It is very important that people recognize when a treatment is failing to deliver the result they want. Chronic low back pain is low back pain of any quality that persists for more than 12 weeks. Most low back pain is functional or structural in nature (muscle strains, muscle imbalance, joint pain and fixation) and should respond quickly to appropriate care. If the cause of your pain falls into that category you should start to feel better within 2-3 weeks of conservative care with a trained Chiropractor or Physical therapist. If you have undergone 4 weeks of treatment with no change in your symptoms of if your condition has become worse, beware! Your body is telling you that they're is something missing from the diagnosis. You probably have a deeper problem that needs to be established by getting a MRI. Disc bulges, herniations, annular tears, ligament injuries are just some of the conditions that may need a different treatment to get the results that you will be happy with. I meet alot of clients who have suffered for many months, even years going to a treatment that is giving them no relief because their doctor told them to. Recoginze when it is time to move on and don't be afraid to get another doctors opinion. Doctors and HMO plans in particular are very hesitant to request an MRI because of the cost associated with it.
I am treating a patient who went to her primary doctor with chronic low back pain and was told it was a muscle strain. She was treated with Physical therapy that aggravated her condition and resulted in her running to the emergency room, she was told again that it was a strained muscle and given more medication. She decided to act on her own and came into see us. Upon examination it was readily apparent that she had a disc injury, we ordered an MRI for her. She had a large disc herniation in the low back and was happy that she finally knew what the problem was and that we were going to address it with out surgery. She took the MRI to her primary who told her she needed emergency surgery or she would be paralyzed. She chose to treat with us using non-surgical spinal decompression and is doing much better only 2 weeks into her treatment.
Recognize when a treatment is not working, be diagnosed correctly by getting the diagnostic best used for these types of injuries (MRI). Always consider your options, and act in your own best interest....surgery should always be the last option.