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Severe back pain

My friend is suffering from severe back pain for last 3 months. He even was on bed rest for 20 days because of it. He has been suggested some exercises by physiotherapist and he is doing the same regularly. Hot water bag gives temporary relief. What should be done as a long term solution. Kindly suggest.
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Dr. Vinod Kumar A.C
Orthopedist 19 yrs exp Bangalore

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if it is mechanical back pain it will subside with rest and physiotherapy, later improve with back exercises.if pain doesn't subside with rest and physiotherapy, it is severe then consult orthopedic surgeon
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Dr. Sandip Gupta
Orthopedic Surgeon 32 yrs exp Delhi
consult an Ortho surgeon and get investigations eg xrays/MRI. one must diagnose the cause and then relevant treatment can be suggested.
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