Brief Answer:
Kindly get an "AirFLO" Orthopedic enhanced chair. Provide more details.

Detailed Answer:
Hi!

I have examined your query carefully, and studied the reports that you have sent us. Thanks for the details that you have provided in the query, they have been helpful.

1. I would ask you whether you have taken any medications for this problem, and whether you are taking any pain killers. Kindly mention, if you do have any chronic illnesses that require any medicines.

2. The MRI reports just indicate a straightening of the lumbar curvature. Note that this is a radiological artefact. From L5-S1 Junction onwards, the spine is normally curved, and abnormality that causes problems occur in curvatures such as lordosis, kyphosis and kypho-scoliosis. It is obvious, from the examination of your reports that indeed, there is no such issue.

3. Now, the commonest cause of the sort of problem that you are describing, lies in abnormalities of the discs of the spine. In this case, I would rule out a prolapse. Also, when the MRI was taken, your doctor indeed probably ruled out any pathology of the intervertabral discs. Further still, the dimensions of the discs are normal. Thus, we do not have any issue here.

4. And, I thank you for the clue that you have given to your diagnosis and the solution of your problem. You mention being a software engineer. It is statistically significant (by 2 deviations) that people who work on computers for the duration that you do have an occupational orthopedic hazard of 1) Lumbago and 2) Carpal Tunnel syndrome and occassionally, 3) Opthalmological issues.

5. The best solution, which is practical, and cheap is to get an "Air-FLO" chair to sit on. This is becoming very popular nowadays with many people working long hours on computers. This is a special orthopedically designed chair, just like an orthopedic matress, that augments the lower back. It also has special ergonomic support for the elbows.

6. "Air-FLO" is just one of the companies, making these chairs and you can purchase one from the brand of your choice.

7. Most doctors would give you a muscle relaxant and an analgesic. However, since I need to know the medications you are taking, we cannot make opinions on which medicines to take.

You can get back to me on this.

Note that this is no something new. Microsoft, has designed a special keyboard for people who had orthopedic issues with carpal tunnel syndrome. Again people, who had to work on computers for extended duration of time.

Thanks,
Dr. Neel Kudchadkar

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Brief Answer:
I am referring you to 2 super specialists. Kindly replace your medications.

Detailed Answer:
Hi!

I thank you for the further details. They were helpful indeed.

1) There is no spinal stenosis. If there were, and it existed in the areas that you suspect, then most probably, the pain would develop into a neurogenic claudication of the limbs, in addition, to the sort of problems, that you are facing already.

2) I share your concern. The inability to sit for an extended reasonable period is disruptive to any sort of work.

3) I have examined your blood report. The counts are inconclusive of pathology meaning, a causative factor for back pain.

4) The specific diagnosis is repetitive stress injury.

5) I will refer you to an orthopedic super specialist on healthcaremagic. His name is Dr. Aashish XXXXXXX MS. So, please send an email to YYYY@YYYY with the subject line "Attention: Query for Dr. Aashish Raghu". I know Dr. XXXXXXX and his work personally and I recommend him, however, you can surf to healthcaremagic website, and click on doctors, and then choose from a list of orthopedic super specialists, maybe a doctor who is close to where you stay, so you can follow up.

6) I am asking you to also send an email to YYYY@YYYY to with the subject line "Attention: Dr. Eriko Spaho". Now, This doctor is an Albanian Neuro surgeon and a spine specialist. I am very familiar with his work for more than a year, and I highly recommend him because he has solved similar cases with great panache. He is a nice person.

7) You can rewrite your question, add some details, think it over and then ask these 2 super specialists. It is a good idea to get a 2nd and 3rd opinion.

8) I am highly surprised, that you have been given very mild pain killers and medication. I would comment strongly here, that instead of the 2 drugs you are taking, they should be replaced with...

a) 1 muscle relaxant drug
b) at least 2 Painkillers, 1 NSAID high dose, and APAP combination.
c) Topical aceclofenac or diclofenac gel, with menthol for counter irritation.

All of my patients have gotten better, even those patients with hairline fractures, (chalk injury) with this sort of palliation. This combination of agents never fails to palliate back pain. In my experience of 10 years at least.

I hope I have perfectly answered all your questions.

Thanks,
Dr. Neel Kudchadkar

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