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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Back Pain. Diagnosed As Lumbar Spondylosis. Back Ache Reoccured After Discontinuing Tablet. Suggestions?

hi doctor this is me pankaj jaiswal from nepal doctor i suffering from backache(while sitting and bending ) from last around 5-7 month and i went to simple physician after he seeing my x-rays report of my lumbar part he told me that i am having lumbar spondylosis problem for that he had given me few tablets that is gabaneuron, neorelax( aceclofenac ) or thioclococide, calcium tablet and pan 40 and suggested me to use lumbar belt and also to do some exercise i have taken that tablet for 10 days for a few days like 4 days i was experiencing my backache was little bit reduced after than i had discontinued that tablet and ofcourse exercise and again i am having the same back ache problem , actually i am not satisfy with that doctor suggestion so please give me suggestion that what could i have to do to just get rid from that pain and also suggest me what type of exercise that i have to do. i will be really thankful to u if u reply me asap
Tue, 20 Nov 2012
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Physical Therapist or Physiotherapist,  's  Response
Hello.
Thank you for posting your query.

The medicines help in reducing the initial inflammation and masking the pain. You need a good assessment of your back. The actual diagnosis of a low back pain depends upon the age of the patient, cause of the pain, and certain tests need to be done.

Does your pain radiate into the leg or is it just in the lower back (where you tie your belt)? If it radiates into the leg then that is a red flag symptom and needs immediate assessment. If the pain is on and off in the waist region and does not radiate then you can be less worried.

The best treatment of any low back pain is to exercise well and make your back and abdominal muscles very strong. The core muscles mainly the multifidus and the erector spinae protect and support the spine. You should visit a certified Ortho Physiotherapist and he would teach you exercises to strengthen your muscles. Generally a 3 month long exercise program strengthens the spine sufficiently that then you should not suffer from pain.

Some examples of exercises that you can look up on the internet are
1. Bridging exercises
2. Straight leg Raise
3. Static abdominal towel press
4. Knee to Chest
5. Hip Abduction/ Extension

These are the basic exercises that will help your pain but you definitely need to visit a good physical therapist.

Get well soon!!!
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Back Pain. Diagnosed As Lumbar Spondylosis. Back Ache Reoccured After Discontinuing Tablet. Suggestions?

Hello. Thank you for posting your query. The medicines help in reducing the initial inflammation and masking the pain. You need a good assessment of your back. The actual diagnosis of a low back pain depends upon the age of the patient, cause of the pain, and certain tests need to be done. Does your pain radiate into the leg or is it just in the lower back (where you tie your belt)? If it radiates into the leg then that is a red flag symptom and needs immediate assessment. If the pain is on and off in the waist region and does not radiate then you can be less worried. The best treatment of any low back pain is to exercise well and make your back and abdominal muscles very strong. The core muscles mainly the multifidus and the erector spinae protect and support the spine. You should visit a certified Ortho Physiotherapist and he would teach you exercises to strengthen your muscles. Generally a 3 month long exercise program strengthens the spine sufficiently that then you should not suffer from pain. Some examples of exercises that you can look up on the internet are 1. Bridging exercises 2. Straight leg Raise 3. Static abdominal towel press 4. Knee to Chest 5. Hip Abduction/ Extension These are the basic exercises that will help your pain but you definitely need to visit a good physical therapist. Get well soon!!!