Back pain treatment

Clinic Agatas pain specialists offer the following treatment solutions:

Back pain is not just a physical sensation. It is an experience that can affect your every step, sleep, work capacity, or even your emotional well-being. At first glance, an innocent back strain or a slight ache is often perceived as a temporary inconvenience, but it is precisely such sensations that often become the first signals of more serious health problems that should not be ignored. Over time, the pain can spread, intensify, and even begin to disrupt your normal daily routine.

Clinic Agatas doctors notice that people often ignore the first symptoms. When back pain below the waist, moving to the left side, or even felt like it goes into the leg, becomes an integral part of the day, only then do patients start seeking help. Our goal is to help before the pain becomes chronic or limits the quality of life.

Back pain treatment at Clinic Agatas begins with an accurate diagnosis. First, the patient's tests are evaluated - this can be magnetic resonance imaging (MRI), computed tomography (CT) or an X-ray, if it was performed earlier. If the patient does not have imaging tests, the doctor may recommend them based on the symptoms and their localization.

Only when all objective indicators are assessed, does a detailed conversation with the patient take place. Where is the pain felt? Is it burning or stabbing? Is it concentrated in the lumbar region or distributed on both sides of the back? Every detail is important, because only after accurately identifying the origin of the pain can the most appropriate treatment method be chosen.

The Clinic Agatas team consists of a wide range of healthcare professionals: from spine surgery and pain management doctors to acupuncture practitioners, psychologists, physiotherapists and therapeutic massage experts – all pursuing one goal: to provide the patient with individualized and effective assistance. This diverse team allows us to ensure not only the exact determination of the source of pain, but also an individually tailored, comprehensive treatment solution for each patient. Our team works not only in Kaunas. Klaipėda was chosen as a strategic location for the clinic’s development due to the rapidly growing patient flow and high demand in western Lithuania. We strive to ensure that each of our patients can conveniently receive the necessary assistance, no matter which region of Lithuania they come from. It is no coincidence that patients call us the back pain clinic, appreciating our comprehensive approach to the treatment of spine pain.

Each patient's situation is unique, so the treatment of back pain is also individual. Only after evaluating all possible causes and performing the necessary diagnostic tests can we take the first step towards recovery.

In order to effectively overcome back pain, the most important thing is to accurately determine its origin. Clinic Agatas specialists, based on the latest medical research, identify the most common causes of pain. The list of the most common causes includes:

muscle tension – is an increased muscle tone that often occurs as a protective reaction of the body to pain, stress or incorrect posture. It can be acute (short-term) or chronic (long-term) and is often associated with psychological and biomechanical factors. Scientific research shows that constant muscle tension restricts blood flow and oxygen delivery to tissues, resulting in pain and inflammation. From a clinical perspective, the treatment of back pain requires an accurate determination of whether muscle tension is the primary problem or merely a secondary symptom of other structural or functional disorders;

degenerative changes in the spine – these are natural, age-related changes in the structures of the spine (intervertebral discs, vertebrae, joints, ligaments), which can cause pain, movement restrictions or irritation of the nerve roots. Most often, these changes occur due to constant mechanical stress, microtrauma, muscle imbalance or poor posture, and over time, conditions such as osteochondrosis, disc herniation or spondylosis can develop. Scientific research shows that these processes begin as early as 30-40 years of age, although symptoms do not always appear immediately. It is important to understand that not all degenerative changes are dangerous – their presence does not always mean that a person will feel pain;

spinal cord injury – is a condition in which part of the intervertebral disc (often its soft nucleus) extends beyond the outer fibrous ring and begins to press on the nearby roots or spinal cord. This process is associated with degenerative changes, long-term muscle tension, incorrect posture or sudden, improperly performed movements. A herniation can cause not only local back pain, but also pain spreading to the arms or legs, tingling, muscle weakness or even sensory impairment. Not every spinal herniation manifests symptoms – many are detected completely by chance during an MRI scan. However, when nerve roots are under pressure (medically called radiculopathy), clear symptoms may appear: pain, numbness or weakness. This condition develops in the canal when the roots are subjected to mechanical pressure due to spinal disc protrusion, narrowing, degenerative changes, or inflammatory processes affecting the surrounding tissues. A compressed nerve root sends signals of pain, numbness, tingling, or weakness to the part of the body it innervates—most often in the arms or legs, depending on the location of the compression in the spine. Prolonged compression can lead to decreased muscle strength, coordination problems, or even muscle atrophy. The latest neurological and neuroimaging studies help to precisely localize the site of compression and assess its effect on the nervous system.

Pain can occur anywhere in the back – in the middle, lumbar region, left side, right side or even on both sides of the back. Its nature can be very diverse: sharp, throbbing, burning or spreading to other parts of the body, such as the buttocks or limbs. In some cases, the pain intensifies with certain movements, during physical exertion or after a long stay in one position, such as sitting or standing. It is often accompanied by muscle stiffness, limited movement or even sensory disturbances. Such a spectrum of symptoms shows that back pain can have various causes, so it is very important to accurately assess both the localization of the pain and its nature.

One of the most common cases is back pain, which lasts for several weeks or even months. Often it becomes chronic, affecting not only the physical but also the emotional state of the patient. In such cases, patients begin to limit their daily activities, avoid movement, which further aggravates the problem. Chronic back pain often becomes the main reason why patients turn to a pain clinic, looking for long-term relief and a solution.

It is important to understand that back pain can be not only localized, but also diffuse. For example, in some patients, pain in the lower back below the waist moves to the buttocks or may feel like it goes down the leg, causing a burning or pulling sensation that interferes with both movement and rest. Such a symptom may indicate nerve damage or pressure from tight muscles in certain areas.

Therefore, it is extremely important not to ignore the first symptoms. If you feel pain on the left side, right side, or in the back, do not delay and contact a professional. The earlier the cause of back pain or inflammation is identified, the easier it is to apply effective treatment. Early diagnosis allows you to reduce symptoms faster and shorten the recovery period, which helps a person return to their normal rhythm of life faster. The earlier treatment is started, the greater the chance of avoiding chronic back pain and long-term complications. By choosing the right treatment method, pain relief becomes not only possible, but also long-term.

Every effective treatment for back pain begins with an accurate analysis of diagnostic tests. As with every other treatment, Clinic Agatas pays special attention to this stage, because the success of the entire treatment depends on the accuracy of the diagnosis. Our goal is not only to reduce pain, but also to identify its source and prevent recurrence.

First, we evaluate the patient's medical history and previous tests. Most often, these are magnetic resonance imaging (MRI), computed tomography (CT) or radiographs. These tests help assess the condition of the spine, identify possible hernias, spinal canal narrowing, vertebral displacements, intervertebral disc degeneration, disc dehydration (when their elasticity and height decrease), as well as joint arthrosis, which often causes chronic pain and movement restriction. The tests also allow us to identify inflammatory processes, such as spondylitis or sacroiliitis, which may be related to
autoimmune diseases. Only a detailed analysis of tests allows us to accurately understand the cause of the pain and ensure an individualized, effective treatment plan. If tests are not available, the doctor can recommend the most appropriate test method, taking into account the nature and localization of the symptoms.

Functional testing is often performed. The doctor, together with a physiotherapist, assesses the range of motion, muscle tension, and possible neurological changes such as numbness, weakness, or reflex disorders. This review helps determine whether the back pain is due to mechanical, inflammatory, or neurological causes. The most common neurological causes include herniated discs, nerve root compression (radiculopathy), spinal stenosis, or even central nervous system damage such as myelopathy.

It is especially important that our specialists assess not only the physical, but also the emotional aspects. Some patients come with chronic pain, which affects not only the body, but also their psychological well-being. In such cases, a multidisciplinary approach is recommended: possible stress, emotional tension or lifestyle factors that may affect the sensation of pain are also assessed. Psychological factors, such as constant stress, anxiety, depression or sleep disorders, can increase the intensity of pain, worsen the body's recovery and interfere with the course of treatment.

All diagnostic results are summarized and clearly explained to the patient. Only by understanding their condition can patients actively participate in the treatment process. An accurately determined diagnosis allows for effective and individual back pain treatment, ensuring faster and longer-lasting recovery. Perhaps this is why patients recommend us as a back pain clinic to their loved ones.

At Clinic Agatas, each patient is offered an individual back pain treatment tailored to their specific diagnosis and lifestyle. Perhaps that is why patients often call us a back pain clinic. Our treatment methods include both conservative and invasive solutions that help achieve long-term results without surgical intervention, if possible. We work with each patient carefully and with care, because we know that pain affects not only the body, but also the joy of life. Our goal is not only to relieve symptoms, but also to help a person feel like themselves again, restore confidence in their body and everyday life.

The first step is a comprehensive consultation with a doctor. The specialist assesses your general condition, analyzes your lifestyle, posture, physical activity, and chronic illnesses that may affect your back pain. Any magnetic resonance imaging, computed tomography, or X-rays that have already been performed are carefully reviewed, and if they are not available, they are recommended for a more accurate diagnosis. It is especially important that during the consultation, the doctor listens to the patient's subjective sensations: the nature of the pain, its localization, frequency, duration, and other accompanying symptoms (numbness, weakness, limitation of movement). Based on all the collected data, an individual treatment plan is drawn up, tailored not only to the diagnosis, but also to the needs of a specific person and to improving the quality of life.

This is one of the most commonly used methods, where the patient is prescribed painkillers or anti-inflammatory drugs, depending on the diagnosis and the intensity of the symptoms. Treatment can include non-steroidal anti-inflammatory drugs (NSAIDs), muscle relaxants or, in the case of nerve root irritation, even short-term corticosteroid injections. They can be administered intramuscularly, orally or intravenously - the choice depends on the severity of the pain, the nature of the inflammation and the patient's general condition. This treatment method helps to reduce the inflammatory reaction, relaxes tense muscles and relieves the symptoms of pinched nerves. Although medications are effective in reducing pain, the pain specialists at Clinic Agatas emphasize that drug treatment should be only one part of a comprehensive treatment plan - along with physiotherapy, posture correction or other methods, to achieve a long-term effect and eliminate the cause of the pain.

When the cause of pain is chronic muscle tension or painful muscle knots (so-called trigger points) have formed, targeted therapy is used back pain block. During the procedure, the specialist precisely identifies painful points by palpation and injects analgesic or anti-inflammatory drugs into them, often together with muscle relaxants. This reduces local inflammation, improves microcirculation, reduces muscle spasms and restores tissue elasticity. Trigger point therapy is particularly effective for patients whose pain is clearly localized - for example, on one side of the back, in the neck or lumbar area. Clinic Agatas doctors, based on ultrasound or clinical assessment, determine exactly where the injection should be made and which medications will be most effective. Such an individualized solution helps to achieve better results in a shorter time.

Epidural steroid injections are a treatment method in which anti-inflammatory steroid drugs are injected directly into the epidural space of the spine – i.e. the space around the spinal cord, where nerve root irritation most often occurs. This procedure is extremely effective in patients diagnosed with nerve root compression caused by a herniated disc, as well as with spinal stenosis or chronic radiculopathic pain. Steroids work by reducing inflammation around the compressed nerve, which reduces pain, swelling and improves freedom of movement. Most often, patients experience relief in the lower back or a decrease in pain that spreads to the buttock or leg (so-called sciatica). Clinic Agatas pain specialists perform this procedure precisely, guided by imaging control (e.g. using X-ray or ultrasound navigation), to ensure maximum treatment effectiveness and reduce the risk of complications.

Cryotherapy is an advanced, minimally invasive treatment method, during which a special device is used to cool the affected nerve roots or pain-causing tissues. The cold affects the focus of inflammation - reduces the transmission of nerve impulses, inhibits inflammatory processes and muscle spasms, thereby relieving pain. The procedure is most often used in patients with chronic or acute back pain, especially when the pain is localized in the sides of the back or is associated with irritation of the nerve roots. Cryotherapy is fast, usually lasts just a few minutes and does not require a long recovery period, therefore it is especially suitable for those looking for an effective but minimally invasive solution. Clinic Agatas specialists apply this method individually, taking into account the patient’s diagnosis, the causes of the pain and the general condition of the body - in order to achieve long-term pain management without surgery.

PRP (platelet-rich plasma) therapy is an advanced biological treatment method that uses the patient's own blood cells to promote natural tissue healing and regeneration. During the procedure, the blood taken from the patient is centrifuged, separating the plasma, which contains a high concentration of growth factors and platelets - these elements are important for cell regeneration and reducing inflammation. The purified plasma is injected directly into the damaged or inflamed area, for example, into the intervertebral disc or ligament area. This method is especially useful for patients suffering from degenerative spinal changes or chronic inflammatory back pain, when the aim is to restore tissue function and reduce dependence on medications. Clinic Agatas specialists apply PRP therapy individually, taking into account the patient's condition and clinical diagnosis, as a natural, safe and long-lasting alternative to traditional treatment.

When extreme precision and safety are required, the doctor uses invasive treatment under X-ray (fluoroscopy) control – this allows real-time visualization of the needle position and precise access to the damaged spinal structures. This type of treatment is most often used for more complex procedures, such as epidural injections, facet joint blockades or nerve root therapy. X-ray control allows you to reduce the risk of complications, ensure the accuracy of the drug effect and maximize the effectiveness of the treatment. This is especially important in cases where the source of pain is located in deep or hard-to-reach areas of the spine, and it is necessary to avoid damage to the surrounding tissues. Clinic Agatas specialists apply this method accurately and responsibly, ensuring that the treatment is safe, fast and effective even in the most complex clinical cases. Each procedure at Clinic Agatas is performed only after a detailed assessment and according to an individual treatment plan. Our goal is not only to reduce pain, but also to restore your quality of life.

At Clinic Agatas, rehabilitation is considered an integral part of back pain treatment. Even after effective treatment, it is necessary to restore movement functions, strengthen muscles and ensure that the pain does not return. Our goal is not only to eliminate pain, but also to help you return to a full, active life.

Rehabilitation programs are created individually, taking into account the patient's condition, pain localization and intensity. They usually include physiotherapy, massage, stretching exercises and posture correction. Specialists help to learn how to move, sit, lift weights or work at a computer correctly - all this reduces the risk of recurring pain.

Some patients still experience discomfort in the back area after treatment, especially in the middle, lumbar or left side, so it is very important to consistently follow the rehabilitation plan. This involves not only exercises, but also modern technologies - laser therapy, shock wave therapy and Indiba (radiofrequency) therapy.

In the case of chronic pain or emotional disorders, psychologists are also involved in the rehabilitation process. They help restore self-confidence, reduce stress levels and maintain emotional balance, which is very important for a smooth recovery process. Psychological support is especially important for those patients who feel exhausted from long-term pain, experience health anxiety or feel a sense of hopelessness. Conversations with a specialist help not only to better understand the signals sent by the body, but also to learn to deal with them constructively and maintain motivation throughout the treatment process.

Rehabilitation at Clinic Agatas can take place both on an outpatient and inpatient basis, which ensures that patients receive comprehensive care in one place. We believe that restored movement means restored fullness of life.

Clinic Agatas ensures that back pain treatment is as convenient as possible for every patient – ​​whether they live in a big city or a smaller region of Lithuania. Due to the clinics' operations in Kaunas and Klaipėda, patients can choose a location that is more convenient for them, and all consultations are provided in high-quality conditions.

The registration process is quick and easy. Patients can register by phone, online, or in person. Most consultations are also conducted remotely, which is very convenient for patients who live far away or are unable to come in person.

The waiting time for a doctor's consultation is short. It is important for the Clinic Agatas team not only to provide professional assistance, but also to do it quickly, efficiently, and without additional stress for the patient.

Our patients appreciate professionalism, attentiveness and clear communication. They often emphasize that from the very first contact they felt heard, understood and important. This is one of the main factors why patients choose Clinic Agatas and recommend us to others.

Clinic Agatas is a pain management and spine surgery clinic, which patients often call the back pain clinic due to our experience and results in this field. It is a place where the patient is heard, understood and supported at every step of the recovery process. Our approach is based on the latest scientific achievements, professionalism and care for each person.

From the first consultation to detailed diagnostics, from individually tailored treatment to
professional rehabilitation – everything fits under one roof. The patient does not need to seek help in different institutions or wait for months – Clinic Agatas ensures everything quickly, conveniently and efficiently.

We believe that every person deserves to live a full life without pain, so we pay special attention to every detail, even the smallest at first glance: where exactly the pain is felt, what symptoms accompany it, what can provoke or intensify it. Only in this way can we help achieve long-term results and restore freedom of movement. Only in this way can we achieve a long-term result.

Do you still remember who you are when you're not in pain? - We'll help you remember that.