Emergency and Urgent Care - Back Pain

This leaflet contains discharge advice following your attendance to the Accident & Emergency Department (A&E).

Back problems are very common. Most back problems start for no obvious reason, which can be very frustrating. Your back problem may cause aching, hot, burning, shooting or stabbing pains in your back and sometimes into one or both of your legs. You may also get pins and needles.

The spine is strong and back problems are rarely due to any serious disease or damage. Back problems should settle within 6 weeks following the advice provided here.

You will not normally need an x-ray or an MRI scan.

What should I do?

• Keep moving, even if slowly at first
• Keep living and working normally. This is important and is the best way to get better
• Don’t worry if your back still hurts at work, consider doing light tasks at first, speak to your manager about work concerns that you may have
• Don’t sit down for too long, change positions regularly wherever you are
• Avoid bed rest during the day
• Stay active and remember to re-introduce activities like heavy lifting gradually
• Exercise really helps your back and can relieve pain, start with light fitness training. Moving will make you stronger, keeping active is the best thing you can do

What about pain relief?

Initially it may be helpful to use a covered icepack to ease your pain – never apply ice directly onto your skin.

Alternatively heat can be soothing, so a covered hot water bottle may also be used. You should not use heat/ice for more than 15 minutes, three to four times a day.

Painkillers may help you keep moving, so sensible use of painkillers such as paracetamol and ibuprofen will help.

However, if you are already taking medication for something else or have other health problems, check with your local pharmacist before taking painkillers. Always take medication according to the manufacturers instructions.

Occasionally, stronger painkillers such as codeine may be recommended. If you are taking these, you should drink plenty of fluids and eat foods high in fibre (such as fruit and vegetables) to avoid constipation.

Diazepam or similar drugs are occasionally prescribed for 1 – 2 days to relax the muscles of the lower back.

Can my back problem cause trouble anywhere else?

Sometimes when you get back pain you can also get pain in one or both legs (sciatica). This can cause pins and needles or a shooting, stabbing pain to the legs. This can be very painful but this is common when you have back pain.

Do I need to see a doctor or therapist?

Not usually – if you follow the right advice and take the right medication, your back problem should improve over the next 6 weeks.

If your back symptoms are still interfering with your ability to do normal things after 6 weeks, contact your GP for further advice.

What should I look out for?

You should return to the A&E Department as soon as possible if you develop any of these:

• Difficulty passing or controlling urine
• Numbness and/or altered sensation such as pins and needles around your back passage or genitals, e.g. when wiping after toileting

If you experience the following in conjunction with your back pain, you need to speak to your GP as soon as possible:

• Generally feeling unwell
• Back pain that starts when you have other problems, such as rheumatoid arthritis or cancer
• Numbness, pins and needles, or weakness in one or both legs that has not improved after one week
• Unsteadiness when you walk

If you have any concerns please contact the Emergency department for further advice on 0161 627 8926.

The Royal Oldham Hospital, Rochdale Road, Oldham, OL1 2JH.