Overtreated: Back pain widely overtreated, what to look for, ask doc about

Overtreated: Dealing with back pain

Back pain can be one of the most debilitating kinds of pain, but most people get better with time.

Some advice:

—See a doctor quickly if the pain is accompanied by “red flag” symptoms that include trouble urinating, leg weakness, numbness or pain, fever or unintentional weight loss.

—With run-of-the-mill back pain, prepare to allow a month to six weeks to see if it goes away on its own.

—Don’t expect an X-ray or MRI before then unless the doctor suspects a serious problem.

—Try over-the-counter pain relievers such as anti-inflammatories before seeking prescription pain relief. Old-fashioned steps such as heating pads and firm mattresses also are recommended.

—If the pain doesn’t go away in that month to six weeks, ask about rehabilitation or exercise therapy. There are specific exercises recommended for different kinds of pain.

—If surgery is recommended, ask why that’s the best option, what are the risks and what would happen if you don’t operate — what other options you might try instead. Seek a second opinion. Your doctor or insurer also may offer “decision aids,” DVDs or booklets that describe the pros and cons of each option.

Sources: American College of Physicians/American Pain Society guidelines; National Institutes of Health; spine surgeons.