How to Treat Back Pain: A Complete Guide to Conservative and Surgical Options

How to Treat Back Pain: A Complete Guide to Conservative and Surgical Options

Back pain is one of the most common health issues affecting Australians today. Whether it’s caused by injury, posture, or chronic conditions, knowing how to treat back pain effectively can improve your quality of life and prevent long-term damage.

At Logan Physio, we believe in using an evidence-based, patient-focused approach to back pain treatment. In this guide, we’ll explain the key differences between conservative and surgical treatments and how to choose the right path for your recovery.


Understanding Back Pain Treatment Options

There are two main categories of treatment when it comes to back pain:

  • Conservative Treatment (non-invasive and often the first approach)
  • Surgical Treatment (used when conservative methods don’t produce results)

What Is Conservative Treatment?

Conservative treatment refers to non-surgical methods that aim to reduce pain, restore function, and improve overall health. In Australia, Physiotherapy is the most commonly recommended conservative treatment for back pain.

Other forms of conservative treatment may include:

  • Occupational Therapy
  • Exercise Physiology
  • Nursing support
  • Other Allied Health therapies

Note: Chiropractic treatment is not classified as part of the conservative medical model in this context.


First Line Treatment for Back Pain

First line treatment is the initial approach recommended by most medical professionals. This includes:

  • Education and Advice
    • Understanding your condition is crucial. We provide guidance on movement, posture, and pain management techniques.
  • Exercise Therapy
    • Tailored exercise programs, including land-based and hydrotherapy (water-based) exercises, help to improve mobility and reduce pain.
  • Weight Management Advice
    • Carrying excess weight can strain the spine. We offer advice on nutrition and exercise to support healthy body weight

These evidence-based strategies are often effective in managing mild to moderate cases of back pain and are the starting point for most patients.


Second Line Treatment Options

If first-line treatments alone do not resolve your back pain, the next step is to incorporate complementary second-line therapies, including:

  • Pain Relief Medications (as prescribed by a doctor)
  • Manual Therapy (hands-on techniques provided by a qualified physiotherapist)
  • Braces or Orthoses (to support posture or relieve pressure)
  • Shoe Insoles
  • Mobility Aids (e.g., walking sticks or crutches to assist with movement)

These treatments are meant to enhance the first-line care – not replace it. The combination of physical therapy and supportive aids helps many patients return to daily activity more comfortably.


Third Line Treatment: When Surgery Is Considered

Surgical intervention is usually a last resort and is only considered when:

  • Pain is severe and persistent
  • Conservative methods have not been effective
  • There is a risk of long-term damage or neurological compromise

Common Surgical Procedures for Back Pain:

  • Discectomy – removing part of a herniated disc
  • Spinal Fusion – permanently joining two or more vertebrae
  • Steroid Injections – to reduce inflammation and nerve irritation

Surgery can significantly improve outcomes for some patients, but it is not always a “cure.”


Our Holistic Approach at Logan Physio

At Logan Physio we pride ourselves on using a comprehensive, whole-body approach to treatment. Our clinicians stay informed with the latest research in:

  • Pain science
  • Anatomy and biomechanics
  • Radiology and diagnostic imaging
  • Surgical and non-surgical management options

We don’t just focus on your back—we address your overall health, movement patterns, and lifestyle to ensure a more complete recovery.


Working With Trusted Specialists

Sometimes, referral to a specialist such as a neurosurgeon or orthopaedic surgeon is necessary. We maintain close relationships with a network of healthcare professionals and only recommend those we trust to offer clear, honest, and expert advice.

If surgery becomes part of your treatment plan, we’ll be here to support you before, during, and after the process with tailored rehabilitation and recovery care.


Choosing the Right Treatment for You

Back pain doesn’t have a one-size-fits-all solution. The best outcomes often come from a step-by-step approach, starting with conservative care and progressing to advanced options only if needed.

At Logan Physio, we are here to guide you every step of the way using the most up-to-date, evidence-backed treatments available. Our goal is not just to reduce your pain—but to empower you to live stronger and move better.


Book an Appointment Today

If you’re struggling with back pain or looking for expert advice, contact Logan Physio for a personalised treatment plan.

📞 Call us or 📧 book online to start your journey to a pain-free life.

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