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Suggest Treatment For Pain And Pulled Muscle In Lower Back

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Posted on Fri, 20 Nov 2015
Question: for the last two and half weeks what i thought to have was pulled muscle in my lower back right side and went to dr and given meds for muscle spasm and something for inflammatory but nothing got rid of pain. so i went to another dr and he said it was not my back but it was my hip. so he gave me tyl #3 and shot in my hip for pain and sent me to get x-ray. yet x-ray was neg but yet still had pain but not a level 10 maybe an 6. i was given 2 diff meds one being tramadol 50mg to 1 every 8 hrs as needed. yesterday my leg/hip and lower hurt me so back i took 2 of them and pain was finally down to a 4 which is great. if felt like i was getting flu shots in my thigh area, very strange. i still say it is my back. any suggestions.
doctor
Answered by Dr. Muhammad Hanif (3 hours later)
Brief Answer:
It seems to be the lower spine involvement (Lumbosacral area).

Detailed Answer:
Thanks for the consultation at my virtual clinic HCM!
I have carefully worked through your case, and can well realize your health worries. Being your physician, I will take care all of your medical concerns today and will put my best efforts to get you out of this situation.


It doesn't look like you are having the muscular spasm. It seems to be due to the backbone (the spine) in the lower lumbar and sacral area.

Probabilities may be spinal vertebral disease ( the bone involvement ) in which sometimes the intervertebral joints are also involved. Curve of the spine is a reason sometimes (kyphosis or kyphoscoliosis).

Major issue that is very common is the backward bulging of the cushion that is in between every two vertebrae in the spine ( named as the intervertebral disc herniation). When it happens, there is pinching of the nerves emerging from the vertebral foramina and supplying the thighs and legs. These nerves also pass by the hip joints and that's why one of the physician went for a suspicion of hip joint. He may also be thinking of the involvement of the hip joint itself as it is also one of the major joints involved in musculoskeletal system disorders.

Final Suggestion:-
Please consult an Orthopedist for proper evaluation and treat the underlying cause after diagnosing.
He will have to go for the complete history taking and thorough physical examination along with some tests. Also you need an MRI of lumbosacral spine to see the clear picture of the cause. Without that it is difficult to go for cure in this case.


Avoid excessive sitting and standing. No strenuous activity. No weight lifting. Any pull up on the back may hurt you a lot more. You may keep taking the painkillers for symptomatic relief but this isn't the treatment. Make an appointment with an Orthopedist.


Hope I answered all of your questions. Let me know if you have further clinical concerns or doubts. I will be more than happy to get back to you with expert opinion. Please don't forget to give Five Star rating to help me assist my patients in a better way; and, please don't forget to 'Close This Discussion'.
For any disease you have, a timely follow-up is very necessary regarding the treatment efficacy and to see if there is a need to change the treatment options. So keep a follow up to see how you doing (Always write down my name in the start of your questions at HCM & I will be with you in no time).


Regards!
DR. XXXXXXX HANIF
USA
Follow me on my Healthcare Magic google+ profile: XXXX
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Muhammad Hanif

General & Family Physician

Practicing since :2009

Answered : 2369 Questions

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Suggest Treatment For Pain And Pulled Muscle In Lower Back

Brief Answer: It seems to be the lower spine involvement (Lumbosacral area). Detailed Answer: Thanks for the consultation at my virtual clinic HCM! I have carefully worked through your case, and can well realize your health worries. Being your physician, I will take care all of your medical concerns today and will put my best efforts to get you out of this situation. It doesn't look like you are having the muscular spasm. It seems to be due to the backbone (the spine) in the lower lumbar and sacral area. Probabilities may be spinal vertebral disease ( the bone involvement ) in which sometimes the intervertebral joints are also involved. Curve of the spine is a reason sometimes (kyphosis or kyphoscoliosis). Major issue that is very common is the backward bulging of the cushion that is in between every two vertebrae in the spine ( named as the intervertebral disc herniation). When it happens, there is pinching of the nerves emerging from the vertebral foramina and supplying the thighs and legs. These nerves also pass by the hip joints and that's why one of the physician went for a suspicion of hip joint. He may also be thinking of the involvement of the hip joint itself as it is also one of the major joints involved in musculoskeletal system disorders. Final Suggestion:- Please consult an Orthopedist for proper evaluation and treat the underlying cause after diagnosing. He will have to go for the complete history taking and thorough physical examination along with some tests. Also you need an MRI of lumbosacral spine to see the clear picture of the cause. Without that it is difficult to go for cure in this case. Avoid excessive sitting and standing. No strenuous activity. No weight lifting. Any pull up on the back may hurt you a lot more. You may keep taking the painkillers for symptomatic relief but this isn't the treatment. Make an appointment with an Orthopedist. Hope I answered all of your questions. Let me know if you have further clinical concerns or doubts. I will be more than happy to get back to you with expert opinion. Please don't forget to give Five Star rating to help me assist my patients in a better way; and, please don't forget to 'Close This Discussion'. For any disease you have, a timely follow-up is very necessary regarding the treatment efficacy and to see if there is a need to change the treatment options. So keep a follow up to see how you doing (Always write down my name in the start of your questions at HCM & I will be with you in no time). Regards! DR. XXXXXXX HANIF USA Follow me on my Healthcare Magic google+ profile: XXXX