Best Non-Surgical Treatments for Back Pain

Back pain is one of the most common reasons adults miss work, cut back on activities, or schedule a visit with a doctor. For many people in Georgia, it starts as a simple “twinge” after lifting, twisting, or sitting too long—then quietly turns into a daily companion that makes everything feel harder than it should.

When back pain becomes chronic or keeps coming back, it affects more than just your spine. It can disrupt sleep, drain your energy, impact your mood, strain relationships, and make it difficult to keep up at work or enjoy time with family. Over time, people begin to plan their lives around their pain instead of their priorities.

Because of this, more and more patients are actively looking for effective non-surgical options—ways to relieve back pain, improve mobility, and get their lives back without jumping straight to spine surgery.

That’s where Medici Orthopaedics & Spine comes in. Based in Georgia, our team specializes in advanced, least-invasive and least drug-dependent back pain care. We focus on uncovering the root cause of your pain and building a personalized, non-surgical plan designed to help you move with less pain and more confidence.

Core Non-Surgical Treatments for Back Pain at Medici Orthopaedics & Spine

Conservative, Lifestyle-Based Management

At Medici Orthopaedics & Spine, we often begin with simple, practical changes that can significantly ease back pain. Many patients are surprised by how much better they feel when their daily routines are adjusted to protect the spine.

We focus on activity modification and joint-sparing strategies—teaching you how to bend, lift, twist, and carry in ways that reduce stress on your back. This can include changing how you perform work tasks, household chores, workouts, or childcare.

We also address ergonomics for:

  • Sitting at a desk or in a car
  • Standing for long periods
  • Lifting at work or home
  • Computer and device use

With proper chair height, lumbar support, monitor position, and frequent movement breaks, many patients experience less pain and stiffness by the end of the day.

When appropriate, we’ll also discuss weight management and overall wellness, since extra stress on the spine, poor sleep, and low activity can all contribute to persistent back pain. The goal is a realistic plan that supports your health—not a lecture.

Physical Therapy and Exercise-Based Rehabilitation

Movement, when guided correctly, is one of the most powerful non-surgical treatments for back pain. We work closely with physical therapists to create customized rehabilitation programs designed to:

  • Improve core strength and spinal stability
  • Increase flexibility and range of motion
  • Correct posture and movement patterns that overload certain areas

Your therapist may also provide gait training and body mechanics coaching, helping you walk, bend, and lift in ways that protect your spine instead of straining it.

To make progress sustainable, patients receive home exercise programs—simple, structured routines that reinforce what’s done in the clinic. Over time, this helps maintain improvements, reduce flare-ups, and build confidence in your body again.

Targeted Medication Management (Least Drug-Dependent)

Medications can play a role in back pain care, but they’re not the starring actor in our approach. At Medici, we use targeted, thoughtful medication management with a strong preference for non-opioid options when appropriate.

This can include medicines to reduce inflammation or calm nerve-related pain, often used short-term to control severe flares while more definitive treatments—like therapy, injections, or regenerative strategies—begin to take effect.

We are very intentional about avoiding long-term opioid dependence for back pain. When opioids are used, they are carefully monitored, time-limited, and paired with other treatments aimed at addressing the underlying problem, not just the symptom.

Advanced Pain Management and Interventional Spine Procedures

For many patients, the most effective non-surgical relief comes from targeted interventional spine procedures that address the exact structure causing pain. These are performed under imaging guidance for precision and safety.

Common procedures include:

  • Epidural steroid injections – to reduce inflammation and nerve irritation from herniated discs or spinal stenosis
  • Facet joint injections – to treat arthritis and inflammation in the small joints of the spine
  • Medial branch blocks – numbing the small nerves that carry pain signals from the facet joints
  • Sacroiliac (SI) joint injections – for pain at the junction between the spine and pelvis

By placing medication precisely where it’s needed, these treatments reduce inflammation and nerve irritation at the source. The benefits often include:

  • Less pain with standing, walking, or bending
  • Improved ability to participate in physical therapy
  • Better daily function without surgery

Radiofrequency Ablation (RFA) for Chronic Back Pain

For patients whose pain stems from arthritic facet joints or the SI joint—and who respond well to diagnostic nerve blocks—radiofrequency ablation (RFA) may be an excellent non-surgical option.

RFA uses a specialized probe to deliver radiofrequency energy to targeted nerves, gently heating them to interrupt pain signals traveling to the brain. The joint itself isn’t removed or altered; instead, the nerve’s ability to transmit pain is reduced.

Relief from RFA can last many months or longer, and the procedure can often be repeated if the nerve regenerates and symptoms return. It’s typically considered for patients with chronic, localized back pain that has not responded adequately to other conservative treatments.

Regenerative Medicine for Spine and Back-Related Structures

In select patients, regenerative medicine can be a valuable complement to other non-surgical treatments. At Medici Orthopaedics & Spine, this may include options such as prolotherapy, which involves injecting targeted solutions to stimulate the body’s natural healing response in ligaments and soft tissues.

These strategies aim to:

  • Support joint and soft tissue integrity, particularly in areas of laxity or chronic strain
  • Reduce pain and improve function by enhancing the stability and strength of structures supporting the spine

Regenerative treatments are not for everyone, and they’re not a magic fix—but for certain patients, they can be an important part of a broader, evidence-informed plan. Medici uses these options carefully and transparently, discussing potential benefits and limitations so you can make an informed choice.

Myofascial Release and Sports Massage Therapy

Back pain isn’t only about discs and joints—muscles and fascia play a huge role. Tight, overworked muscles and trigger points can create significant pain, limit movement, and even mimic nerve problems.

To address this, we may incorporate:

  • Myofascial release – techniques to ease tension in muscles and connective tissue
  • Sports massage therapy – focused work on overused or imbalanced muscle groups
  • Other hands-on therapies designed to reduce tightness and improve mobility

These treatments help:

  • Decrease muscle guarding that often develops around painful areas
  • Improve circulation and tissue health
  • Support better posture, movement, and comfort—especially when pain is related to posture or repetitive strain

Hyperbaric Oxygen Therapy (HBOT) and Advanced Modalities

For some back pain patients—especially those with complex or chronic issues—hyperbaric oxygen therapy (HBOT) can be a valuable supportive modality.

During HBOT, you relax in a specialized chamber where you breathe concentrated oxygen under increased atmospheric pressure. This environment allows more oxygen to dissolve into your bloodstream and reach damaged tissues.

Potential benefits include:

  • Support for tissue healing and recovery
  • Reduced inflammation
  • Improved cellular function in stressed or injured areas

At Medici Orthopaedics & Spine, HBOT is thoughtfully integrated with other non-surgical treatments, not used in isolation. It may be combined with therapy, injections, and other interventions to enhance overall results in appropriate patients.

Spinal Cord Stimulation and Neuromodulation (When Appropriate)

For certain patients with chronic back and/or leg pain who have not responded to other non-surgical treatments, spinal cord stimulation (SCS) can offer meaningful relief—without removing bone or disc.

SCS is a form of neuromodulation in which a small device is implanted under the skin, sending gentle electrical signals to the spinal cord. These signals help modify how pain is perceived, reducing the intensity of pain messages traveling to the brain.

Key points about SCS:

  • It is considered a non-surgical, implantable option—less invasive than many traditional spine surgeries
  • Patients typically undergo a trial period first to see how well it works for their pain
  • It may be considered for those with persistent pain after surgery or those not well-suited for further operations

At Medici, spinal cord stimulation is reserved for carefully selected patients after thorough evaluation. It’s one more way we strive to provide advanced, non-surgical relief for those living with long-standing back pain.

Take the Next Step Toward Lasting Back Pain Relief

Long-term back pain does not automatically mean you need surgery. For many people, the most effective path forward starts with thoughtful, non-surgical care that respects the body’s ability to heal when it’s given the right support. If you’ve been told to “just live with it” or you’re worried that surgery is your only option, there is real hope.

At Medici Orthopaedics & Spine, we are a trusted resource for patients throughout Georgia who are seeking the best non-surgical treatments for back pain. Our team focuses on advanced, least-invasive, and least drug-dependent options—combining interventional procedures, rehabilitation, regenerative medicine, and supportive therapies to reduce pain and restore function in a safe, sustainable way.

Take the next step today. Schedule an appointment with Medici Orthopaedics & Spine to explore personalized, non-surgical options for lasting relief and a better quality of life.

Contact Medici Orthopaedics & Spine

📍 Locations:
Kennesaw Clinic
2911 George Busbee Parkway, Suite 50
Kennesaw, GA 30144
(770) 545-6404

Snellville Clinic
2220 Wisteria Drive, Unit 101
Snellville, GA 30078
(470) 645-9297

Buckhead PM&R
3200 Downwood Circle, NW, Suite 520
Atlanta, GA 30327
(770) 872-7549

📞 Main Contact: +1-844-328-4624
🌐 Website: https://www.mediciortho.com/

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