Lower back pain is a very common complaint that we usually see in medical practice In most cases, back pain is self-limited.

Herniated disc is a common problem that affects many people of various ages. Disc herniation may occur due to excessive pressure, aging, or even some injuries. Herniated discs can cause a range of symptoms, such as lower back pain and spinal discomfort, among others, which can be painful and diminish the individual's quality of life. In this article, we will examine the signs and symptoms of disc herniation, and we will also clarify non-surgical methods for relieving disc herniation at Dr. Mohammed Koura's center, The best doctor in this field is always updated on the latest advancements in therapeutic techniques through his participation in various international conferences alongside leading doctors and experts from around the world.

• Symptoms related to lower back pain:

Lower back pain usually refers to both thighs and legs. It can cause leg numbness or weakness.

• Causes of Lower back pain:

• Muscle tension.
• Muscle strain.
• Poor posture in sitting or sleeping.
• Lumbar disc herniation.
• Lumbar spondylosis.

• When should I call Koura Clinics?

You should call us if:

• Pain is severe.
• Pain is prolonged.
• Pain is getting worse.
• You have numbness in your legs.
• You have weakness in legs.
• You have difficulty controlling your bladder or bowel.

• How is lower back pain diagnosed?

After examination in our clinic, we may request some investigations such as:

• Blood tests
• X-ray
• CT scan
• MRI

• Treatment options of lower back pain:

There are basic steps to treat mild back pain:

• Keep a proper posture.
• Stay active.
• Avoid carrying heavy objects.
• Avoid prolonged sitting, standing.

  If the pain is still persistent, please do not hesitate to call us and reserve your appointment.

• Treatment options in Koura Clinics:

After examination and checking labs results and MRI images, we decide one or more of these options   according to your condition:

• Medications (analgesics, anti-inflammatory drugs and muscle relaxants….)
• Physiotherapy sessions.
• Non-surgical interventions (our main scope of interest)
• Surgery (which we often try to avoid) usually if there is weakness or severe compression of nerve roots.

Now we will discuss the non-surgical interventions available for treatment of lower back pain and its related conditions.

• Some important tips:

• Interventions are done in the operation room/ Cath-lab.
• All interventions are done under sedation and local anesthesia.

• Advantages of non-surgical interventions:

• Patients are discharged from hospital 1 hour after procedure.
• Treatment of multiple disc levels.
• Safe and effective.
• Rare side effects.
• Early anticipated return to normal activity.

1. Caudal epidural injection.

• It’s a non-surgical procedure that used to alleviate back pain caused by many conditions. For example, lumbar disc herniation, osteoarthritis of lumbar discs and lumbar canal stenosis resulting in inflammation of lumbar nerve roots.
• The intervention takes around 5 minutes.

2. Sciatic nerve roots radiofrequency:

• A non- surgical procedure used mainly when there is referred pain to your legs resulted from lumbar disc herniation or spinal stenosis that led to lumbar nerve roots inflammation or irritation.
• It takes around 30 minutes.

3. Lumbar or lumbosacral facet radiofrequency:

• A non-surgical procedure similar to that of nerve root radiofrequency but it works on lumbar facet joints inflamed by lumbar facet arthropathy, osteoarthritis or degeneration.

• Procedure time is 30 minutes.

4. Caudal Epidural Navigation Catheter:

• A non-surgical procedure used in cases of spinal canal stenosis and failed back surgery to decompress nerve roots as much as possible to avoid surgical intervention.
• Procedure time is 30 minutes.

5. Percutaneous Laser Disc Decompression:

• A non- surgical procedure used for treatment of small lumbar disc herniation. A needle is introduced inside the disc for co-ablation of its nucleus to reduce nerve root compression and alleviate the inflammation.

• Procedure time is 30 minutes.

6. Minimally-invasive Disc-FX:

• A non-surgical procedure for treatment of contained lumbar disc herniation moderately compressing a nerve root. It’s inserted inside the disc through a needle and adequately removes a small part of disc tissue.

• Disc-FX is a very advanced techniques that you can hardly find in any pain clinic in the middle east other than Koura Clinics.
• Procedure time is about 40 minutes.

7. Epiduroscopy:

• A non-surgical procedure for treatment of lower back pain after failed back surgery.

• The main idea of epiduroscope is exploring the epidural space with a camera and to get rid of any adhesions around the nerve root as a result from the previous surgical intervention.
• Epiduroscope is a very advanced and recent technique that Dr Koura with just few doctors around the world are certified to use. He got the Epiduroscope workshop training 3 years ago in Germany and he is unique with this procedure in The Middle East.
• Procedure time is about 50 minutes.