Brief Answer: need more details Detailed Answer: Dear XXXXXXX Thanks for contacting Ayurveda with your health concern and following points needs clarification for Ayurveda Management. 1. please mention the [CAUSE] of the back pain since first step in Ayurveda Management is Treatment of the cause [निदान परिवर्जन] 2.Were you evaluated by an Orthopedic Surgeon for any structural problem [ruptured or bulging disc] & what was his/her observation? [were any investigations carried out to rule nerve compression] 3. I usually enquire about following Risk/aggravating factors from my patient(s) and same is requested from your side: i. Age - older adults are more susceptible [age is fine] ii. Anxiety, Depression? iii. Obesity/overweight [please mention about your weight] iv. any addiction [Smoking in particular] v. Strenuous physical exercise or physical work [poor posture] 4. any associated symptoms with back pain like: pain down the legs,urinary incontinence, fecal incontinence, numbness around the genitals, anus, buttocks 5. Do let me know about the medicines which your Doctor has given, so that any drug-drug interaction is avoided. 5. Do revert back for Ayurveda Treatment and Medicines, in the mean time start incorporating following Ayurveda Dietary Regime and lifestyle changes: i. Avoid: urad dal, curd, fish, jaggery, milk, incompatible and heavy food, suppression of natural urges, anxiety, grief, outdoor activities when sky is covered with clouds, and cold wind. ii. Take: maize, horse gram, karela, dried ginger, garlic, ajwain,saunf, XXXXXXX marich, saindhav lavan, hing, jeera, old ghee, lukewarm water, castor oil, light walking, sudation, warm clothes, garlic and ginger mixed butter milk [लस्सी]. iii. fry 250 ml ginger juice in 250 ml of til tail, when 250 ml remains [make sure oil doesn't get burn], filter it after cooling and massage. iv. boil 1 spoon dried ginger [सौंठ] in 4 cups of water till 1 cup remains, filter it and add 2 spoon castor oil and drink. PS. i. Maintain straight back posture while sitting or standing. ii. avoid bending forwards and lifting weights. iii. sleep on hard mattress. iv. gentle massage v. back exercises: Leg raising in dorsal recumbent position, push ups, swimming. Dr. Munish Sood Consultant & Physician Naimittika Clinic.

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Brief Answer: Prophylactic Aspect Detailed Answer: Dear XXXXXXX Thanks for reverting back with your concern(s) 1. Since Injury was the main reason behind this problem, did investigations done at that time revealed anything serious? 2. Did you checked up with vitamin level? 3. Your weight is requested not Date of Birth. 4. New Study suggests that smoking results in high blood pressure and heart diseases [get them checked from a Cardiologist], all of which are risk factors for occlusion of the arteries [atherosclerosis: check with lipid profile also] which is/are associated with the development of low back pain and degeneration of intervertebral discs: thus quitting smoking is the best treatment [use ‘tejpatra sticks’ which can be procured from local general store and when urge to smoke is there just chew these sticks] 5. If backache is there make sure SLR test and EHL weakness is tested by your Attending Physician [preferably Orthopedic Surgeon] 6. Since medicine differ from state to state thus it is possible a formulation of your region, and hopefully best suited for your condition. 7. Following common prescription drugs are available [at your discretion]: . maharasnadi kwath, mahayograj guggulu, erand tail, dashmoolarisht, rheumalya forte, Rheumalya liniment, Chandraprabha vati, Vishgarbh/saindhav tail . panchkarma procedure: baluka sweda, nirgundi vashp sweda. Dr. Munish Sood Naimittika

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