Back Pain Treatment Training Practice Test 2026 – Your All-in-One Guide to Mastering Treatment Techniques

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Which surgical intervention may be considered for severe, unresponsive back pain?

Spinal fusion

Spinal fusion is a surgical intervention that may be considered for patients experiencing severe, unresponsive back pain, particularly when the pain is associated with specific structural spinal problems, such as instability, deformity, or degenerative disc disease. The procedure involves the joining of two or more vertebrae together, which can help to stabilize the spine, reduce pain by eliminating motion at the painful segment, and improve overall functionality.

Candidates for spinal fusion typically have not found relief from conservative treatments like physical therapy, medications, or other non-surgical interventions. In cases where instability or severe degeneration is identified through imaging studies and leads to incapacitating pain, spinal fusion can provide a significant improvement in quality of life by addressing the underlying anatomical issues contributing to the persistent pain.

The other interventions mentioned, while valuable in their contexts, serve different purposes. For instance, laminectomy focuses on relieving pressure on nerves by removing part of the vertebrae, often indicated for cases of spinal stenosis but may not always address the underlying causes of the pain. Corticosteroid injections can provide temporary relief from inflammation but are not a definitive treatment for structural issues. Chiropractic adjustments primarily focus on spinal manipulation to improve function and mobility but may not be appropriate for severe structural problems.

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Laminectomy

Corticosteroid injection

Chiropractic adjustment

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