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Severe back pain
Body pain since few weeks, pain is not constant in 1 area - keeps on moving between lower back, legs, upper back, below chest area. Got lumbar spine X-ray done, what is the problem, is it severe and treatment?
Answers (6)
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As a Spine Specialist , I very commonly see patients who have back pain. how ever since your pain is more widely distributed and keeps changing in character, you most likely have weakness of your Spinal muscles and core muscles , maybe with associated Vitamin D deficiency.
The decreased L5-S1 disc space on the X-ray is normal for your age , indicating wear and tear that happens with time.
The contribution from this worn out disc to your pain might be about 30-%
However if you don’t have too much pain on prolonged sitting or there is no pain radiating down your legs, then you don’t need an MRI as of now
Next Steps
Here’s what I give my patients for your kind of symptoms, which are evidence based recommendations
1. Avoid sitting on the floor or on low seating
2. Use a chair with good back support
3. When driving , take frequent breaks
4. Avoid bending forward to lift heavy things
5. Physiotherapy and exercises ARE THE MAIN ASPECT OF TREATMENT- BACK and CORE STRENGTHENING EXERCISES- any physiotherapist can teach you
6. Medication- Tab Myoril 4mg twice a day
Volitra APS spray to be applied to painful area upto three times a day
Health Tips
This should definitely help
But please get your Vitamin D levels checked as well
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This treatment is being suggested on bases of the information provided. However I would like to examine & investigate you in detail.
-Control Hypertension, Diabetes or metabolic disorder, if there is any.
- Sleep on a hard bed with soft bedding.
- Keep no pillow under the head.
- Avoid painful acts & activities.
- Fomentation with warm water. -Let the part not be exposed cold.
-Do mild exercises for the affected part.- back and lower limbs
-Any way it may be tried,
--. Ugesic (Piroxicam) 20mg 1tab once a day x 5days
--. Caldikind plus (Mankind) 1tab Once a day x 10 days.
Kindly make sure, there is no allergy to any of these medicines.
--For emergency treatment visit nearest hospital.
-For exercises you may visit my YouTube channel-
Dr NCgupta
-Wish you a quick recovery & good health
kindly like & subscribe to the channel to get notification for subsequent videos of your intrest.
it is free.
Dr N C Gupta MS (ortho)
DMC 3624
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Rest, no exertion
Avoid forward bending and lifting weights
Start lower back muscle conditioning physio
Warm packs, ointment
If pain is severe analgesics
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Please contact our clinic in Yelahanka, Bengaluru
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Dr. Vilas P Chavan
Orthopedic surgeon
9 yrs exp
Pune
Consult with Spine Surgeon
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Dr. Ravikumar Chandulal Makadia
Orthopedic surgeon
5 yrs exp
Ahmedabad
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.