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Lower back pain
L have been diagnosed with vitamin d
deficiency I have a vitamin d of 8ng. I have
attached my doctors prescription below. For
the past 10 days the pain has gotten worse.
l am working in a supermarket I have to deal
with heavy weight lifting stocking the shelf
climbing up and down the stool. there is
shortage of staff is so lot of work is given to
me. Working hour is 9-9.30. I have been not
doing well so l have not gone to work for the
past 3 days. I went to my Doctor again. For
the past five days lI will suffering from lot of
pain I couldn't sit more than 5 minutes I feel
a pressure in my lower back it hurts a lot and
I am not able to bend down and do work. My
right leg hurts from my hip to the toe. My
doctor has advised me to take x-ray and see a
physiotherapist. With this existing leg pain and
my back pain can Igo back to my work again.
Because it involves climbing down climb up the
stairs the stool and I have to walk around do all
the work. Pls I need advice on this.
Answers (15)
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Answered
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Hello, I am Dr Romain Rajan, General Physician. Your case has been allotted to me.
I understand your concern. You have severe Vitamin D deficiency, long working hours, heavy weight lifting, stair climbing and repetitive bending. This combination commonly leads to lumbar strain, nerve compression and sciatica, which is exactly matching your symptoms of
⢠Lower back pressure
⢠Pain from hip to toe
⢠Inability to bend
⢠Pain increasing over the past ten days
This is not a simple Vitamin D pain anymore. It has now become inflamed nerve pain, and going back to the same type of heavy work can worsen your condition significantly.
Advices
1 Avoid lifting weights, bending forward, climbing up and down stools until pain settles. These movements can worsen nerve compression.
2 Apply warm compress to lower back twice daily and strictly avoid soft mattresses.
3 Begin gentle back stretches only after pain decreases, not during the acute phase.
What to Monitor
1 Increasing numbness down the leg.
2 Weakness while walking or dragging the leg.
3 Sudden worsening of back pain on bending or standing.
Management
Your doctor has advised an X ray and physiotherapy, and that is correct. You may require
⢠A short course of anti inflammatory medicines
⢠Muscle relaxant
⢠High dose Vitamin D weekly
⢠Complete rest from heavy physical work for a few days
⢠Physiotherapy to reduce nerve pressure
Going back to heavy supermarket work right now is not advisable. Activities like lifting, stocking shelves, climbing stools and standing for long hours will increase inflammation and may cause severe sciatica.
You need at least a short medical rest period until pain reduces and physiotherapy begins to work. After assessing your Vitamin D treatment, pain medicines and X ray findings, I can guide you with the exact duration of rest you need.
When to Consult a Doctor Immediately
1 If your leg becomes weak or numb.
2 If pain shoots down suddenly or you cannot stand properly.
3 If you lose control over urine or bowel movement.
Every patientâs situation is unique. For accurate diagnosis and lasting relief, it is important to discuss your symptoms, job activity and medical history in detail.
You can reach out to me directly for this case and also connect with me in future for any medical consultation. I am available on Practo or on WhatsApp at 85271646 seven seven for a one on one consultation where you will receive
1 A personalised treatment plan
2 Safe medicine adjustments if required
3 Quick follow ups to track your recovery
Take care, wishing you good health.
Dr Romain Rajan
General Physician
Answered
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Your pain sounds like a back-strain with nerve involvement. Avoid heavy work .Get the x-ray and physiotherapy done. Continue vitamin D,
Take Neurobion BD
avoid lifting/bending, use warm compress, and rest.
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