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Back pain due to Jerk
Hiiii...my husband is 39 years old...his weight is 94 kg...“My husband started having back pain because of a jerk. The doctor did an X-ray and after seeing it, he said there is a strain. He advised him to take rest and medicines. My husband also has a lot of pain in his leg while walking. We informed the doctor about this as well. The doctor prescribed medicines for 7 days and advised using a heating pad. Today is the 3rd day. There is some improvement, but he still gets a lot of pain in his leg while walking, and he also has back pain. Why is this happening? I have also uploaded the X-ray picture below.”
Answers (10)
Based on the history, your husband’s symptoms are suggestive of an acute lumbar strain with associated nerve root irritation (sciatica). The X-ray also shows loss of the normal lumbar lordosis (straightening of the spine), which is commonly seen due to muscle spasm after an acute back injury. This can explain both the back pain and the pain radiating to the leg while walking. As it is only the 3rd day and there is already some improvement, it is reasonable to continue the current treatment, as recovery often takes a few weeks.
Next Steps
Continue the prescribed medications, heating pad, and relative rest as advised. Avoid bending, lifting heavy weights, prolonged sitting, and sudden twisting movements. If the leg pain persists beyond 1–2 weeks, worsens, or is associated with numbness or weakness, consult an Orthopaedic Spine Surgeon. An MRI of the lumbosacral spine may be required if symptoms do not improve.
Health Tips
Seek immediate medical attention if he develops progressive weakness in the leg, numbness around the groin, or difficulty controlling bowel or bladder function.
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X ray shows loss of lumbar lordosis, what you are describing as leg pain is probably due to nerve compression causing radiculopathy
Tab Zerodol TH 4 1-0-1 for 7 days
Tab Pan D 40 mg 1-0-0 (b/f) for 7 days
Tab Pregabalin 75 mg 0-0-1 (a/f) for 15 days
Avoid bending forward, lifting heavy weights
Maintain proper posture while sitting, walking
About 80–90% of patients with lumbar disc-related radiculopathy improve with conservative treatment within 6–12 weeks.
Next Steps
If pain is progressing/increasing consult a doctor for MRI and further treatment
Health Tips
avoid sitting for long hours
frequent changing of posture is key to prevention of continuous pain
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The symptoms may be due to an acute lower-back muscle strain. An X-ray mainly shows bones and cannot detect a slipped disc or nerve compression. From this photographed X-ray, no obvious major fracture is visible, it shows straightening of spine meaning muscle contraction
Since it is only the third day and there is some improvement, continue the prescribed medicines and heating pad as advised. Avoid heavy lifting, forward bending, twisting and prolonged bed rest; gentle walking within pain limits is preferable.
Next Steps
If severe leg pain persists after completing the medicines, or if there is numbness, tingling or weakness, he should be re-examined by an orthopaedic specialist. An MRI may be required if symptoms persist or neurological signs are present because MRI, not X-ray, evaluates the discs and nerves
Health Tips
Seek urgent medical attention for difficulty controlling urine or stools, numbness around the private area, progressive leg weakness/foot drop, fever, or rapidly worsening pain.
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No bony injury is seen in the xray. There is straightening of lumbar curvature indicating paraspinal muscle spasm. Back pain is due to the spasm. And leg pain , which I am assuming goes from back to foot in a radiating manner associated with current like sensation, tingling, numbness can be due to nerve compression. The most common cause of it is disc bulge.
Next Steps
Get MRI done
Health Tips
Hot packs on back. muscle relaxant if not already prescribed. avoid wt lifting and forward bending. avoid bike ride, bus, auto rickshaw or any travel bummy road that can aggregate the pain. use lumbar belt when upright. hope this helps
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There is paraspinal muscle spasm
Loss of lumbar lordosis
Next Steps
Continue the same treatment
after Reducing pain get physiotherapy ( Back strengthening exercises)
if pain is not reducing after this after 3 weeks better to get MRI
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There is no bony injury as per the xray film. According to the history and symptoms he may has disc bulge which is causing pain in back and legs.
Continue treatment for total of 7 days, if after that pain in back and legs still there then we have to for MRI of spine for detailed investigation.
Next Steps
continue the ongoing treatment
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