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Suggest Treatment For Excruciating Lower Back Pain

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Posted on Fri, 13 Feb 2015
Question: I have excruciating lower back pain that that occurs only when I lie on my stomach and usually only after I have done a heavy load carrying task like walking with a 15kg backpack. do you have any idea what the problem could be? Also, the pain usually subsides after 1-3 minutes.
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Answered by Dr. Vaibhav Gandhi (56 minutes later)
Brief Answer:
Most probable reason for your symptoms could be postural problem.

Detailed Answer:
Hello,

I have studied your case.

Most probable reason for your symptoms could be postural problem as you may be sitting for long time in wrong position and working with heavy weight.
Back muscles may go into spasm due to heavy weight leading to sudden pain.

When such patient comes to my hospital we usually take x ray spine or if required MRI to see for any nerve compression.
Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor.

You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case.

Some life style modifications to prevent pain– Take break every 40 min from computer/heavy work and do some lumbar rotation, stretches, walk and get back to work. Sit with taking support to your back, and do not watch television constantly.
I will advise to check your vit B12 and vit D3 level.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

If you find this answer helpful do not hesitate to rate this answer at end of discussion.
Take care.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
Answered by
Dr.
Dr. Vaibhav Gandhi

Orthopaedic Surgeon

Practicing since :1998

Answered : 5164 Questions

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Suggest Treatment For Excruciating Lower Back Pain

Brief Answer: Most probable reason for your symptoms could be postural problem. Detailed Answer: Hello, I have studied your case. Most probable reason for your symptoms could be postural problem as you may be sitting for long time in wrong position and working with heavy weight. Back muscles may go into spasm due to heavy weight leading to sudden pain. When such patient comes to my hospital we usually take x ray spine or if required MRI to see for any nerve compression. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. Some life style modifications to prevent pain– Take break every 40 min from computer/heavy work and do some lumbar rotation, stretches, walk and get back to work. Sit with taking support to your back, and do not watch television constantly. I will advise to check your vit B12 and vit D3 level. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not hesitate to rate this answer at end of discussion. Take care.