Chronic Back Pain That Never Gets Better Despite Medication?

The Real Cause May Be the Nerves

Many patients live with chronic back pain for years…

It often begins with mild discomfort:

Pain after sitting for long hours

Pain while driving

Pain after waking up

Then gradually, the symptoms become worse

At first, many people rely on:

• Painkillers

• Physiotherapy

• Massage

• Or simply trying to tolerate the pain and continue daily life

But over time, the symptoms change…

Pain radiates down the leg

Numbness, burning, or electric shock-like sensations appear

Sitting and walking become difficult

Weakness develops

Sleep becomes disturbed because of the pain

And eventually, many patients begin asking:

“Why does the pain never truly go away?”

In many cases, the answer is:

Because the problem may no longer be muscular — it may involve the nerves.

What Is the Difference Between Muscle Pain and Nerve Pain?

Typical muscle pain often:

• Improves with rest

• Responds to massage or pain medication

• Feels like tightness or soreness

However, when nerves become compressed, symptoms may feel very different, such as:

• Pain radiating down the leg

• Numbness or burning sensations

• Electric shock-like pain

• Deep pain inside the back or leg

• Increased pain while sitting

• Weakness in the leg or foot

• Persistent pain even during rest

When a nerve remains compressed for a long time, inflammation develops around the nerve, causing chronic pain signals.

What Causes Nerve Compression?

Common causes include:

• Herniated disc

• Degenerative spine disease

• Spinal stenosis

• Bulging or ruptured discs

• Inflamed spinal joints

• Injuries or accidents

These problems often develop gradually due to:

• Prolonged sitting

• Poor posture

• Heavy lifting

• Long driving hours

• Excess body weight

• Weak core muscles

Why Don’t Painkillers Solve the Problem?

Pain medication may temporarily reduce symptoms, but it does not remove the actual pressure on the nerve.

It is similar to having constant pressure on an electrical wire:

The symptoms may temporarily improve, but as long as the compression remains, the pain often returns.

That is why identifying the real cause is so important.

Step-by-Step Treatment Approach

At Chularat 3 International Hospital, we believe not every patient requires surgery immediately.

Treatment begins with careful evaluation and choosing the most appropriate option for each individual patient.

Step 1: Accurate Diagnosis

Doctors may recommend MRI to evaluate:

• Nerves

• Intervertebral discs

• Spinal cord

• Areas of compression and inflammation

Sometimes, a very small area of compression can be responsible for years of chronic pain.

Step 2: Non-Surgical Treatment

In some patients, symptoms can improve with:

✔️ Medication

✔️ Physiotherapy

✔️ Lifestyle modification

✔️ Weight management

✔️ Core muscle strengthening

If Symptoms Still Do Not Improve

Post-Treatment Care Is Just As Important

At our hospital, treatment does not end after surgery or after the pain improves.

Patients receive one complimentary follow-up visit, including:

✔️ Free Postoperative MRI

To evaluate the surgical area and ensure proper nerve decompression

✔️ Free Vitamin D Testing

Because Vitamin D is important for bone health, muscle strength, nerve function, and recovery. Many chronic pain patients are found to have Vitamin D deficiency.

✔️ Free HBOT (Hyperbaric Oxygen Therapy)

HBOT may help improve tissue oxygenation, reduce inflammation, and support postoperative recovery in selected cases.

Simply Tell Us About Your Symptoms — We Will Take Care of the Rest

Our spine specialists and international patient care team will guide you through every step:

✔️ Diagnosis

✔️ MRI evaluation

✔️ Treatment planning

✔️ Non-surgical or surgical treatment

✔️ Rehabilitation and physiotherapy

✔️ Follow-up after returning home

Because our goal is not only to reduce pain —

but to help you regain your quality of life again.