Back Pain Treatments Explained: What You Need to Know

Disclaimer: This blog is for informational purposes only and does not constitute medical advice. By reading this content, you agree that it does not replace personalised care from a qualified healthcare professional. Always consult your doctor or specialist before starting or changing any treatment plan.

If you’ve had spinal surgery, nerve burning procedures, or you’re thinking about injections, scans or anything in between — this blog is for you.

Back pain is complex, and with so many treatment options, it can feel impossible to know what’s worth trying and what might just be another dead-end. This post breaks down the most common treatments (including spinal fusions and medial branch rhizolysis) — what they are, when they’re used, and what you need to know before considering them.

1. Spinal Fusion Surgery

What it is: A procedure where two or more vertebrae are permanently joined (or "fused") together with metal rods, screws or cages so they no longer move independently.

Why it’s done: Usually recommended when there’s spinal instability, severe disc degeneration, or nerve compression that hasn’t responded to other treatments.

What to know:

• Fusion reduces movement in that part of your spine.

• Sometimes, pain continues even after surgery — either due to scar tissue, nearby joint overload, or unrelated causes.

• Recovery can take months, and it's not always the end of the road.

2. Bilateral Medial Branch Rhizolysis (a.k.a. Nerve Burning)

What it is: A procedure where the nerves that send pain signals from your facet joints are "burned" using radiofrequency.

Why it’s done: When facet joints (the small joints between the vertebrae) are irritated or inflamed and causing chronic pain, especially in the lower back.

In real terms: Imagine cutting the wires to a car’s dashboard light — the problem may still be there, but you no longer see the warning. This can reduce pain, but doesn’t treat the underlying cause.

What to know:

• Pain relief can last 6–12 months before nerves grow back.

• Works best when a diagnostic injection test confirms the facet joints are the problem.

• Not a permanent solution, but it can buy time for rehab or other treatments.

3. Physiotherapy

What it is: Movement-based treatment to strengthen muscles, improve mobility, and reduce pain.

Why it’s done: It helps improve how your body moves and supports itself, which can take pressure off painful areas.

In real terms: Like taking your car to a mechanic to improve alignment and balance. You might still have some wear and tear, but better movement reduces the strain.

What to know:

• Works best when personalised.

• It takes consistency — no magic bullet.

• Should focus on strength, mobility, AND education.

4. Massage and Hands-On Therapy

What it is: Techniques to release tight muscles and improve blood flow.

Why it’s done: Can relieve short-term pain and help you move better.

In real terms: Like loosening up a tight rubber band. It feels better for a while, but unless you fix why the band is always tight, the problem will come back.

What to know:

• Great for short-term relief, not a long-term fix.

• Best used alongside movement or rehab.

5. Injections (e.g., cortisone, nerve blocks)

What it is: Anti-inflammatory medication injected near painful areas.

Why it’s done: To reduce inflammation and give temporary pain relief so you can move better or do rehab. Think of it like turning down the volume on a smoke alarm — you still need to put the fire out, but it lets you focus.

What to know:

• Relief is usually temporary.

• Not meant to be repeated endlessly.

• Use that pain-free window to build strength and improve movement.

6. Painkillers

What it is: Medications (like anti-inflammatories, opioids, nerve meds) to dull pain.

Why it’s done: To make life more manageable and reduce flare-ups.

What to know:

• Helpful short-term, but not a solution by themselves.

• Can mask symptoms and delay proper treatment.

• Always follow medical guidance — long-term use can have side effects.

7. Scans (MRI, CT, X-ray)

What it is: Imaging tools to look at the bones, discs, and joints.

Why it’s done: To rule out serious problems and look for structural issues.

What to know:

• Scans often show things like bulging discs or arthritis in people without pain.

• Don’t panic if your scan “looks bad” — what’s seen doesn’t always match how you feel.

So... What’s Right for You?

If you’re thinking, “I’ve tried everything” — you’re not alone. The truth is, back pain needs a tailored plan. Many treatments work best together (e.g., injections to reduce pain + movement to build strength).

And if you’ve had surgeries or nerve procedures and still struggle with pain — that doesn’t mean it’s all in your head. It means your body might need a new approach — one that looks at your movement, your nervous system, your lifestyle, and your goals.

If that sounds like something you’d like help with, check out our options HERE

There’s always a path forward — sometimes, we just need a clearer map.