Think Twice: The Common Back Pain Treatment That May Weaken Your Bones

Did you know that 80 percent of Americans will experience back pain at some point in their lives? It’s a staggering statistic that highlights just how common this ailment is. While many treatments are available, one widely-used method could be doing more harm than good. If you or someone you know is suffering from back pain and considering treatment options, it’s essential to be aware of the risks associated with specific therapies. In this article, we will discuss a common back pain treatment that can have disastrous consequences for your bones, especially if you are a postmenopausal woman.

Epidural Steroid Injections: A Risky Solution

A study conducted at Henry Ford Hospital has shown that epidural steroid injections, a routine treatment for persistent back pain, can significantly increase the risk of osteoporosis. Postmenopausal women who received this treatment were found to be six times more likely to experience a serious loss of bone density. While these injections may provide temporary relief from back pain, their long-term effects on bone strength are deeply concerning.

Dr. Shlomo Mandel, a researcher involved in the study, cautions against the use of epidural steroid injections for those at risk of bone fragility. He suggests that physicians who do prescribe them should also take measures to optimize bone health, such as recommending calcium and vitamin D supplements and incorporating exercise into the patient’s treatment plan.

The Dangers of Multiple Steroid Injections

The risks associated with epidural steroid injections become even more severe for patients who have had a history of steroid exposure or who receive multiple injections. According to Dr. Mandel, these individuals are especially susceptible to compromised bone strength.

Overall, the possible harm to bone health should be carefully weighed against the potential benefits of pain relief when considering this treatment option.

Safer Alternatives to Epidural Steroid Injections

Given the increased risk of osteoporosis linked to epidural steroid injections, it’s wise to explore alternative treatments for back pain that have fewer long-term side effects. Below are some options to consider:

  1. Physical Therapy: A professional physical therapist can develop a personalized exercise plan to help you improve your flexibility, increase muscle strength, and reduce your back pain.

  2. Chiropractic Care: Chiropractors can provide spinal manipulation and other treatments that aim to realign the spine and alleviate back pain.

  3. Acupuncture: The practice of inserting thin needles into specific points on the body may help stimulate the body’s natural healing process and reduce back pain.

  4. Anti-inflammatory Medication: While not a long-term solution, over-the-counter (OTC) non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can provide temporary relief from back pain and should be taken under the guidance of a healthcare professional.

  5. Lifestyle Changes: Maintaining a healthy weight, exercising regularly, practicing good posture, and addressing any underlying conditions that contribute to back pain can all help minimize discomfort and prevent future issues.

  6. Supplements: Calcium and vitamin D supplements can help maintain bone density and strength, especially in postmenopausal women. Discuss any supplement usage with your healthcare provider to ensure proper dosing and avoid any potential interactions with medications.

Protecting Your Bone Health

As you explore different treatment options for back pain, it’s crucial to prioritize your long-term health and well-being. By considering the potential risks of therapies like epidural steroid injections and choosing safer alternatives, you can protect your bones and work towards effective relief.

In conclusion, the association between epidural steroid injections and increased osteoporosis risk serves as a reminder to carefully evaluate the long-term effects of any treatment option for back pain. By educating yourself and working with your healthcare provider to find a safe, effective solution, you can protect your bone health and achieve lasting relief from chronic back pain.