Based on your symptoms, the left-sided back and hip pain that returns after some hours is likely related to prolonged standing and possible muscle imbalance or strain. Topical diclofenac gel can help relieve pain temporarily, but for long-term relief, it’s important to address the underlying cause through specific exercises and postural modifications.

It might be referred pain from your lower back region due to prolonged standing. Try taking pain killer with muscle relaxant and do erector spinal stretching and core muscles strengthening. Avoid standing for prolonged duration.

Your pain may be due to hip bursitis, SI joint dysfunction, or early arthritis. Since the pain returns after gel wears off, it's important to assess the root cause.

Hi...myself Dr.Supriya here...i will help you to get relief from your back pain...As you said you are a teacher...so you must be sitting for long time...and your back muscles get stiff...so You have to release your muscle stiffness by exercise and the gel which you are applying is working only externally...not from inside...and you have to focus on tour root cause....there are number of exercises which will stretch your back muscles...and you will feel much better...and the pain disappears permanently...by your good posture also..i mean you have to learn...how much time to spend in which position..how to sit etc...

It’s common at this age. We have to find route cause for this for this we need proper assessment. X-ray reports and aggravating and relieving factor for pain. Consult online.

Hi please take an online consultation for best diagnosis and treatment.

If you have an x-ray do share or go for the xray of the hip joint and share the report and film. At this age it's common to get pain in joints anywhere in the body. Apply diclofenac hot and cold packs relieves the pain for sometime but again it will be the same. I suggest you to go for xray to help suggest better treatment option to remove the pain completely.

Hello mam, not to worry these are common problems at this age and your profession has a lot of standing work, currently as you have not described what type of pain when it activates and is only medication is helpful or after taking rest the problem is solved i cannot comment what creating the pain or what exactly is problem also I am in aware of your medical history of diabetes, hypertension other things i need to have access you so we can come up with a solution

Take a deep breath mam It's happened don't panic first Due  to long standing and sitting lots of people are suffering this issue Do straching of hip or lower back muscles Use hot pack for 12 minutes  do mild walk for 15 minutes Avoid weight lifting Avoid to long sitting or standing

Head to Heel physiotherapy & sports fitness Rehabilitation clinic , porur , chennai Dr ANDREW JAYA SINGH (senior sports & fitness consultant ) INSTRUCTIONS TO BE FOLLOWED DURING THERAPY 1. During therapy sessions, the most important aspect is REST. You must avoid physical strain and exertion as therapy helps your body heal. Rest is essential for your body to sustain the improvements of therapy. 2. Don’t overstrain. Avoid sudden, jerky, unaccustomed, or prolonged physical activities (like bending, lifting, pushing, pulling, or carrying loads). Activities that can aggravate your musculoskeletal health problem must be avoided. 3. Be patient. Therapy is like brushing teeth and shampooing hair; it has to be done regularly. Therapy brings gradual changes, not instant results. 4. Do not expect your doctor or therapist to do magic. Only with your consistent cooperation, following therapy sessions, home exercise programs, and lifestyle changes, will your condition improve. 5. Diet is very important. Eat healthy, balanced meals containing vegetables, fruits, cereals, pulses, nuts, and seeds. Avoid junk food. Drink water adequately. 6. Do not lift weights, run, jump, or do any sudden movements during therapy, unless specifically instructed. 7. Avoid lifting heavy objects and handbags. Carrying weights on your shoulders, in one hand, or on the back can worsen the condition. 8. First few days of therapy may cause slight increase of pain, pressure, or soreness. This is very normal and will subside in subsequent days of therapy. --- INSTRUCTIONS TO BE FOLLOWED DURING REHABILITATION 1. Don’t avoid or delay exercises prescribed. Engage yourself in daily activities during rehabilitation. You will observe that simple movements become complex as they need proper muscle control, stability, and coordination. The complexity improves at a later stage as rehabilitation progresses into functional training. 2. Discontinuing yourself from therapy / rehabilitation can lead to aggravation or relapse of symptoms. Regular exercise can help maintain your musculoskeletal health and good health in general. 3. Identify limitations. Do not exceed your own exercise tolerance. Breathing rate is a good indicator. Don’t exercise to the extent of breathlessness. 4. Appropriate and recommended exercises code to be followed could avoid accidents during exercise. 5. Appropriate warm-up and cool-down after workout is necessary. 6. Adequate hydration is important. Only sip water while you are exercising. Drink water from your bottle in between exercises, but not more than 1–2 sips. 7. Make sure your fluid intake is balanced. Consult your nutritionist to take nutrition guidance that fits your conditions. Active and healthy lifestyle with right nutrition, right exercise, and emotional health are essential for a pain-free and independent life. --- 📞 Helpline: nine nine four one four one two four three five 📧 Email: headtoheelphysiotherapyclinic.com 🌐 Website: www.headtoheelphysiotherapyclinic.com

Hot compress for 10–15 min, 2–3 times daily Avoid prolonged standing/sitting—try to change posture often in class. Avoid prolonged standing/sitting—try to change posture often in class. Sleep posture: use a pillow between knees if lying on your side

I would suggest that the recurring back pain in the left hip joint could be due to muscle strain or joint inflammation. The temporary relief from diclofenac gel indicates it may be reducing inflammation or localized pain, but the return of pain every 8-12 hours suggests the underlying issue persists. Since you’re a teacher with no significant travel, it might be related to prolonged sitting or standing postures during work.

It is due to muscle tightness of glutes and weakness ,

Hello mam please consult online so that a tailored exercise regime can be set.

Since you are a teacher and spend long hours standing or sitting, posture and muscle strength could be factors. I recommend: 1. Assessment: A proper physiotherapy evaluation is important to identify the exact cause. 2. Home-based exercises: Targeted exercises to strengthen the core, hip, and back muscles can reduce recurring pain. 3. Posture correction: Guidance on sitting/standing posture at work to prevent stress on the hip and back. 4. Pain management: Heat therapy, gentle stretches, and activity modifications may help until a structured plan is started. If you want, we can schedule an online session where I can guide you with a personalized exercise program and tips to reduce your pain.

It happens due to age or exertion. Muscular pain there If u have swelling on that area do icing and avoid exertion Once pain start reducing then start exercising with gentle stretches.

Could be an SIJ dysfunction. Check with a physiotherapist