What Is The Treatment For Severe Chronic Lower Back Pain?

Question: I find myself in a very difficult situation. My wife has a chronic lower back paid which is pretty severe and I believe there is something wrong because of which she has the pain. This started in March 2013 and we went to see an orthopedic surgeon. He asked for an Xray, which did not show anything, he asked for a MRI of the lumber spine, it was done, still no results, the report came out clean. The doctor said nothing to worry. We went to a second orthopedic doctor who also said the same thing, yet my wife is in severe pain and she is having to live and work with it every day. I do not know who to see and what to do. Her sister has Spinal Tuberculosis, could she be also affected with that? or could it be some problem with her kidney? She has already been diagnosed of Hiatus Hernia and underwent a treatment for that. Could there be some issues with her colon? Please suggest which doctor or specialist should we see now?, so my case was closed. I asked the above question and below is the reply which I received. I was late in replying to the doctor so my case was closed. My wife has already undergone a pelvis usg once usg of the lower abdomen another time, both times it came out clean. So based on the below answer what should I do now? Who should I consult, can you refer me someone in Hyderabad who can help? My wife has severe paid from lower back that extends to her legs and feet. Brief Answer: See a general surgeon Detailed Answer: Hi Thanks for posting your query on HealthcareMagic. Yes, if back pain is present, then a cause would also be there. Now it is not easy to find cause when MRI came back negative. I would like to answer you specific questions: I do not know who to see and what to do. A. See a general surgeon Her sister has Spinal Tuberculosis, could she be also affected with that? A. Yes it is possible. Can do PPD or Montoux test to start with. or could it be some problem with her kidney? A. Yes kidney problems can be an issue. Can get a urine analysis and an ultrasound abdomen to check. She has already been diagnosed of Hiatus Hernia and underwent a treatment for that. Could there be some issues with her colon? A. Yes colon can be affected. Let us first do an ultrasound of an abdomen. Hope it helps. Let me know if you have further queries.

Hello Doctor, Thank you so much for your prompt response. Please see the answer to the questions you asked above: 1) Cramp like 2) Standing for long hours, bending, climbing stairs, lifting heavy things, walking for long distances increases the pain. There is nothing that decreases the pain. She tried hot water therapy, using heating pads, etc, with no result. 3) The bowel motions are not normal, she has constipation at times, Bladder motions are normal. Please let me know what to do next and if we need to see any specific type of doctor and if you can refer anyone in Hyderabad.

Hello Doctor, She was under laxatives for quite sometime during her treatment of Hiatus Hernia, but it never helped. Even when she had normal bowel movements this back pain was always there, however, the pain extending to the legs and feet have started and taken severe proportions in recent times. She eats a lot of vegetables. She has extreme pain in the bones in her feet as well. Could it be because of overweight? But you need to give me some solutions fro the lower back and leg pains. Could we not see a doctor, take some tests, to make sure nothing is actually wrong? She keeps on telling that it seems after sometime because of this pain I will be crippled and I feel helpless as I have no idea what to do?

Hello Doctor, We have seen an orthopedic surgeon, Dr. Jairamchander Pingle, he hardly showed any interest after the MRI did not show anything. So can you recommend someone in Hyderabad who will take good care and see my wife?

Hi Doctor, She is a school teacher, she runs around the school the entire day, has a lot of physical activity, still does not lose weight. She has thyroid issues but she takes medicines for that, so I am not sure how she can lose weight, she doesnt even have proper time to sleep. Do you think that bariatric surgery would be a good option?

Hello Doctor, I have attached the last thyroid test report that was done in Aug 2013. Also she is taking Thyrox 75 daily for a long time now. Her BMI is 31.9. Would you know approximately how much can a bariatric surgery cost?