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Does Arthritis Present As This Tight Stiff Uncomfortable Feeling Which Can Be Achy At Times?

Posted on Mon, 19 Feb 2024

Question: I am a 47 year old female. For a little under a month I have been experiencing lower back pain. Pain started out feeling like a sore muscle which hurt when bending. The soreness left and I am now left with a tight stiff feeling and at times a deep ache in my lower right side Is it common at my age? my right hip. I was seen by a Dr yesterday and was told most likely arthritis of spine and given a pack of steroids for the week. I was told to come in three weeks if pain is still there and they will recommend a physical therapist. I was told that they do not offer any type of scans/x-rays until physical therapy has been tried. My question is does arthritis present as this tight, stiff uncomfortable feeling which can be achy at times?

Answered by Dr. Dr. Gopal (10 hours later)

Brief Answer:
Looks like Lumbar Spondylosis

Detailed Answer:
Hi,

I have read your details and to me it looks like lumbar spondylosis.
In my patients , I start with pain killers like etoricoxib ( 90 mg at night) + Muscle relaxants like myoril ( 4 mg twice a day). Also I would suggest hot fomentation twice daily and any local analgesic cream available nearby.
Certain precautions like no weight lifting , Avoid forward bending and prolonged sitting - till you start physical therapy.
Thanks for the question. I hope to have answered your query. Please ask any other question.
We shall see scans as and when it is done.
Thanks.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. Gopal (5 hours later)

Thanks for the timely reply. Does lumbar spondylosis cause muscle tightness and soreness in back thigh? How do I relieve tightness?

Answered by Dr. Dr. Gopal (2 minutes later)

Brief Answer:
Yes it can

Detailed Answer:
Hi,

Muscle tightness and soreness is due to muscle spasm.
I have written a muscle relaxant , Just for this purpose.
Thanks again.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Dr. Gopal (24 hours later)

one last question, is it safe to take metoprolol and methocarbamol together? What will effect on heart rate and blood pressure be?

Answered by Dr. Dr. Gopal (49 minutes later)

Brief Answer:
No Idea

Detailed Answer:
Since I have never prescribed these two medicines( since they are not used in Orthopedics) , I really cannot comment on this. Pl ask your physician for the same.
Thanks again
Dr Gopal Goel

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Kampana