency medical care rather than waiting for a routine appointment if back pain occurs with a major injury or serious new symptoms.
- Significant or worsening weakness
- Loss of bladder or bowel control
- Numbness in a concerning pattern, including around the groin or saddle area
- Major trauma
- Fever or systemic illness associated with back pain
- Any other rapidly worsening or concerning symptom
A considered next step
Discuss your orthopaedic concern
An individual consultation can help clarify the diagnosis and appropriate treatment options.