Lumbar disc does not always end in surgery

The secretary of the Pain Research and Study Association in Iran emphasized that an accurate diagnosis of the cause of back pain is a prerequisite for choosing a treatment method, and said: Many patients with back pain and lumbar disc problems do not necessarily need surgery, and if the treatment method is chosen correctly, non-surgical solutions can be used to control pain and return the patient to daily activities.

According to the report of Ambassador Arjan from the Pain Research and Study Association in Iran, Mohammad Hossein Delshad, a specialist in pain fellowship and the secretary of the Pain Research and Study Association in Iran, at the same time as the World Back Pain Day, pointed out the high prevalence of this condition and stated: According to the statistics of the World Health Organization, about 80% of people experience back pain at least once in their lifetime. In addition to affecting people's health and quality of life, this complication also has economic and social consequences with increased treatment costs, absenteeism and reduced productivity.

Referring to the role of factors such as inactivity, long-term sitting and overweight in the occurrence or continuation of back pain, he added: Considering the prevalence of this condition, diagnosing the cause of pain and choosing the treatment method according to the conditions of each patient is particularly important.

Explaining the necessity of avoiding unnecessary surgeries, Delshad said: the detection of protrusion or other disc changes in MRI images alone does not mean the need for surgery. Treatment decisions should be made considering the results of clinical examination, the type and severity of symptoms, the duration of pain and the extent of its impact on the patient's daily activities.

This specialist pain fellowship continued: Patient education, modification of activities and lifestyle, appropriate movement and rehabilitation program, and if needed, drug treatments and specialized pain interventions, are among the non-surgical treatment options that can be used according to the patient's condition. The World Health Organization also emphasizes on a multifaceted approach that is appropriate to the conditions of each person in the guide for the management of chronic back pain.

Stating that the goal of treatment is not only temporary relief of pain, he stated that returning the patient to daily activities and improving performance and quality of life should be one of the main goals of treatment. For this reason, making decisions based solely on imaging results or arbitrary use of treatment methods can prevent choosing the right treatment path.

Delshad clarified: In some patients, if non-surgical treatments do not have sufficient response or there are specific and serious symptoms, interventional or surgical methods may be necessary. Therefore, the choice of treatment method should be done after careful evaluation and according to the conditions of each patient.

The secretary of the Pain Research and Study Association in Iran noted: Persistent back pain or pain that spreads to the lower limbs requires specialized evaluation. The main message to patients is that the diagnosis of a lumbar disc does not automatically mean surgery, and in many cases, pain control and functional improvement can be achieved without the need for surgery by choosing appropriate and targeted treatment.

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