Spinal back bracing is a treatment that does not have overwhelming support in the literature. Anecdotally, however, patients may get excellent short term relief with bracing. Especially if the back pain is acute and the patient needs to remain active. Long term continuous back bracing should be discouraged, as it may actually weaken the paraspinal muscles since the patient doesn't use them as much with the brace on.

Another treatment with questionable research support is TENS units. Standing for transcutaneous electrical nerve stimulation, TENS machines involve placing electrode pads on the skin and having an electrical impulse go through the skin. This can alter the way the brain perceives pain signals and give substantial pain relief to patients.

And let's not forget spinal decompression treatment. It costs less than 5% of a typical spinal surgery, and may provide safe, effective pain relief. There actually is a decent amount of research supporting it, but not what's called Level 1 research. Level 1 research involves large numbers of patients randomly placed into groups in a prospective research protocol. The research for spinal decompression involves significant patient numbers and showed over an 80% satisfactory result in numerous studies, but the studies were not randomized and prospective.

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