Understanding and Treating Back Pain

Back pain is a widespread issue in the UK, affecting millions of people and placing a significant strain on the healthcare system. Nearly 73% of Brits, approximately 49 million individuals, experience back pain daily. It is the leading cause of long-term sickness, contributing to over 15 million sick days in 2013 alone. The economic burden is substantial, with the NHS spending over £1 billion annually on treatment.

Beyond the financial impact, the personal toll is immense, with more than half of sufferers experiencing pain multiple times a month, and 56% describing it as severe. Sedentary lifestyles exacerbate the issue, as 57% of individuals spend long hours sitting with little physical activity, further complicating recovery.

At LycaHealth Orpington, part of KIMS Hospital, we take a holistic and comprehensive approach to managing back pain. Our team includes pain consultants, physiotherapists, psychologists, and specialists in pain-relieving injections. By addressing both the physical and emotional aspects of chronic pain, we help patients regain mobility, improve their quality of life, and find long-term relief.

Common Causes of Back Pain

Sciatica

Sciatica occurs when the sciatic nerve is irritated or compressed, often due to inflammation, muscle contractures, herniated discs, or spinal stenosis. Symptoms include radiating pain from the lower back to the legs, tingling, numbness, and muscle weakness, which can impact daily activities. Maintaining good posture and regular exercise can reduce the risk. Treatment may include physiotherapy, medication, or, in severe cases, surgery.

Neuropathic Pain

This chronic condition results from nerve damage due to injuries, diseases, or conditions like diabetes and infections. Symptoms include numbness, tingling, burning sensations, or sharp pain, often in the hands and feet. Other symptoms include insomnia, anxiety, weakness, and digestive discomfort. Treatment varies and may involve medication, physiotherapy, nerve blocks, or implantable pain-modulating devices.

Neck Pain

Neck pain can result from injuries, muscle strain, poor posture, or spinal issues such as pinched nerves or disc abnormalities. Common causes include bad posture, awkward sleeping positions, or physical trauma. Preventive measures such as maintaining good posture, avoiding prolonged strain, and using a firm mattress can help reduce risk. Treatment may include pain relief medication, heat or cold therapy, and gentle neck exercises. If symptoms persist, consulting a specialist is recommended.

Lower Back Pain (Lumbalgia)

Lower back pain can be acute (lasting under a month) or chronic (persisting over 12 weeks). Symptoms vary but may extend to the thighs, hips, or glutes, sometimes restricting movement. Causes include muscle strain, poor posture, obesity, arthritis, or herniated discs. Preventative measures include regular exercise, good posture, and a supportive mattress. Treatment options range from pain relief medication and physiotherapy to surgery for severe cases.

Whiplash

Whiplash is a neck injury caused by sudden head movement, often due to car accidents or falls. Symptoms include neck pain, stiffness, headaches, dizziness, and muscle spasms, worsening over the first few days. Most cases resolve with movement, pain relief, and physiotherapy. Severe pain, numbness, or weakness may require medical attention. Diagnosis is usually based on a physical exam, with scans to rule out serious injuries. Recovery typically takes a few weeks to months.

Advanced Treatments for Back Pain at LycaHealth Orpington, Part of KIMS Hospital

We offer a range of minimally invasive treatments designed to target specific sources of pain:

• Epidural steroid injections – Used in the lower back (lumbar), upper back (thoracic), and tailbone area (caudal) to reduce inflammation and relieve pain.
• Facet joint treatments – Radiofrequency procedures for the neck (cervical) and lower back (lumbar) to ease joint-related pain.
• Selective nerve root blocks – Targeted nerve root block/ trans-foraminal epidural and epidural pain relief injections for nerve-related pain in the lower back.
• Sacroiliac joint injections – Helps reduce pain in the lower back and pelvis, with radiofrequency denervation for longer-lasting relief.
• Peripheral nerve blocks – Including:
  • Occipital nerve blocks for headaches and migraines
  • Suprascapular nerve blocks for shoulder pain
  • Genicular nerve blocks for knee pain
  • Nerve block for Testicular pain and persistent pain after inguinal hernia surgery.

Additionally, we offer advanced treatments like radiofrequency and pulsed radiofrequency therapy. These treatments are complemented by physiotherapy, ensuring long-term pain management and rehabilitation. Our experienced physiotherapists work closely with patients post-treatment to strengthen muscles and improve mobility.

For cases requiring further intervention, we have a strong network of surgeons who can perform spinal surgery at KIMS Hospital, Maidstone, Kent’s largest independent hospital. Equipped with state-of-the-art theatres, private rooms, and excellent facilities, we ensure a comfortable and high-quality patient experience.

The Impact of Back Pain on Mental Health and Well-Being

Chronic back pain doesn’t just affect physical health—it can have a profound impact on mental well-being too. Persistent pain often leads to stress, anxiety, and depression, as individuals struggle with daily discomfort and reduced mobility. Sleep disturbances are also common, with many patients finding it difficult to get restful sleep due to pain-related discomfort. This creates a vicious cycle where lack of sleep exacerbates pain sensitivity, further impacting emotional and physical health.

We take a holistic approach, addressing not only the physical symptoms but also the emotional toll of chronic pain. Our team includes psychologists and physiotherapists who work together to develop personalised treatment plans that incorporate relaxation techniques, cognitive-behavioural therapy, and lifestyle modifications. By considering the mind-body connection, we help patients manage their pain more effectively and improve their overall well-being.

A Unique Multi-Modal Therapy Approach

At LycaHealth Orpington, we provide a multi-disciplinary, patient-centred approach that sets us apart. By combining:

• Expert diagnostics
• Cutting-edge pain management treatments
• Physiotherapy and rehabilitation
• Surgical referrals when necessary

We ensure that each patient receives the best possible care, tailored to their specific needs.

Final Thoughts

Managing chronic back pain without surgery is possible through a combination of treatments and lifestyle adjustments. From physiotherapy and non-invasive procedures to dietary and postural changes, there are multiple ways to manage pain effectively.

At LycaHealth Orpington and Canary Wharf, we provide a comprehensive range of services to support your pain management journey. By adopting a proactive approach, you can regain control over your pain, improve mobility, and enhance your overall quality of life.

Dr. Sanjay Kuravinakop,  MBBS DA FRCA FFPMRCA, Consultant in Pain Medicine and Anaesthetics

Dr Sanjay Kuravinakop is a leading consultant in pain medicine and anaesthetics based in London and Kent. With over 15 years of experience, Dr Kuravinakop is highly experienced in a wide range of pain medicine treatments. His areas of expertise include lower back pain, sciatica pain, neck pain, shoulder pain, whiplash injuries and neuropathic pain.