I have chronic lumbar pain.  I'll be traveling to Bangkok and Isaan in March/April 2025.  I'm seeking a good doctor/hospital for non-surgical treatments.  Chiropractic and epidurals don't work for me, stretching, massage, exercise, and of course losing weight helps.  What about stem-cell and/or platelet injections?  Anyone with experience?  Or even what places/persons to avoid?  Thanks!

If you have had an epidural injection then presumably you have had xrays & MRI to identify cause of the pain. What did they show and how recently were they done? 

 

And how recent was the epidural? 

 

I ask because degenerative spine conditions change with time. 

 

Stem cells and PRP for back pain  are still in investigative/experimental stage. 

 

Basically your options are (1) see top spine specialist for  new or second opinion regarding cause of the pain and best treatment  and/or (2) see physical therapist.  Ideal would be both, and in that order. But for PT you'd need to be in BKK for a while, how long will you be staying? 

BKK Hosp @ Udon Thani used to have an excellent physical therapist.  She massaged away a major carpal tunnel issue I was have.

 

Coincidentally, my brother had the exact same issue at the same time.   He opted for the surgery (in slice & dice USA) vs my cute therapist.

 

His issues returned, mine never did 

 

Although if consistently doing the ... 'stretching, massage, exercise, and of course losing weight', then may be as good as will get, without extreme care not to aggravate it.  Manage with some meds, when a bit much, till you can figure out other options other than surgery.

 

Assuming you know exactly what is wrong, which disc/discs or whatever is causing the discomfort.  MRI done ?

 

Never heard of the other treatments you are asking about, but haven't paid attention to those things for couple decades.

 

Had back problems for decades, T12-L1 & L4-L5.  Finally did have surgery, then retired, so not to aggravate any more.

 

Good Luck