Brief Answer:
continue your medication along with Tab pantop ,Follow below instructions

Detailed Answer:
Causes of back pain
The human back is composed of a complex structure of muscles, ligaments, tendons, disks and bones - the segments of our spine are cushioned with cartilage-like pads. Problems with any of these components can lead to back pain. In some cases of back pain, its cause is never found.
Strain - the most common causes of back pain are
Strained muscles
Strained ligaments
Lifting weight improperly
Lifting weight that is too heavy
The result of an abrupt and awkward movement

When to Seek Immediate Treatment for Lower Back Pain
Most cases of low back pain do not require urgent care, but anyone should see a doctor immediately if low back pain is a result of trauma, or if pain is accompanied by any of the following symptoms:

Fever and chills
Unexplained recent weight loss
Significant leg weakness
Sudden bowel and/or bladder incontinence—either difficulty passing urine or having a bowel movement, or loss of control of urination or bowel movement (cauda equina syndrome)
Severe, continuous abdominal pain (abdominal aortic aneurysm)
A muscle spasm.
If pain persists or worsens, more involved diagnostic and surgical procedures may be recommended.

Treatment
Rest.
Ceasing activity for a few days allows injured tissue and even nerve roots to begin to heal, which in turn will help relieve lower back pain. However, more than a few days of rest can lead to a weakening of the muscles, and weak muscles have to struggle to adequately support the spine. Patients who do not regularly exercise to build strength and flexibility are more likely to experience recurrent or prolonged lower back pain.

Heat and Ice Packs.
Heat and/or cold therapy helps relieve most types of low back pain by reducing inflammation. Often patients use ice, but some prefer heat. Both may be used alternately.
See Heat Therapy for Lower Back Pain and Ice Packs for Back Pain Relief

Medications.
Pain killers and muscle relaxants would help in reducing pain. Ex Hifinac , Hifinac MR or ultracet tablets. you can continue your previour musclr relaxant tab along with XXXXXXX Pantop 500mg before food twice daily for 2 more days.

Exercise for Lower Back Pain.
Exercise is a key element of almost any lower back pain treatment plan. Typically an exercise program will be developed and taught by a spine health professional, such as a physical therapist, chiropractor, and will include three components: aerobic conditioning, stretching, and strengthening.

The exercises are best done through a controlled, progressive program, with the goal of building toward a stronger, more flexible spine.

i hope i have cleared your query to an extent

Thank you
Take care

Regards
Priyanka Raj

---

Brief Answer:
folllow bellow instructions

Detailed Answer:
hi,
thanks for writing again
i can understand your concern

XXXX you may continue muscle relaxant twice daily before food along with tab pantop 500mg.Take proper rest,
support your back while sitting for long hours
dont lift heavy weights untill you get recovered
keep hot fermentation over your back which increases blood circulation and give relaxation
get done hot oil massage on your back
you can use volini spray too.

usually the people who works lot in sitting position will be coming to us with such sort of back pain problems, we will give them above mentioned treatment

if you are having any doubts please come back to me

thank you
Regards
Dr Priyanka S

---

Brief Answer:
depends on each indivisual

Detailed Answer:
hi
welcome back again
Time duration is totally depend on each individual.
It depends on the cause of back pain, if its only muscle strain , it gets reduce in 3- 4 days.
If its due to slip disc , infection of vertebral bone , fracture of vertebral spine. that to be treated accordingly. so getting cured is totally depends on the cause of the pain.
for you if pain is not getting redused , meet your local doctor/orthopedic surgeon to get done examine.

thank you
take care

Regards
Dr Priyanka Raj

---

Brief Answer:
sciatica

Detailed Answer:
hi
Thanks again
Bases on your symptoms you are likely to have sciatica, this can lead to radiating pain from back to both lower limbs, some times it can be only one limb.(unilateral).
For further evaluation of sciatica you need to get done MRI whole spine done.

take care
Regards
Dr Priyanka XXXXXXX

---

Brief Answer:
due to sciatica

Detailed Answer:
Hi
Thanks again

Usually, sciatica affects only one side of the lower body and the pain radiates from the lower back to the back of the thigh and down the leg.
Sciatica symptoms vary based on where the compressed nerve root is located.

Nonsurgical Treatment for Sciatica includes

1 Heat/ice
Usually ice or heat is applied for approximately 20 minutes, and repeated every two hours. Most people use ice first, but some find more relief with heat. The two may be alternated. It is best to apply ice with a cloth or towel placed between the ice and skin to avoid an ice burn.

2. medication - oral pain killers and muscle relaxants are given for mild to moderate cases

3 Epidural steroid injections is given,if the pain is severe, an epidural steroid injection can reduce inflammation. Unlike oral medications, an injection goes directly into the painful area around the sciatic nerve to address the inflammation that may be causing pain.

You had tried heat therapy, oral muscle relaxnts but it is not resolved completely.
so you have to meet local orthopedic surgeon for diagnosis and for further evaluation, he might suggest you for epidural injection or any surgical procedures.

take care
Dr Priyanka Raj

---