Kraus Back & Neck Institute Spine PainPain Treatment - Kraus Back & Neck Institute Kraus Back & Neck Institute : 281.446.3876 (281.44.NEURO)
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At the Kraus Back and Neck Institute (KBNI), we specialize in non-surgical as well as surgical treatments of Back and Neck Pain.
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Conservative Management of Pain in the Back at KBNI

In a majority of cases, back pain can be treated without surgery. Dr. Kraus may suggest a conservative approach based on your medical history, previous treatment information, and results of imaging studies.

Conservative management is an non-surgical approach to treat back pain by using alternative approaches such as physical medicine and pain medications.

Physical medicine alternatives include:

  • Braces to restrict movement and support the affected area
  • Electrical stimulation therapy to promote healing and reduce pain and swelling
  • Epidural steroid injections
  • Ice and Heat: Use of cold and hot compresses over the affected area helps in relieving the muscle spasm and swelling, caused by strain. A cold pack or compress should be applied to the affected area within 48 hours following trauma and hot compress should be started after 48 hours.
  • Exercise: Follow a specific exercise program in order to alleviate pain, strengthen the back muscles and prevent the recurrence of pain.
  • Massage therapy helps relieve pain and muscle spasms
  • Traction: Traction increases the space around the compressed spinal cord
  • Ultrasound therapy may be used to provide warmth to the deep tissues and relax the muscles to ease pain.

Pain medications and several forms of injection therapy include:

  • Antidepressants may provide relief from neuropathic pain
  • Analgesic medications (oral) - Aspirin, naproxen, ibuprofen, acetaminophen and muscle relaxants
  • Narcotic analgesics may be prescribed for a short duration to provide relief from severe or chronic pain
  • Nonsteroidal anti-inflammatory drugs - Aspirin, naproxen, and ibuprofen may be prescribed to reduce swelling and inflammation
  • Corticosteroid medications which have very powerful anti-inflammatory action may be prescribed, either orally or by injection, for severe back and leg pain.
  • Epidural Injections involve injecting a steroid into the epidural space, area around the spinal nerves, to treat severe leg pain
  • Facet Joint Injections - Injection of local anesthetic and steroid into or around the painful facet joints
  • Sacroiliac joint injections (SI) - A local anesthetic and a steroid are injected directly into the sacroiliac joint under fluoroscopic guidance. Injections are usually followed by physical therapy to improve mobility and range of motion
  • Selective nerve root block - Nerve blocks are often used to reduce inflammation around the nerve root and also to determine if a specific nerve root is the cause for your pain.
  • Trigger point Injections - A combination of a corticosteroid and an anesthetic is directly injected into the affected muscle or soft tissue
Spine Pain - Kraus Back & Neck Institute
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Gary Kraus, MD - Back & Neck Institute
Masaki Oishi, MD
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MISS techniques reduce the need for large incisions, muscle cutting, and a long period of recovery.
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