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Conservative spine treatment is effective in treating the majority of cases. Nearly 80 percent of
back and neck pain is related to muscle injury, which responds well to conservative care. Other
conditions, such as herniated discs can also be effectively treated with a non-surgical approach.
Spine surgery is necessary in only a very small percentage of cases. Spine surgery should always
be used as a last resort, unless emergency situations, such as loss of bowel and bladder control
or other progressive neurological deficits are present.
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In the most instances, back pain tends to resolve over a period of a few weeks to three months.
The goal of conservative treatment is to reduce pain and spasms, and condition the back to prevent
future problems. Other conditions related to back pain, such as depression and the inability to
sleep are also addressed.

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Twenty years ago, complete bed rest and inactivity was the most common treatment for
back pain. Research has shown, however, that this can actually make matters worse.
The muscles become de-conditioned, causing stiffness and pain to set in. Instead, a
gradual increase in activity is recommended. It is important, however, to avoid those
activities, which cause or exacerbate the pain. A mild walking program is a good way
to increase blood flow and stretch out stiff muscles. In severe cases, bed rest may be
indicated, but for no more than a few days.
While back braces were once a popular treatment option, there is no evidence that proves
they are effective in reducing pain. In fact, relying on braces to support the back can
lead to weakened back muscles.
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