Why should localized back pain be treated before generalized back pain?

In most of these cases, once the primary regional pain (localized muscle pain) is successfully treated, the referred pain (joints or discs become irritated to the point that they affect a distant area) and radiating pain (pain that travels along the entire course of a nerve, with a constant aching, burning, numbing, and eventual weakness in the affected arm or leg) will also dissipate. Unfortunately, the reverse is not true. When primary radiating pain is caused by direct entrapment of the spinal nerves, treating any associated regional or referred pain will have no effect on the radiating pain.

The good news is that regional and referred pain are primary in most neck and back pain cases, and true spinal entrapment is a fairly rare occurrence. Consequently, if you have no obvious, severe, constant pain radiating into your arms or legs, then a conservative treatment approach directed at the simplest form of regional or referred pain is the prudent and effective place to begin.

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