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What Causes Chronic Lower Backache?
Question: I am a 44 year old female having severe lower back pain for 11+ weeks in lower middle of my back that is like a stabbing, throbbing pain especially when walking standing or movement. Had an x-ray done and MRI (uploaded reports). Saw an orthopedic who did not say much except to stay on anti-inflammatory meds, pain meds and muscle relaxers and sent me to physical therapy for the last 4 weeks which has taught me how to use my stomach muscles more and helped me a little bit but pain is just so severe. Degenerative disc problems run in my family both parents and sisters. Still don't know what my actual diagnoses could be or how I can finally be free of this horrible pain I am in. What can I do so I can live normally again.
Brief Answer:
Your x rays and MRI are near normal
Detailed Answer:
Hi,
Thanks for choosing healthcaremagic for posting your query
I'm Dr. Sudhir Kumar,
I have gone through your question in detail and understand your concern.
I studied your x ray and MRI. These are normal except mild facet arthrosis at L4-L5 on x ray (mild degenerative changes).
You are having chronic backache which may be related to muscle weakness and vitamin and trace elements deficiencies along with mild degerative changes. Treatment of it is analgesic ( you are already taking Vicodin 7.5/325). Back excercises will be of benefit after pain relief. For degenerative changes Diacerine and glucosamine are useful as these prevent and repair degenerative changes to some extent. Furthermore vitamin D3 deficiency is important cause of back pain. So you can get your vitamin D3 level and if found low you can take its supplements. Multivitamin supplements will be beneficial.
You can discuss with your treating Doctor about it.
Hope I have answered your query.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
In future if you wish to contact me directly, you can use the below mentioned link:
https://www.bit.ly/askdrsudhirortho
Wishing you a good health.
Take care.
Your x rays and MRI are near normal
Detailed Answer:
Hi,
Thanks for choosing healthcaremagic for posting your query
I'm Dr. Sudhir Kumar,
I have gone through your question in detail and understand your concern.
I studied your x ray and MRI. These are normal except mild facet arthrosis at L4-L5 on x ray (mild degenerative changes).
You are having chronic backache which may be related to muscle weakness and vitamin and trace elements deficiencies along with mild degerative changes. Treatment of it is analgesic ( you are already taking Vicodin 7.5/325). Back excercises will be of benefit after pain relief. For degenerative changes Diacerine and glucosamine are useful as these prevent and repair degenerative changes to some extent. Furthermore vitamin D3 deficiency is important cause of back pain. So you can get your vitamin D3 level and if found low you can take its supplements. Multivitamin supplements will be beneficial.
You can discuss with your treating Doctor about it.
Hope I have answered your query.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
In future if you wish to contact me directly, you can use the below mentioned link:
https://www.bit.ly/askdrsudhirortho
Wishing you a good health.
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. Yogesh D
Answered by
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