Back pain is one of the world's most common complaints. It's one of the leading causes of disability worldwide. There are many different types of back pain, including low mechanical back pain, degenerative back pain, arthritic back pain, osteoporotic back pain, pathological back pain, and back pain caused by an infectious process.  

"Back pain" refers to a wide range of symptoms caused by spine disorders. These disorders include disc herniation, osteoporotic vertebral fracture, spinal stenosis, and degenerative arthritis. There are various types of back pain, including mechanical, degenerative, and arthritis types. Low back pain is the most common type of back pain. Back pain is the most widespread type of lower back-related issue arising from:

  1. Injuries (slip and falls, improper lifting & accidents)
  2. Muscles injure, imbalances & spasms
  3. Ligamentous injuries, degeneration, thickening & weakness
  4. Joint-related back issues such as facet imbrication, facet arthritis, or poster facet syndrome
  5. Spinal disc disorders include bulging discs, herniated discs, and protruded & extruded discs (slipped discs)
  6. Sciatica, spondylosis (bone spurs), spondylolisthesis & spinal stenosis

Most back pain episodes resolve themselves without medication intervention. However, some back pain episodes require immediate care. This article provides an overview of back pain, including what causes it, how to recognize it, and how to manage it effectively.

Who Is Most Prone For Developing Lower Back Pain?

When it comes to back pain, no one is immune. Mid-back and lower back pain affect people of all ages and backgrounds, including children. Most adults experience low back pain at least once during their lives. For many people, back pain becomes chronic, lasting longer than three weeks and recurring over several weeks or months. Chronic back pain often leads to disability and loss of work productivity.

The typical nature of back pain and the possibility of it causing disability is the primary reason the American College Of Physicians recommends that physicians screen patients for back pain every time they see them. They suggest doctors ask about the location, duration, intensity, frequency, and associated back pain symptoms.

Back pain is one of the most common health problems in Kuala Lumpur. CSC provides the best back pain treatment in Kuala Lumpur, Malaysia. If you suffer from back pain and wondering whether or not it's something serious, we can help. Our clinical team of chiropractors and physiotherapists is best in eliminating all types of back pain without injections or surgery. Our back pain treatment is personalized and award-winning. If you want to eliminate the causes and symptoms of back pain, contact us today.

Common Mistakes People Make When Suffering From Neck & Back Pain

The most common mistake people make with their back pain is waiting until it becomes unbearable before seeking medical attention. Ignoring the pain could lead to severe complications, including nerve damage, spinal cord damage, and premature wear and tear of your back's muscles, ligaments, joints, and spinal discs.

The second most common mistake is self-diagnosis and treatment through stretching, exercise, medication, applying heat packs to painful and injured areas, or self-medicating.

Taking advice from friends and family members is good. Still, it would help if you always got your diagnosis from a clinical expert who regularly sees, diagnoses, and treats back pain patients. CSC sees hundreds of patients with back pain daily in our seven centers, trust our experienced clinical teams and contact us today.

Women with upper back and lower back pain

What Should You Do If You Have Back Pain?

If your back pain is intense or lasts more than 3-5 days, you need medical attention before it progresses. You should also seek medical care if you suffer from recurrent back pains. Recurrent lower back pain lasting longer than three days indicates tissue damage or injury. Identifying the underlying cause of your lower back pain and corrective treatments are critical in avoiding complications and disability.

According to published medical reports, a conservative course of care through physical therapy and chiropractic is most helpful for patients with back pain. Medication includes NSAIDs (Non-Steroidal Anti-Inflammatory Drugs). While NSAIDs help with swelling and pain, they have side effects, including heart attacks and strokes. Therefore, we discourage using Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) without having them combined with an effective method of conservative care.

In short, the goal of treatment is to fix and repair the actual cause. Drugs and medication (over-the-counter or prescription) will not reverse, repair, or restore the real reason for backaches but will subdue the swelling and pain. Chiropractic Specialty Center® provides the most holistic conservative back pain treatment through the advanced methodology of physical therapy, rehabilitation, physiotherapy, and chiropractic; contact us today for more information about our integrative lower back pain treatment programs.

Assessment & Examination Is Critical To Identifying Root Causes

At Chiropractic Specialty Center® (CSC), lower back pain assessment thoroughly identify the root cause. Contact us today to schedule an evaluation with the top-rated chiropractor in Kuala Lumpur with over 26 years of experience treating back pain.

Our doctors of chiropractic assessment of patients with lower back pain through physical examination, orthopedic testing, neurological assessment, range of motion tests, and tests that assess the integrity of your muscles, ligaments, joints, and nerves. Here are some of the things our doctors of chiropractic will consider and look for when they evaluate your back pain:

  • How severe is your back pain & how does it impact your daily life?
  • What makes it better or aggravates it?
  • Which medications are you taking, and if they help?
  • If you have ever been diagnosed with a related issue, that could explain the severity of your backache.

CSC's back pain treatment in Kuala Lumpur is not just better than competing centers but also less expensive. At CSC, we are transparent regarding costs and have no hidden fees. Our methods and technologies provide you the relief you need without hurting your wallet.; visit us today to learn more about our chiropractic and physiotherapy treatment fees for back pain and slipped disc patients.

Back Pain Caused By Spondylosis

Aging is expected and occurs because of natural wear and tear over time. As we grow older, our spine's bones, discs, and tendons naturally lose elasticity. However, many factors contribute to how quickly this happens. Some people are genetically predisposed to develop spondylosis earlier than others. There are also lifestyle choices and environmental influences that affect how fast spondylosis develops in the lower back.

The most common symptoms associated with spondylosis include lower back pain, pain in the back upon movements, or paresthesia. Back pain patients with spondylosis often complain of tingling, numbness, or burning sensations in the thighs, legs, feet, or toes. Paresthesia is a medical term that describes a feeling of numbness, burning, or tingling.

Spondylosis usually starts in the middle decades of life. About half of all cases occur among those aged 50 and older. The good news we can share is that spondylosis is treatable with chiropractic, physical therapy, rehabilitation, and physiotherapy.

Sciatica & Back Pain

Back pain is often associated with lower back problems, such as arthritis, spinal stenosis, or slipped discs (bulging or herniated discs). If you experience lower back pain, it could be sciatica. Sciatica is usually caused by compression of one of the spinal nerves that combine to form the sciatica nerve.

The sciatic nerve is the longest in the body; it originates in the lower back and runs through each side of the pelvis and legs. When the sciatic nerve is compressed, the pain is felt in the buttock and thigh area. Sometimes the pain may extend up the calf and even into the foot.

Sciatica is a painful condition that causes pain, numbness, tingling, or burning sensation along the sciatic nerve path. In some, sciatica only causes leg pain and numbness, but for most, it also causes pain in the lower back, buttocks, and pelvis.

Spinal Stenosis & Back Pain

Spinal stenosis happens when there is too much pressure on the spinal canal or nerve roots. Patients with spinal stenosis have a narrowing of the spinal canal. The spinal canal is a hollow passageway for the spinal cord (the spinal cord is the continuation of the brain), starting at the base of the skull and ending at the bottom of the tailbone.

There are several types of spinal stenosis. Some forms are congenital, meaning they occur because of congenital disabilities. Others are caused by wear and tear on the spine. And others are caused by abnormal growth of tissue. Symptoms of spinal canal stenosis include:

  1. Pain, numbness & tingling in the buttocks, thighs, calves, or feet
  2. Weakness or paralysis in the hips, knees, or ankles
  3. Difficulty standing up straight

Spinal stenosis is a condition that results from slipped discs, degenerative arthritis, thickening of Ligamentum Flavum (Ligamentum Flavum hypertrophy), spondylosis, and spondylolisthesis. Spinal stenosis that impacts the lower back will cause back pain and sometimes even makes walking difficult.

Back pain in patients with spinal stenosis can come on suddenly or gradually over months or years. In some cases, spinal stenosis that causes back pain is caused by injuries, such as lifting heavy objects or arthritis. But most times, back pain resulting from spinal stenosis is due to shrinkage of the spinal canal that compresses the cauda equina. The Cauda equina is a collection of nerves at the end of the spinal cord. The end of the spinal cord in most is in the uppermost aspect of the lower back at the L1-L2 spinal segments.

Back Pain, Cauda Equina & Spinal Canal Stenosis

A French anatomist first described Cauda equina as a Latin term that means horse’s tail. Cauda equina refers to the terminal part of the spinal cord where it changes from a solid rope-like structure to a structure with strands resembling a horse’s tail.

Cauda equina syndrome is severe compression of the spinal canal’s nerve stands, often resulting from a large slip disc such as herniation, extrusion, or spinal disc fragmentation. Patients with cued equine syndrome present with spinal stenosis. Aside from large or severe slipped discs, cauda equina syndrome may also result from an unstable grade 2 spondylolisthesis. Other causes include:

  1. Spinal malformations, including congenital disabilities
  2. AVMs (spinal arteriovenous malformations)
  3. Subarachnoid, subdural, or epidural hemorrhages (spinal hemorrhages
  4. Spinal lesions and tumors
  5. May result from a complication of spine surgery or epidural injections
  6. Spinal infections or inflammation
  7. Symptoms of cauda equina syndrome may include:
  8. Back pain with or without sciatica
  9. Numbness, tingling, and weakness in the legs
  10. Foot drop: Unable to lift the foot
  11. Paralysis
  12. Unable to urinate: Urinary retention is a relatively common symptom in patterns with cauda equina syndrome.
  13. Incontinence: Bowel and balder difficulty resulting in an inability to console urine or bowels
  14. “Saddle anesthesia” sensory disturbance involving the lower back (lumbar spine), pelvis, anus, and genitals,
  15. Sexual dysfunction includes erectile disorder in males and painful intercourse in females.

The good news is that there are treatments for spinal stenosis, cauda equina, and mechanical back pain without back surgery. To recover, you need specialized methods of NSD Therapy® that target damaged areas without injections or surgery. Chiropractic Specialty Center® (CSC) is the only clinic in Malaysia to offer NSD Therapy® methods of back treatment for acute and chronic pain patients with backaches, including sciatica, slipped discs, and spinal canal stenosis.

What Is NSD Therapy® & How Does It Help Patients With Slipped Disc, Back Pain & Stenosis?

NSD Therapy® is a multi-prong integrative spine care method enabled through advanced technology & methods. It combines spine-specific techniques of chiropractic combined with physical therapy, rehabilitation, nutrition, and physiotherapy. NSD Therapy® is the most holistic method that decompresses specific areas and tissues for faster healing and lasting relief.

NSD Therapy® (Non-surgical Spinal Decompression Therapy) is the most effective method of non-invasive lower back pain treatment for all types of mechanical spine-related disorders. It has helped thousands of neck and back pain patients with spondylolisthesis, spinal stenosis, sciatica, scoliosis, bulging discs, disc protrusion, and disc herniations.

The primary aim of NSD Therapy® is to assist doctors and therapists with complicated acute and chronic neck and back pain patients that fail to respond through other methods, including chiropractic, physiotherapy, injections, medication, or surgery.

The reason why NSD Therapy® works better when compared to other forms of alternative or medical treatments is NSD’s technology and how they are integrated with spine-specific methods of physiotherapy and chiropractic; contact CSC today to learn more about NSD Therapy® for mechanical back pain, slipped discs, sciatica, spinal canal stenosis, acute, and chronic pain management & treatments.

Degenerative Arthritis, Degenerative Disc Disease, Desiccated Disk & Back Pain

Illustration shown degenerative disc disease & slipped disc as cause of back pain

Degeneration is part of life and occurs with aging. As we age, the spine loses flexibility and becomes less able to move naturally. However, some degenerate far too early, and the consequences of early degenerative change can burden your spine.

Desiccated discs and degenerative disc disease (degenerated discs) are interchangeable terms related to spinal discs’ wear and tear. A desiccated disc is the first stage of spinal disk degeneration.

Intervertebral disks wear away with age, causing pain and stiffness. In some cases, they might even collapse completely and cause the facets — the tiny joints located between each vertebra in the spine — to rub together.

Back pain patients often present with degenerative disc disease in the lower lumbar. As the degenerative processes progress, the spinal disc wears out, causing them to “crack” or tear. The three most common spinal segments impacted with desiccated or degenerative discs in the lumbar spine (lower back) are the following:

  1. L3-L4
  2. L4-L5
  3. L5-S1

L4-L5 & L5-S1 Chronic Lower Back Pain Caused By Desiccated, Degenerated & Slip Disks

While degenerative and desiccated discs can occur at any of the 24 moveable spinal segments, they are most common in the lower back, followed by the neck. In the lumbar spine, degenerative disk disease, desiccated, and slip[p disks are most common at the L4-L5 and L5-S1. Patients with chronic neck pain will have desiccated disc degeneration and slip-discs at C4-C5 or C5-C6.

The L4-L5 and L5-S1 are common sites for disc degeneration. Untreated, a desiccated or degenerative disc leads to one of eight types of slipped disks (slipped discs). A slipped disc is a generally everyday term descriptive of the following eight types of spinal disk disorders:

Illustration of L4-L5 and L5-S1 spinal nerve compression and back pain

  1. Bulging disc
  2. Prolapsed disc
  3. Protruded disc
  4. Disc ruptures
  5. Disc Herniation
  6. Extruded disc
  7. Disc fragmentation
  8. Sequestered disc

The good news is that desiccated discs, degenerative disc disease, and most types of slipped disks are treatable with NSD Therapy®. The sequestered disc is the only slipped disc type not treatable without surgery. A sequestered disc is a severe slipped disc that has chipped off, often leading to cauda equina syndrome, foot drop, and paralysis. Therefore, back pain patients should initiate an NSD Therapy® program as early as possible.

Most Established Physiotherapy & Chiropractic Centre In Malaysia

Neck and back pain is one of Malaysia's most common musculoskeletal disorders. The rapid rise in the number of neck and back pain suffered results from poor posture, prolonged sitting, and hunching over computers and electronic devices such as cell phones.

Regardless of the cause, best driving, working, computer work, cell phone use, reading books, playing video games, or not enough exercise, you need focused personalized back therapy to fix and repair damaged tissues naturally without medication, steroid injections, or surgery.

In addition, certain activities can aggravate the problem. For example, lifting heavy objects, carrying groceries, sleeping on hard surfaces like concrete, etc. All of these things can cause muscle strain and injury.

The good news is that CSC's back pain therapy programs that combine chiropractic with physiotherapy and rehabilitation are highly effective in treating neck and back conditions. If you want to learn more about Malaysia's best chiropractic and physiotherapy center, please contact us now.

Low Back Pain Treatment In KL

If you are looking for the best low back pain treatment, choose us; we have several centers throughout the Klang Valley (greater Kuala Lumpur) to eliminate the root cause of your back pain. CSC’s 97% success rate in eliminating back pain is the primary reason why we have won several awards for our chiropractic and physiotherapy treatments of back pain in KL.

You can use many different methods to treat lower back pain in KL. Some people like to take over-the-counter medication such as Panadol, ibuprofen, or other acetaminophen medicines. Others prefer to try treatments such as acupuncture, physical therapy (physiotherapy), or chiropractic care. One thing is sure –  no matter what type of treatment you decide, finding a clinic with several years of experience treating back pain is crucial.

The back pain treatment you get CSCs includes advanced personalized methods of spinal manipulation combined with targeted exercise programs, rehabilitation, and physiotherapy. Moreover, our clinical chiropractors and physiotherapists provide nutritional counseling and lifestyle advice for lasting relief.

At CSC, we emphasize treating the root cause of back pain rather than the symptoms to stabilize your spine and prevent a recurrence. If you are looking for the best back pain treatment in Kuala Lumpur, please do give us a call or drop by one of our seven locations; we can help.

Differentiating A Serious Back Pain From A Mild Back Problem

Back pain affects hundreds of millions daily, and no one is immune. Some types are caused by injury; others come from diseases like arthritis. Regardless of what causes it, back pain can affect anyone.

Fortunately, it doesn’t usually require surgery to treat. Most cases are treated successfully without ever seeing a doctor. However, sometimes lower back pain becomes severe enough to warrant attention. Therefore, it is essential to differentiate a potentially severe back problem from minor back pain.

Office worker with lower back pain sitting at her desk in front of computer

The severity of back pain you feel may not always relate to the seriousness of a back-related problem. Often mild back disorders such as strain and strains can cause severe pain, while the more serious back disorders such as spinal canal stenosis have mild to no symptoms. The best and most effective means of differentiating a session's lower back issue from mild or moderate back pain is tingling, burning, numbness, or weakness in one or both legs.

Numbness, tingling, burning, and weakness is nerve-related disorders resulting from slipped disks (bulging disks & herniated disks), spinal canal stenosis, or severe nerve impingement from spondylosis, spondylolisthesis, or posterior facet pain. Another hallmark characteristic of serious back pain (severe lower back pain) is back when coughing or the presence of a foot drop. We have listed the most common symptoms of the serious back-related disorders that can cause severe back pain or lead to disability below:

  1. Increased pain when coughing or sneezing.
  2. Pain when bearing down to empty the bowels or straining on the toilets.
  3. Pain that shot down the sides or back of thighs & legs.
  4. Numbness, burning, tingling sensation in lower limits.
  5. Deep accessing or throbbing-like sensations in the thigh or calf.
  6. Weakness in the leg
  7. Inability to walk more than 500 meters.
  8. Chronic back or leg pain of more than three weeks.
  9. Loss of balance & difficulty walking short distances

What Are The Common Causes Of Back Pain?

Back pain affects about 80% of people at some point. While there are many causes of back pain, one of the most common ones is muscle strain. Muscle strains happen when you overuse specific muscles. These injuries usually occur during exercise, lifting heavy objects, playing sports, or even sitting too long. If you experience severe back pain, seek immediate medical attention. For minor aches and pains, try ice packs or heat therapy. A warm bath might help ease the pain. A variety of factors can lead to back pain, including:

  • Overuse injuries
  • Poor posture
  • Lifting heavy objects
  • Car accidents
  • Slips and falls
  • Congenital issues such as scoliosis and spondylolisthesis

It is essential for back pain sufferers to know what causes their back pain. At CSC, we emphasize this as it will help patients avoid future or similar flare-ups once we have cured them of their back pain. Back pain can have several causative factors, including:

  1. A fall, especially one involving twisting motions
  2. An accident, such as being hit by another vehicle
  3. Overuse specific muscles, such as those used while sitting at work.
  4. Diseases such as arthritis, osteoporosis, cancer, or diabetes
  5. Infections include Lyme disease, tuberculosis, herpes zoster, shingles, or hepatitis B.
  6. Other conditions include rheumatoid arthritis, fibromyalgia, or multiple sclerosis.

Risk Factors For Back Pain & Who Gets Back Pain?

Anyone can develop back pain, but certain factors can make it worse. Here are some things that put you at greater risk for experiencing back pain:

  • Your fitness level—If you’re sedentary, chances are you’ll experience back pain sooner rather than later. People who don’t move around enough tend to have weaker back and abdominal muscles, which can cause problems like sciatica.
  • Obesity—Being overweight puts extra stress on your joints and ligaments.
  • Genetics—Some people inherit a predisposition toward back pain. If your parents or grandparents had trouble keeping up with activities such as lifting heavy objects or bending over, you might have inherited those genes.
  • Age—As we age, our bones become thinner and less dense, making us more susceptible to injury.
  • Stress––Stress increases cortisol levels, a hormone that causes inflammation and can weaken muscles and connective tissues, including your back.

Understanding The Anatomy Of The Back

Illustration of back pain at lower lumbars L4-L5 and L5-S1

There are many different structures in an individual’s anatomy that work together to support our bodies. These structures form a system that supports the entire spine and help maintain balance. When there is a problem with any part of this structure, it can lead to back pain.

The spine is divided into four parts; cervical, thoracic, lumbar, and sacral. Each region contains several sections called vertebrae. The vertebrae are composed of bony parts (spinal bones and cartilaginous connective parts known as the vertebral end-plates) and spinal discs (tough but rubbery cushions between vertebrae, the spinal cord, and nerve roots).

Your spine is held in place by a series of interconnecting ligaments. Between each pair of vertebrae is a soft disk, which acts as a shock absorber and allows movement while protecting the spinal cord and nerve root.

The spine consists of 24 movable segments called vertebrae. Spinal joints and intervertebral disks separate them. In addition to providing stability, the disks allow some flexibility in the spine. For example, bending forward causes the lower back to bend backward. Lifting heavy objects requires the muscles to contract to pull the spine upward.

Parts of the spine and back consist of:

  1. Vertebrae – Small, hard bones stacked on top of each other protect the spinal column.
  2. Spinal cord – A long bundle that runs down the center of the spine, protected by the vertebrae.
  3. Intervertebral discs – Cushions between the vertebrae, acting as shock absorbers and spacings for the spine.
  4. Tendons – cords of tissue that connect muscle to bone.
  5. Muscles – Bundles of dynamic fibers that support the spine and upper body.

The 3 Types Of Back Pain

Doctors and researchers describe the types and causes of back pain in different ways. Here are the 3 most common descriptions:

  • Acute back pain: Acute back pain happens suddenly and usually last two weeks.
  • Subacute back pain: Subacute back pain can happen suddenly or gradually and typically lasts four to 12 weeks.
  • Chronic back pain: Chronic back pain may occur abruptly or gradually and last for months or even years.

The most common cause of chronic back pain includes degenerative disc disease, slipped discs, and arthritis. Other possible include spinal stenosis, spondylolisthesis, nerve root compression, bone spurs, infections, tumors, arthritis, muscle strains/sprains, and fractures. In the coming sections, various types of back pain, including those mentioned above, are discussed further.

Lower Back Pain & Spondylolisthesis

Spondylolisthesis describes a scenario in which a spinal bone (vertebrae) slips forward from its normal confined position on top of the vertebrae below. The forward slippage of spinal bones is graded, and this grading is based on the severity of slippage. Spondylolisthe4isis can be classified as stable or unstable.

The stability of spondylolisthesis is measured using weight-bearing x-rays. Doctors will compare side views of the spine in the upright, bending, and extension positions:

  • Natural lateral lumbar x-ray (standing view)
  • Flexion lateral x-ray (standing)
  • Extension lateral lumbar x-ray (standing)

A stable spondylolisthesis is a classification given to spondylolisthesis patients in which the three side-view x-rays (upright, bending, and extension views) show no increase in the severity of slippage. Any increase in the severity of slippage once viewed on lateral x-rays is descriptive of an unstable spondylolisthesis. In addition to stable and non-stable, spondylolisthesis is graded on severity:

  1. Grade I spondylolisthesis: Grade 1 spondylolisthesis describes when the top vertebrae slip 1-25% over the vertebrae below.
  2. Grade II spondylolisthesis: Grade 2 spondylolisthesis are often unstable spondylolisthesis where the vertebrae slip more than 25% but less than 50.
  3. Grade III spondylolisthesis: A grade 3 spondylolisthesis is s serious condition where the spinal bone has slipped 50-75%.
  4. Grade IV spondylolisthesis: Grade 4 spondylolisthesis is the most serious of all spondylolisthesis, requiring surgery as it describes a slipped or more than 75%

Back pain is the most common symptom of lumbar spondylolisthesis. The L4-L5 and the L5-S1 are the most common sites of spondylolisthesis in the lumbar spine or lower back. Spondylolisthesis can also occur in the neck, with the C5-C6 or C6-C7 being the most common sites of involvement.

Link Between Degenerated Discs, Spondylolisthesis, Slip Discs & Sciatica

Back pain, leg pain, and weakness are widespread in patients with degenerated discs, spondylolisthesis, slipped discs, and sciatica. The link between these conditions is spinal instability, nerve impingement, and degenerative changes.

The presence of spondylolisthesis in the neck or lower back causes spinal weakness and instabilities that lead to other co-conditions, including bulging discs, herniated discs, hypertrophy of ligamentum flavum, degeneration of spinal discs, and sciatica or related nerve pains along the root of the compressed spinal nerve.

Symptoms of spondylolisthesis are similar to sciatica and slipped disks, including sharp shooting pains down the leg, numbness, tingling, weakness, loss of balance, and difficulty walking. A doctor may diagnose spondylolisthesis using X-rays, CT scans, MRI images, blood tests, and physical exams. Treatment options depend on how severe the symptoms are and whether surgery is needed. We utilize a combined approach at CSC through NSD Therapy®, rehabilitation, physiotherapy, and chiropractic; contact us today.

Chiropractic & Physiotherapy For Spinal Disk Injury That Causes Lower Back Pain

Low back pain affects hundreds of millions daily. In most cases, it goes away quickly without treatment. However, some people experience persistent back pain that doesn’t improve over time. A common cause of chronic lower back pain is damage to one or more spinal disks in the spine. Spinal disks are soft cushions located between vertebrae (bones).

Spinal discs or disks act like shock absorbers, providing mobility and shock absorbance and helping protect spinal nerves and reduce pressure on the nerve roots.

A small percentage of people with disk injuries have no symptoms at all. For others, the pain may come and go or persist for months or years. Most people with chronic back pain do not require surgery. Instead, doctors often refer them to chiropractors and physical therapists for spinal manipulation, stretches, and exercises.

Some physicians may recommend steroid injections. However, steroidal injections are harmful and can lead to complications, including bone and joint damage.

Visit CSC today and get award-winning chiropractic combined with physiotherapy for all types of lower back pain, including those caused by spinal disk injury, lumbago, bulging, and herniated discs; we can help.

Back Pain Caused By Bulging Discs & Disc Herniations

A “disc herniation” or “bulging disc” occurs when part of a spinal disc moves outside the space where it belongs. Disk herniation and disk bulge are common among people who sit at computers all day long. They’re usually caused by lifting heavy objects or bending over too much. Sometimes, a person may injure their spine during sports activities such as running, tennis, skiing, basketball, football, soccer, volleyball, weightlifting, gymnastics, and cheerleading.

The symptom of a bulging or herniated disc in the lumbar spine (l1-L5) and lumbosacral region L5-S1) includes leg pain, low back pain, numbness, tingling, weakness, and loss of bladder control. These symptoms vary depending on the location of the bugle or herniation within the spine. If you experience these types of symptoms, see your doctor immediately. Alternatively, contact CSC to schedule an appointment with one of our top-rated chiropractors in Kuala Lumpur today.

If you suffer from chronic back pain resulting from slipped disks (bugle or herniations), talk to our doctor of chiropractic about possible non-surgical treatment options, including physical therapy, chiropractic, or NSD Therapy®. You might consider having surgery if conservative back pain treatments fail to relieve your pain. 

Spine surgery and spinal injections, including steroidal injections, should be avoided because conservative measures work well, especially when combined with NSD Therapy® methods of slipped disc treatment.

Could Lower Back Pain Be A Kidney Issue?

Illustration of the anatomical location of kidney in relation to the back

Kidney pain is often mistaken for lumbago or back pain because both areas are close together and have similar symptoms. If you experience persistent back pain, it might be worth getting your kidney and bladder checked to rule out kidney problems.

The kidneys sit behind the spine, weighing about 3 pounds each. Kidneys function to filter blood and produce urine. They work closely with the bladder to help eliminate waste products from the body. In addition, the kidneys regulate salt levels in the body. Kidney disease can cause fluid retention, swelling, fatigue, weakness, weight gain, and headaches.

If you suspect that kidney problems could be causing your back pain, here are some things you can do to try to relieve the discomfort:

  • Lie down and rest: Lying down helps ease muscle tension when your back hurts.
  • Take warm baths or showers: Warm water relaxes muscles and reduces stress.
  • Drink plenty of fluids: Water flushes toxins out of the system and keeps you hydrated.

Back Pain From UTI

A urinary tract infection (UTI) is more common among women. About one out of every five women experiences it at some point during her lifetime. It happens when bacteria get into the urinary system causing infections. Sometimes, you don’t even know that you’ve got a problem because symptoms aren’t always obvious. You might feel like you have a cold or flu. Or maybe you experience no symptoms at all. But you probably have a UTI if you’re experiencing frequent urination, burning while peeing, or blood in your urine with back pain.

If you think you have a UTI, see your medical doctor immediately. They will take a sample of your urine and test it to determine whether you have a UTI. If you do have a UTI, antibiotics usually work very well to treat it. Usually, you’ll start feeling better within 24 hours.

What Does It Means If Lower Back Pain Is Shooting Into Legs?

Lower back pain can radiate into other body parts, including the thighs & legs. This is called referred pain. Referred pain happens when there is something wrong with the nerves, blood vessels, or bones in the area where you feel pain. Referred or radiating lower back pain into the legs is often one-sided, but the pain may also shoot down or radiate to both legs.

If the pain shoots down the leg, it could be sciatica (nerve pain). However, it’s not always the sciatica pain. You might have another type of pain, like a muscle strain or arthritis. There are many different types of back pains and problems that cause shooting or radiating pain (referred pains) in the legs, and they include:

  1. Posterior facet pain
  2. Spondylolisthesis
  3. Bulging discs
  4. Spinal disc Herniation
  5. prolapsed discs
  6. Protruded discs
  7. Extruded discs
  8. Fragmented and sequestered discs
  9. Severe scoliosis
  10. Moderate to severe spinal disc degeneration
  11. Piriformis syndrome

What Can I Do For Low Back Pain At Home?

If you are experiencing a sudden attack of lower back pain, the best thing to do is rest, ice the back, and record what happened. You might want to take notes about how long it lasted, where it hurts, whether there are other symptoms such as numbness or tingling, and if anything makes it feel better or worse. This will help your doctor discover what caused the problem and give you ideas about treating it.

Elderly with back pain in the morning

Back pain sufferers need to avoid activities that trigger the pain. It would help if you avoid prolonged sitting, sitting hunched over a computer, or lifting & carrying items that weigh more than 5kgs. Additionally, avoid any exercises or stretches during the initial phase of back pain. Aggressive spine stretching or yoga moves, as shown on many YouTube channels, can worsen disc-related back pain. The best and most helpful thing you can do at home is to rest and ice your back.

Icing reduces inflammation, and once the swelling subsides, the pain will decrease. So, get an ice pack, wrap it with a towel and place it at the center of your back. Use a timer and ensure not to leave the ice pack on your back for more than 15 minutes. You can try icing every two to three hours, each time not exceeding 15 minutes. Alternatively, contact CSC fin Kuala Lumpur and get seen by one of our back pain specialists today; we are the premier back pain treatment center in Malaysia.

Scoliosis & Back Pain

The term scoliosis refers to an abnormal side bending or side curvature of the spine. When it occurs in young people, it usually starts around age ten and causes no symptoms unless the curvature becomes severe. In adults, however, scoliosis can lead to back pain, sciatica, and leg pain, making it difficult to walk or stand for an extended time.

Scoliosis is treatable without back surgery, and precision is the most critical issue in the scoliosis treatment of back pain patients. Back pain patients with scoliosis must avoid twisting and bending therapies, exercise, or stretches as they worsen back pain and scoliosis.

The scoliosis treatment must also concentrate on your back and spinal nerves.

Contact our office if you are experiencing back problems with scoliosis. We offer comprehensive treatment options, including physical therapy, chiropractic care, manual therapy, and rehabilitation specific to scoliosis-rated back pain.

Strains, Sprains & Lower Back Pain

A lumbar sprain occurs when the ligaments that hold your spinal bones in place are stretched too much, causing ligamentous irritation or tears. On the other hand, a strain is descriptive of damage or injury to muscles. It occurs when the lumbar spinal muscles are pulled or torn. In short, back pain is common, and it often stems from sprains, strain, tension, or injury. Common causes include:

  • Lifting things incorrectly
  • Lifting objects that are too heavy
  • Bending over repetitively
  • Engaging in activities that cause you to twist or bend
  • Performing strenuous physical activity without warming up properly
  • Sleeping poorly

Back Pain Caused By Osteoporosis

Loss of bone density and thinness of the bones, known as osteoporosis, is one of the most common diseases among older people. Osteoporosis weakens the skeleton, making it prone to breaking. This makes it easier for bones to fracture. People with osteoporosis may experience back pain, hip pain, leg pain, etc.

In some cases, the bone becomes brittle and breaks into pieces. In such cases, the fractured bone can compress, causing severe pain. Such a situation is called a compression fracture. This type of fracture is usually caused by a fall.

Compression fractures may require surgery. A bruise and pain often accompany a compression fracture. Older patients with back pain, especially older females, should get bone density tests and an x-ray or MRI of the spine with moderate or severe back pain.

Compression Fracture, Osteoporosis & Backache

Vertebral compression fractures occur when vertebrae collapse due to loss of bone density (osteoporosis of the spine). This causes severe pain when you move, especially bending forward or backward. Usually, it takes months or even years for the fracture to heal. The fracture can lead to further complications such as nerve damage, spinal cord injury, and death if it doesn’t.

Osteoporosis is one of the most common conditions affecting women over 50. More than 10 million Americans have osteoporosis. Osteoporosis occurs when bone mineral density decreases, making the skeleton brittle and susceptible to breaking. With age, the risk of developing osteoporosis increases, along with the likelihood of experiencing a fracture.


Osteoarthritis or OA describes a group of diseases involving the loss of articular cartilage and joint inflammation. OA is a degenerative type of arthritis that affects the spine, hips, knees, hands, and feet. Osteoarthritis can occur at any age but often begins around middle age.

Most people experience some symptoms of this disease during their lifetimes, such as stiffness, tenderness, redness, swelling, warmth, crepitus (crackling), or even bone rubbing against bone. In severe cases, you might feel extreme pain and discomfort.

The most common form of spinal osteoarthritis is primary osteoarthritis, which occurs without another underlying medical problem. Primary osteoarthritis usually develops gradually over many years and tends to affect one part of the body more than others. You’re more likely to develop primary osteoarthritis in your knee, hip, hand, foot, shoulder, cervical, or lumbar spine.

In addition to causing back pain, osteoarthritis can make daily activities difficult. For example, walking becomes painful, bending forward hurts, standing up requires effort, and sitting down may become uncomfortable. As the disease progresses, you may find yourself unable to do things like climb stairs, bend over, kneel, squat, reach above your head, lift heavy objects, twist or turn in bed, use public transportation, play sports, work at a computer, or perform household chores. There are several types of secondary osteoarthritis. These include:

arthritic back pain in a middle aged man

  • Rheumatoid arthritis
  • Gout, psoriatic arthritis, septic arthritis, reactive arthritis & crystal deposition arthropathy
  • Avascular necrosis & hemochromatosis
  • Paget’s disease and hyperparathyroidism
  • Sarcoidosis, systemic lupus erythematosus, Lyme disease
  • Juvenile idiopathic arthritis, post-traumatic arthritis
  • Fibromyalgia syndrome & reflex sympathetic dystrophy.

Pregnancy-Related Low Back Pain

Low back pain is one of the most common complaints seen by obstetricians and gynecologists. During pregnancy, it affects approximately 50% of women. Back pain during pregnancy is often associated with expected changes. Moreover, the growing uterus places enormous stress on the pelvis and tailbone.

Lumbar pain during pregnancy is common and affects about one in three pregnant women. Other pregnancy-related back pains include postpartum pregnancy pains that occur months to 2 years following the delivery of your baby. While some women complain of mild discomfort, others suffer from debilitating pain. Pain severity ranges from none to severe and interferes with everyday activities such as walking, sitting, sleeping, bathing, and sexual relations.

Women experiencing severe back pain need specialized care through CSC’s pregnancy-specific physiotherapy and pregnancy-specific chiropractic treatment. Dr. Yama, our director, has over 26 years of experience as a pregnancy chiropractor; contact us today and get treated by the best pregnancy chiropractor in Kuala Lumpur.

In short, you don’t need pain medication to get rid of pregnancy aches or the backaches you feel in your 6th or 7th trimesters of pregnancy. Chiropractic Specialty Center® has been treating pregnancy-related back pains); we can help.

Diagnosis Of Back Pain

Back pain is one of the most common reasons people consult their doctor. But what exactly do we mean by “back pain”? And how does a doctor diagnose it?

The World Health Organization defines back pain as a “painful sensation along the spine.” This could include muscle aches, joint pains, nerve pain, bone pain, spinal disc-related issues, or spinal cord compression.

A diagnosis involves assessing signs of injury, disease, or infection. Moreover, your back pain diagnosis should always rule out pathology. Ruling out severe conditions such as cancer is best done through MRI. Our doctor might ask about your history and lifestyle factors like smoking or drinking alcohol. They’ll examine your back and legs, checking for redness, swelling, tenderness, or bruising. You may be asked to stand while we assess your spine.

Our doctor of chiropractic may feel your muscles or joints, looking for areas of stiffness or weakness. They’ll look for abnormalities in movement, balance, or strength. They may send you for X-rays, CT scans, or MRIs to check for fractures, slipped discs, joint issues, or damage to nerves or spinal cord tissue.

Treatment options depend on the cause of your back pain. For example, suppose you’re having trouble sleeping because of back pain. In that case, our chiropractor may recommend specialized physiotherapy combined with chiropractic manipulation and proper sleep postures to avoid aggravating your medication’s damaged areas.

Differential Diagnosis For The Lumbar Spine Pain

Chiropractor point to lumbar (lower back) part of the spine on a spine model

The differential diagnosis of lumbago (pain in the lumbar spine) during pregnancy includes lumbar disk herniation, intervertebral disc prolapse, sacroiliitis, facet syndrome, osteoporotic vertebral fracture, spinal stenosis, radiculopathy, myofascial pain syndromes, sciatica, and psychosomatic disorders. Below is a short list of differential diagnoses for back pain patients:

  • In pregnant women, a common cause of back pain is lumbar disk herniations, followed by intervertebral disc protrusions, sacroiliitis, and facet syndrome.
  • Lumbar disk herniation or bulges are characterized by acute onset, moderate to severe pain radiating into the lower limbs, and aggravated by movements, coughing, or sneezing.
  • Intervertebral disk protrusion presents insidious onset and progressive worsening over weeks or months, sometimes accompanied by leg weakness.
  • Sacroiliitis is associated with morning stiffness, fever, malaise, fatigue, weight loss, and anorexia.
  • Facet syndrome is characterized by unilateral pain and referred pain, often provoked by pressure on the affected joint.
  • Osteoporotic vertebral fractures are typically seen in elderly patients with chronic back pain, particularly those with osteopenia or osteoporosis.

Best Tests & Primary Diagnostic Imaging For Back Pain

Our doctor of chiropractic will ask about your symptoms and medical history. They will perform a physical examination of pain. They may require diagnostic imaging such as an x-ray or MRI.

Before they recommend or refer you for diagnostic testing, they may give you some simple tasks or tests to help identify the possible cause.

If we find the cause of your backache related to a spinal disc or nerve-related disorder, we will ask you to do an MRI. Magnetic Resonance Impinging (MRI) is the most accurate means of identifying the severity of slipped discs and nerve compressions.

A CT scan uses x-rays to produce detailed images of bones, organs, blood vessels, and airways. X-ray images help see bone fractures, tumors, and infections. However, they don’t provide information about soft tissues such as ligaments, tendons, muscles, and joints. This test provides more information about soft tissue structures. An MRI uses powerful magnets and radio waves to generate detailed pictures of internal organs and systems within the body. These scans use no radiation, making them safe and effective for children and pregnant women.

What Type Of Exercise Program Is Best For Back Pain

Exercise is one of the best ways to treat chronic lower back pain. Research indicates that several types of exercise programs help reduce back pain. Exercise helps strengthen muscles, improve flexibility and increase circulation. The best exercise program for back pain is walking.

Walking is another easy way to work out without buying expensive gym memberships. You don’t even need special shoes; wear sneakers. However, walking isn’t recommended for everyone. People with severe health conditions such as heart disease shouldn’t walk because it increases their risk of a cardiac event.

Painkillers & Prescription Pain Medication

Nonsteroidal anti-inflammatory drugs (NSAIDs)are one of the most common treatments a medical doctor gives for patients with acute low back pain. They work by reducing inflammation and relieving pain. But what do we know about how effective they are?

No evidence taking them helps prevent future episodes of lower back pain. Moreover, there is no evidence that NSAIDs are effective for patients with chronic back pain. However, you should know that medication will not fix the problem, and excessive use of NSAIDs can lead to liver and kidney damage, far worse than the pain you now feel.

According to an article published in Mayo Clinic, Nonsteroidal anti-inflammatory drugs increase your risks for a heart attack, stroke, and high blood pressure, even if you don’t have heart disease.

In addition to Nonsteroidal Anti-Inflammatory Drugs or NSAIDs, your medical doctor may recommend stronger medication, including opioids or others; we have included some examples below:

  • Gabapentin
  • Amitriptyline
  • Corticosteroid Injection (epidurals)
  • Lyrica
  • Arcoxia
  • Celebrex
  • Opioids

The opioid epidemic is one of Americans’ most pressing health issues. In 2017 alone, there were over 2 million emergency room visits related to prescription opioids, according to the Centers for Disease Control and Prevention. In 2018, nearly 48,000 overdose deaths involved synthetic opioids like fentanyl. Opioids are they are highly addictive and carry risks of abuse and dependence. According to a published report in 2019, over 10 million people aged 12 or older misused opioids in the US.


The evidence on the effectiveness of gabapentin and pregabalin is not for ‘ordinary’ back pain. But they might work well for sciatica, where nerve damage causes pain down one leg.

Drugs and medication can help reduce pain and decrease muscle spasms but also cause more harm. Several studies show that both drugs reduce pain and improve function in people with sciatica.

However, it’s important to note that some patients don’t respond to either medication. And even those who do respond often take them months. You shouldn’t use Gaba for more than a few short t days as it can cause more damage. Therefore, find an alternative to drugs by contacting us at CSC in Kuala Lumpur.

Spinal Injections, Epidural & Back Pain

Back pain or sciatica can sometimes feel excruciating, especially if it’s happening regularly. If you’re having trouble sleeping because of your pain, talk to your GP or our chiropractors about the options for treating your symptoms.

You could try many different things, including medication or muscle relaxers, a personalized exercise program, chiropractic, physical therapy, rehabilitation, and physiotherapy. However, you should avoid spinal injections such as epidural injections and corticosteroid injections as they fail to help in the long term and harm you more.

Doctor showing the area of spinal injection for a bulging L3-L4 lumbar disc

Epidural steroid injections are often recommended for people who suffer from sciatica, a condition where pain shoots down your leg or into your foot. It is believed that they work by blocking the part of the spinal cord that sends signals to the lower limbs. However, most patients find little to no benefit. Those with good results will often relapse within a couple of short weeks.

Radiofrequency denervation or abolition is another form of injection, but in reality, it is spine surgery. We are adamantly opposed to this procedure as it was recently found ineffective in a double-blind study. Radiofrequency abolition involves injecting a special needle into the joint between two bones in your back. A current is passed through the needle and heats the surrounding area. The aim of this is to purposely damage and kill the nerves and tissues that cause pain.

Backaches, Lumbago & Amitriptyline

Amitriptyline acts to relieve pain by relaxing muscle tissue. It works best for people who suffer from chronic pain such as fibromyalgia, arthritis, migraine headaches, nerve damage, and tension headaches.

The most common side effect of amitriptyline is dry mouth. Other side effects include drowsiness, dizziness, constipation, nausea, sweating, confusion, light-headedness, headache, weakness, insomnia, and difficulty sleeping. Regardless of the type of medication or muscle relaxers you take, there will be side effects, some of which may include stroke and heart attack. Therefore, it would be best if you get your back pain treatments through natural methods or systems that have little to no side effects, and we have included the best below:

NSD Therapy® is the most effective non-surgical back pain treatment system that gives lasting improvements without harmful events.

Exercise is one of the most important things you can do for your back and lumbago. Regular exercise helps to strengthen muscles around the spine and pelvis. It can also help relieve lower back tension (lumbar spine and lumbosacral region).

Manual therapies, sometimes known as ‘hands-on’ treatments like manipulation and mobilization of spinal joints, can help clear up a spell of low back pain, along with exercises and advice about managing your symptoms. Physiotherapists and chiropractors usually carry out manual therapies. They’re often referred to as ‘hands-on’ because they involve physical contact between patient and therapist.

Research On Back Surgery

According to research published in the British Medical Journal (BMJ), very few people with back pain require urgent surgery. It was found that just 0.5 percent of patients admitted to the hospital with low back pain surgery needed within one month. This equated to around 3,500 operations every year in England alone.

The study looked at data from across the UK over three years, comparing the number of procedures carried out on patients with acute low back pain (pain lasting less than six weeks), subacute low back pain (lasting up to 12 months), and chronic low back pain (longer than 12 months).

Researchers concluded that there is no evidence to support the widespread belief that low back pain requires immediate surgical intervention. They also noted that while some operations are necessary, very few people with back problems need urgent surgery.

Surgical Treatment For Back Pain

Surgery for low back pain should only be considered when non-surgical treatment options, such as physical therapy or chiropractic, have been tried and have not helped relieve your symptoms.

If you have trouble finding relief through non-surgical methods, you must contact CSC (Chiropractic Specialty Center®). At CSC, we provide personalized treatments for acute and chronic pain.

We at CSC provide advanced back pain treatment that hospitals don’t have. Hospitals specialize in surgical interventions, and the physiotherapy they provide is more geared toward patients who have had surgery and are scheduled for surgery.

At CSC, we recommend back surgery if our conservative back pain treatment methods fail. There are several types of back surgery. These include spinal fusion, discectomy, laminectomy, microdiscectomy, facet joint denervation, radiofrequency ablation, and neurolysis.

Spinal fusion involves fusing two vertebrae to stabilize the spine and prevent further movement.

Discectomy removes part of a disc to reduce pressure on nerves and allow healing.

Laminectomy is similar to discectomy except that it removes the entire outer portion of one or both laminae, which protects the spinal cord.

  • Microdiscectomy is done to remove small fragments of bone or cartilage that press against nerve roots.
  • Facet joint denervation uses heat energy to destroy the nerves that transmit signals into joints.
  • Radiofrequency ablation destroys nerves within joints.
  • Neurolysis refers to injecting chemicals directly into painful areas of joints to block the transmission of pain signals.

8 Signs That It's Time To Call A Doctor For Your Back Pain

Back pain affects nearly everyone at one point or another. And while it doesn’t always require medical attention, it can take a toll on your quality of life. Here are eight signs that it’s time to call a doctor for your back pain:

  1. You’re experiencing numbness or tingling down both legs
  2. You’ve been feeling weak or lightheaded
  3. You experience muscle weakness
  4. You feel like something is pressing into your lower back
  5. You experience sharp pains
  6. You notice swelling around your waistline
  7. You have difficulty walking
  8. You’re having trouble sleeping because of the pain

You've Been In Pain For Over A Week

If you’re suffering from back pain for longer than a week, it might be time to see our chiropractor. According to the American College of Emergency Physicians, back pain is one of the most common reasons people go to the emergency room. When it lasts longer than three months, it becomes chronic, meaning it tends to come back again and again.

“Chronic back pain doesn’t just happen,” says Dr. Michael Schoenfeld, director of the division of pain medicine at NYU Langone Medical Center. “There are often underlying causes.”

The good news is that most cases of back pain resolve within a few weeks. But if it’s been over a month since you started feeling pain, there’s a chance it’s something more serious. You may need further testing if they suspect anything else, such as slipped discs, pinched nerves, degenerative arthritis, pathology, or infections. You’ll want to talk to our chiropractor about what’s causing your pain.

You Have Numbness, Tingling, Or Weakness

Back pain accompanied by numbness, tingling, or weakness means something is wrong. If it doesn’t go away within 24 hours, see your doctor or us immediately.

Nerves are responsible for carrying messages throughout your body. They are long, thin extensions of cells that branch out like roots into muscles, bones, organs, and tissues. When nerves become irritated or damaged, they send pain signals to your brain.

The most common cause of nerve pain is injury, such as whiplash injuries from car accidents or sports injuries. But sometimes, the problem isn’t apparent. For example, some people develop chronic neck and back problems without ever having experienced trauma. Other causes include herniated discs, protrusions, extrusions, bulging discs, cancer, diabetes, fibromyalgia, Lyme disease, multiple sclerosis, and shingles. 

If you experience persistent symptoms, talk to us today about possible treatments. Back pain treatment options CSC include physical therapy, rehabilitation, exercise, NSD Therapy®, chiropractic, and nutrition.

Back Pain After An Whiplash (Accident)

If you feel back pain after a whiplash or an accident, don’t assume what you think is normal. It could mean something worse. “Back pain is widespread after an auto accident,” says Dr. John Kao, medical director of the Spine Institute of New Haven, Connecticut. But there are some things you should know about how your body responds to accidents and whiplash injuries. Here are three signs that you may have a more severe issue.

Man shown driving a car

  1. Numbness and Tingling
    Numbness and tingling are nerve damage symptoms when the nerves carrying messages to the brain are damaged. This often happens in people who’ve suffered whiplash injuries — those jerky neck motions caused by rapid acceleration and deceleration. Other causes include fractures, spinal cord injuries, and slipped discs.
  2. Weakness
    Weakness usually indicates nerve damage from a compressed spinal cord or spinal nerve. Limb weakness is a serious health issue that needs immediate attention, primarily when it occurs in an otherwise healthy person.
  3. Severe Back Pain
    Severe back pain is a sign of urgent back issues. It may result from a vertebral compression fracture, broken spinal bone, or a painful slipped disc such as severe disc herniation, extrusion, or fragmentation.

Are You Having Problems With Your Bowels Or Urination?

If you’re experiencing bowel movements or urine leakage problems, it could mean something is seriously wrong. You might feel like you’ve lost control over your bowels, or even worse, that you’re losing bladder control. This could indicate a problem with the nerve roots known as cauda equina syndrome.

Causes of equine cauda syndrome can result from severe slipped discs, arthritis, or tumors pressing against the spinal cord; In some cases, the actual reason isn’t apparent. Symptoms include weakness in the lower extremities, numbness in the feet, and toes, difficulty walking, incontinence, and constipation.

While rare, cauda equina syndrome can permanently damage the nerves if left undiagnosed and untreated. If you’re experiencing these symptoms, especially accompanied by numbness in the legs and difficulty controlling your bladder, then you may need immediate medical attention.

Ready To Address The Root Cause Of Your Back Pain?

Chiropractic Specialty Center® offers comprehensive integrative holistic back pain treatments through advanced methodology enriched with breakthrough spine technology. In addition to the specialized treatments we provide, you can get NSD Therapy®.

Our back pain treatments are personalized with precision for all mechanical backaches, including those caused by sciatica, slipped discs (bulging and herniated discs), nerve impingements, misaligned back bones, scoliosis, and arthritis.

CSC has provided award-winning back pain treatment for patients suffering from spinal conditions like disc herniation, bulging discs, degenerative disc disease, and pinched nerves. Our team of certified chiropractors and physiotherapists (physical therapists) is dedicated to providing quality treatment options to alleviate your back pain symptoms and restore your health without medication, muscle relaxers, steroids, opioids, injections, or back surgery.

CSC’s Klang valley treatment centers are conveniently located in seven locations. We offer convenient appointments every day of the week, including evenings and weekends. Contact us today for the best back pain treatment in Kuala Lumpur.

What Should I Know About Back Pain?

Doctor of chiropractic with patient reviewing spine and back x-raysBack pain is one of the most common reasons people consult doctors. In fact, according to NHS Choices, around 80% of adults experience lower back problems at some stage in their life. Most of these are minor and don’t require treatment, although there are certain conditions where back pain could indicate something more serious.

If you think you’ve been injured, seek medical attention immediately. The good news is that most cases aren’t severe and can usually be treated effectively without spine surgery. However, if you’re experiencing severe pain or numbness down your legs, see your GP straight away.

If you’re suffering from persistent back pain, try taking regular breaks from work or doing less strenuous tasks. This helps prevent further injury and allows your muscles to recover. You can also wear support stockings or use a cushion while sitting.

Painkillers such as paracetamol or ibuprofen can provide relief. Don’t take too much, though, because overuse of pain medication and muscle relaxers can cause side effects such as drowsiness or stomach upset.

Back Pain Treatment & Prevention In Malaysia

Low back pain affects nearly everyone at some point in life. It is one of the most common reasons people seek medical attention. Although low back pain is often caused by injury, it can also develop without warning. Many times, the cause isn’t clear. And even though many cases resolve themselves within weeks or months, sometimes the pain doesn’t go away. You can help keep yourself safe from developing chronic back pain.

The key to preventing low back pain is maintaining a healthy weight, exercising regularly, and taking care of your body. If you’ve already developed lower back pain, don’t worry — you’re not alone. Most people experience occasional episodes of lower back pain during their lives. You’ll likely find relief from our back pain treatment options.

Use proper lifting techniques to prevent back pain. There are many ways to lift heavy objects, including lifting with your arms or using a tool such as a hoist. However, there is one way that you should never use to lift anything heavier than 10 pounds. Instead, try moving the item closer to you, keeping your spine vertical and your hips level. You can even place the item on a table or countertop and grab it with both hands. Then, stand upright and push down on the object with your feet.

We hope this article on back pain causes, remedies, and treatment options helped you find the solutions you need for a healthy, active life. Contact Chiropractic Specialty Center® at 03 2093 1000 with any questions or concerns regarding its causes and best back pain treatment options without surgery; we can help. 


The best back pain treatment targets and repairs all identifiable causes without injections or surgery. With this in mind, the best place to get your back treated with lasting relief is at CSC in  Damansara Heights (Chiropractic Specialty Center® in Bukit Damansara).  CSC is the only center in Malaysia where you can get NSD Therapy®.

Moreover, the combined treatment you get from the physios and chiros of CSC is through advanced methodologies improved with specialized medical devices that similar or competing centers in KL do not offer or provide. 

The good new is that CSC has multiple locations in Kuala Lumpur. At present there are two center:

  • CSC in Bukit Damansaraa (near Sri Hartamas & Mont Kiara)
  • CSC in Sri Petaling (near Bukit Jalil)

Residents of Bandar Sri Damansara, Desa ParkCity, and Kepong will soon have access to a CSC center near them in our newest KL location in Bandar Sri Damansara. In addition to having three top-rated back pain treatment centers in KL, CSC has four centers throughout the state of Selangor; contact our main center on 03 2093 1000 to learn more about our back pain treatment and locations in Malaysia.