Medically Reviewed by Dr. Amod Manocha
Written by Swasthya Saarthi Editorial Team, last updated on 22 March 2025
Back pain is a widespread condition affecting people across all age groups, often disrupting daily routines, work, and quality of life. While severe cases may require surgical intervention, most back pain can be managed effectively with non-surgical options. In this blog, we’ll explore the most effective non-surgical treatments for back pain relief, including advanced options like nerve blocks, radiofrequency ablation (RFA), and epidural spinal injections.
Physical therapy is often the first line of defense against back pain. A trained physical therapist can design a customized exercise program that targets the specific muscles and structures contributing to pain. Exercises focus on improving flexibility, strengthening core and back muscles, and enhancing overall body alignment.
Some common physical therapy techniques include:
Benefits: Physical therapy can reduce pain, improve range of motion, and decrease the likelihood of future back injuries.
Nerve blocks are injections that target specific nerves suspected to be causing pain. These injections typically contain a local anesthetic and corticosteroid, temporarily blocking the nerve's pain signals to provide immediate relief. Nerve blocks are often used to diagnose the pain source and, in some cases, can provide long-term pain relief.
Benefits: Nerve blocks can offer targeted pain relief, making it easier for patients to participate in physical therapy and other non-surgical treatments.
Epidural spinal injections deliver a combination of corticosteroids and anesthetic directly into the epidural space around the spinal cord. These injections reduce inflammation and nerve irritation, providing relief from chronic back pain, especially if it radiates down the legs (sciatica).
Benefits: Epidural injections are effective for reducing pain caused by spinal stenosis, herniated discs, and other inflammatory spinal conditions.
Radiofrequency ablation is a minimally invasive procedure that uses radio waves to generate heat and destroy nerve fibers responsible for transmitting pain signals. RFA is typically used for patients with chronic back pain caused by conditions like arthritis or nerve damage. During the procedure, a small probe is inserted near the affected nerves, and the radio waves are applied, disrupting pain signals.
Benefits: RFA can provide long-term relief lasting from six months to two years, making it an excellent option for chronic pain sufferers.
Chiropractic care involves spinal adjustments to realign the spine, reduce pressure on nerves, and relieve musculoskeletal pain. Many people find chiropractic adjustments to be beneficial, especially for acute pain, by enhancing spinal alignment and mobility.
Benefits: Chiropractic care can provide immediate relief and improve mobility when combined with other treatments.
Thus, Dr. Amod Manocha emphasizes the effectiveness of personalized, multi-faceted treatment plans. He advocates for combining conservative management options, such as physical therapy, nerve blocks, and epidural spinal injections, which help manage pain without the need for surgery. Dr. Manocha highlights that early intervention can significantly improve outcomes for patients, allowing them to resume daily activities and improve their quality of life. His approach underlines the importance of a tailored, patient-centered strategy, aiming to maximize comfort and functionality while minimizing dependence on medications​