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Back pain due to sudden twist, reduction of tummy size - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Good Posted in: Back Pain
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1770 Questions
Doctor :   Hi
User :   Hi
Doctor :  
How can i help you
User :  
I am having back ache since 2 yrs
Doctor :   ok

Doctor :  
proceed
User :  
Its a muscular cramp
User :  
It started in 2007 Nov
Doctor :  
I will ask you few more q
User :  
I was then going to VLCC and then I stopped post the cramp
User :  
And In 2008 Jan , i got pregnant and could not take any medication for the same.
Doctor :   what is your name

User :  
Post delivery, the pain increased and I went in for SW in Jan 2009
User :  

Doctor :  
what is your age
User :  
Now because of the baby care activity, the cramp has increased
User :  
My age is 33 yrs
Doctor :   what is your occupation
User :  
Banker
Doctor :  
what is your weight
User :  
Post pregnancy weight is 60 kg,before pregnancy 55 kg and height is 154 cm and adviced weight for my height is 54-55 kg. Thats the reason I joined VLCC.
Doctor :  
what is your height
User :   its already been answered above.

Doctor :  
ok
Doctor :   what did your doctor said about your backache
User :   Has asked to give the back rest and not to do excercise except walking for next 6 months. I am having crosin everyday 2-3 times

Doctor :   ok

Doctor :  
now about your delivery
Doctor :  
was it normal
User :   yes
Doctor :  
or surgery was done
Doctor :  
ok
Doctor :  
any investigation was done on your back
Doctor :  
like ct scan of spine or mri of spine
User :  
do you mean by a doctor?
Doctor :  
ya it is a investigation
User :  
no
Doctor :  
any x ray was taken
User :   yes
Doctor :  
what did it say any idea
User :  
stiffness of back
Doctor :   ok i will summarise now

Doctor :  
you are 33 yrs old
Doctor :  
you have back pain since 2 yrs
User :  
yes
Doctor :  
your weight for height is in normal limits
Doctor :  
you are a banker and do work sitting most of the time
Doctor :  
you have a kid and it was a normal delivery
Doctor :  
why did you join VLCC
Doctor :  
any specific reason for that
User :   I am a banker but i work sitting as well as i am in sales so go for marketing as well

User :  
i have two kids
Doctor :   ok

User :  
one is 4 yrs and the other is 10 months. Both were normal delivery
Doctor :  
are you there
User :  
I joined VLCC as I wanted to reduce my weight to 52-54 kgs post my first kid was born
Doctor :   do you relate the appeareance of back pain after joining VLCC

User :  
Actually, I joined on Nov end and attended 2 session post which the pain increased. Hence I discontinued.
Doctor :  
are you on any pain relieving medications
User :  
since I am feeding, I take only crocin
Doctor :   it is parecatomol
Doctor :  
ok
Doctor :   since you are suffering from back pain 2 years with on and off remissions
User :  
earlier I was on pain killer like Combiflame, brofin and then when I was detected pregnancy, i discontinued
Doctor :  
what do you feel the cause to be
Doctor :   that is your perception i want
User :   Lifting the baby with the left hand is increasing

Doctor :  
i like to give few details of back pain
User :   give
Doctor :   what causes back pain
User :  
ok but i also need a suggestion
Doctor :   back pain may originate from bone nerve or muscke
Doctor :  
yes first i like to make you what is the cause for back pain
Doctor :  
than i will tell you the remedies
User :   ok

Doctor :   pain comes from bone, muscle and nerve

User :   ok

Doctor :  
also from other structures like bloodvessels and other organs can cause pain
Doctor :   other organs also
Doctor :  
now first thing is which structure is causing pain
Doctor :  
your is muscle as it is told to me
User :   yes

Doctor :  
as muscles support the important structure spine and spinal cord
Doctor :  
they are usually powerful in nature usually
Doctor :   any injury to muscle will cause pain and stifness to the back
Doctor :   injury need not be direct trauma
Doctor :  
it can be in the form of sudden twist and turn
Doctor :  
improper sitting posture over long period of time will put muscles under tension
User :  
its a sudden twist and turn which started the pain and now it aggrevates each time I move my left hand or lie down on the left side while feeding
Doctor :  
yes
Doctor :  
it means there was an injury
Doctor :  
to muscle
Doctor :  
and it has not been treated completely
Doctor :  
initally
Doctor :  
so now it has become chronic
Doctor :   now treatment of back pain in muscle origin pain
Doctor :  
the treatment is absolutely bed rest
Doctor :  
pain relieving medicines and muscle relaxants to
Doctor :  
relive discomfort
Doctor :  
so in a week it should be cleared in acute stage
Doctor :  
now your problem is chronic that is it has become long standing problem
Doctor :  
did you understand if not tell me
User :   yes.

Doctor :  
ok good
User :  
But then tell me how can I take complete bed rest with 2 kids. I can take leave from office but not from kids. Thier daily chores
Doctor :   now wt to do for your pain
Doctor :  
ya that is wt it is i am discussing
User :  
ok tell
Doctor :   you need to rest as much as possible
Doctor :  
than apply ice cold water to the affected part 3 to 5 minutes at a time for 3 or 4 times a day
Doctor :  
every application of ice should be spaced 1 and half hour appart
User :  
I wanted a clarification. I started SWD yesterday at the effected area and I also have a small machine to give heat with a vibrator. I use that everyday night post the children sleep, Now u are telling to put ice. Can I do both?
Doctor :  
who advised SWD
User :  
The doctor
Doctor :   ok
Doctor :  
i will tell you all the methowds
Doctor :  
as i have other patients also i an little slow
Doctor :  
please bear with it
Doctor :  
ice need to be applied only for 3 to 5 minutes at one particular palce. prolonged application will have no effect
Doctor :  
also after applying once the interval to apply next time should be minimum of 1 and half hour
Doctor :  
ok
Doctor :   you also continue the SWD to the affected part
Doctor :  
it also will help reliving the symptoms
Doctor :  
than consult your doctor ask him for a spine belt of appropriate size to you
Doctor :  
to were that belt when ever you travel or work
Doctor :  
that is you can were this in the morning times
Doctor :  
than muscle stretching exercise
Doctor :  
as the muscles are stiff it needs to be stretched
Doctor :  
the back muscle stretch exercise you should do every day several times
Doctor :  
did you understand
Doctor :  
are you there
User :  
yes
Doctor :  
good any doubt or question you have
User :  
yes, whats the max time between the ice pack.
User :  
Can I do it in the morning and then in the night
Doctor :  
yes
User :  
I have a belt but the upper side of the best actually tocuhes the place where i have the cramp which pains more, Hence discontiued
User :   So you advice me to go to pysiotherapy and learn the stretching exercise

Doctor :   yes that stretching is needed to lengthen the stiff muscle

Doctor :   so your treatment goes on like this

Doctor :  
rest
Doctor :  
ice
User :  
ok
User :  
also SWD is it
User :  
but for how many days?
Doctor :  
massage in the form of Swd or physical massage
Doctor :  
than stretch exercise
Doctor :  
and then muscle strengethening exercise
Doctor :  
all this will take some 3 to 6 months
Doctor :   can you repeat the sequence of therapyes that need to be followed

User :  
I also want a diet chart to increase my protein content and derease my fats/carbohydrates. Is it good to diet now at this stage with back pain.
Doctor :   no

Doctor :  
as your muscle is injured
Doctor :  
and it is in a process of regeneration
Doctor :  
and also your weight and height is ok
User :  
tell me, if my muscle is injured, can i do excercise
Doctor :   wt i said stretch exercise is for injured muscle

Doctor :  
now tell me the sequence please it is important
Doctor :   Are you there

Doctor :   are you there

Doctor :  
are you there
User :  
yes
Doctor :  
i was about to close the window
Doctor :  
ok tell me the sequence
User :  
rest ....which is little difficult, then ice pack then SWD, then stretch excercise, then musle strenghtening excercise
Doctor :  
yes
Doctor :  
medication is for relief only and not for cure
User :   now my friend wants to chat

Doctor :  
what i spoke is for cure of the disease
User :   ok
Doctor :   please fill the feed back form

User :  
thanks. done
Doctor :   any thing i can help you

Doctor :   plz reply i have many patients waiting for me

User :   no thank you, my friend wants your help now

User :  
she is also working with me in the same organisation
Doctor :   ok plz proceed

User :  
hello doctor, how are you doing? I am AAAAAAA
Doctor :  
i am fine tell me how can i help you
User :  
I started having pain for the last few weeks on the area below my neck on the back side of my body
Doctor :   ok

User :   i am 29 years old & recently shifted our office to a different floor where the seating arrangement is not very comfortable
User :  
i analysed that my other colleageus are also facing some or the other problems related to back ache etc after moving to this new floor
Doctor :  
improper position
Doctor :  
causing strain to your back muscles
User :   yes thats right but i cant avoid sitting here
Doctor :  
as like your friend she picked it up by an improper movement
User :  
the pc is placed on the left hand side of the table n i have to sit on the right hand side
Doctor :  
ok
User :  
im not sure if its a muscle pain but when i use reli spray n take rest its gone
Doctor :   it is muscle sprain only

User :  
its actually the area excately below the neck between the shoulders
User :  
ok
Doctor :  
and you are putting stress repeatedly on the tired muscle
User :  
even now i have that while sitting the pc
User :  
yes
Doctor :  
ewwkends are off na
Doctor :  
week ends i mean
User :  
no only 1 saturday a month is an off
Doctor :   ok

Doctor :  
you need massage
Doctor :  
oil massage
User :  
ok
Doctor :  
coconut oil warm
User :   ok
Doctor :  
every sunday get this done
Doctor :  
till you are in that office
Doctor :  
and that seating arrangments
Doctor :  
or buy some pillow to make yourself comfortable
User :  
ok
Doctor :  
any other problem you have
Doctor :  
ha regarding food
Doctor :  
avoid junk foods an oil stuff
Doctor :   or reduce it

User :  
ohh
Doctor :  
any thing else i can do for you
Doctor :   please fill the feed back form
User :   i have done

User :  
but i have 2 more questions
Doctor :  
yes please
User :  
i am 29 & married for 1 yr 3 months now
Doctor :  
ok
User :   all my friends were suggesting that i need to have kids now
User :   my question is can i wait for a couple of more yeares
User :  
my husband is 30 now
User :   my 3rd question is my weight is 55 & height is 5' 3'' but my tummy size is growing day by day what do u suggest?
Doctor :  
ok
Doctor :  

User :  
sorry this is
User :   friend working in the same bank
Doctor :  
i am Physician and dietitian
User :  
okcan you pls help me out
Doctor :   i will help you in this
User :   ohh thank you
Doctor :   can i ask few Q
Doctor :  
do yu have any family history of obesity
Doctor :  
as per your ht and wt
Doctor :  
your body mass index is 21
Doctor :  
which is normal
Doctor :  
you are not over wt or obese
User :  
ok
User :  
my mom is a bit heafty in weight but dad is a sports person & is thin
Doctor :  
i understand your problem its your tummy right
User :  
thanks thats rgt
Doctor :  
your ideal wt is 55- 58 kgs
Doctor :  
i will advice you few diet tips and exercise for reduction of tummy
Doctor :   first let me concentrate on diet

User :  
ohh thaks a lot
Doctor :  
do yu prefer more spicy and oily foods
User :  
i used to have spicy befor marriage but now its totally changed
Doctor :  
ok
Doctor :  
are you a vegetarian or mixed diet
User :  
oil is not excess but i eat lunch outside daily
User :  
a pure veg
Doctor :  
ok
Doctor :   wat oil do you use for cooking
User :  
its either cocunt or sunflower oil but at home i eat very less oil
Doctor :  
ok
Doctor :  
ideal suggestion for you is
Doctor :  
to use Olive or Canola oil
Doctor :  
as it contains less saturated fat
User :  
i used to attend dance classes for 3-4 months & stopped & my weight increased by 2 kgs from 53 to 55 now
Doctor :  
even sunflower oil is fine
Doctor :  
ok
Doctor :  
do yu consume milk or curd
User :   a small glass milk but not curd

Doctor :  
ok
Doctor :  
its better to go for skimmed milk
Doctor :  
as it contains less saturated fat
Doctor :   curd - low fat yogurt in diluted form is good
User :   ok

Doctor :   need to avoid fat foods like cheese, butter, panner, and ghee
User :  
ok but paneer i heard is just protien n not fat
Doctor :  
no even paneer also contains fat
Doctor :  
that too saturated fat
User :   ok

Doctor :  
need to avoid junk foods like pizza and pastries
User :  
ok
User :  
do u suggest any excercises as well Dr ?
Doctor :   even carbonated drinks like pepsi and coke
User :  
ok i dont have it anyways
Doctor :  
first and the fore most i will prepare a diet chart for you
Doctor :  
i will also advice some aerobic exercises
Doctor :  
like brisk walk
Doctor :  
the advantage of this exercise is
Doctor :  
1. it burn the fat into calories, and reduces the bad cholesterol and improves the good cholesterol
User :   ok

Doctor :   2. at the time of this exercise there are certain hormone like substance endorphins released from the body
Doctor :  
the reduce the stress and tension levels
Doctor :  
do yu know wat is brisk walk
Doctor :  
???
User :  
not exactly
Doctor :  
i will guide you in this
User :  
also suggest the duration of the walk
Doctor :   a) speed less than jogging and more than the normal walk
Doctor :  
b) free movements of shoulder and arms
Doctor :  
c) atleast 30 min per day
Doctor :  
for 4-5 days in a week
Doctor :  
it should be only on a plain grounds. no ups and downs
User :  
ok
Doctor :   from my side i need to do 2 works
Doctor :  
one is diet chart
Doctor :  
other is exercises to reduce the tummy
Doctor :  
i will send you both the files
Doctor :  
please give you e- mail ID
User :  
ok
Doctor :  
is there any thing else i can help you with ?
User :  
radhika19_80@yahoo.com, AAAAAAA pydimarri@hdfcbank.com
Doctor :  
ok
User :  
yes pls respond to the 2nd question
Doctor :  
Please fill the feed back form and comment box
Doctor :   i will respond the second Q proceed
User :  
i had already mentioned it earlier about me planning for kids after 2 to 3 years...
Doctor :  
i am new doctor
Doctor :  
sorry,please give a brief histroy
User :  
im 29 & my husband is 30 & we are married for 1.3 yrs
Doctor :  
ok
Doctor :   please proceed
User :   my friends were suggesting that its high time for me to have kids but can i wait for another 2 - 3 years?
Doctor :   let me ask few Q
Doctor :  
wat type of family planning methods are you using
Doctor :  
hi are yu there
User :  
yes
User :  
im not using anything
Doctor :  
ok
Doctor :   its a ideal time for you
Doctor :  
to go for kids
Doctor :  
not to delay because its 29 yrs and 30 for your husband
Doctor :  
are yu planning for a kid AAAAAAA
User :   not immediately
Doctor :   but its better to have kid before 30 yrs
Doctor :   because after 30 yrs the release of eggs from ovary will reduce
User :  
ohh
Doctor :   the chances of complications in pregnancy is increased
Doctor :  
and even the baby will have high risk for any birth anomalies
Doctor :  
so its a ideal age for you
Doctor :  
for men the age does not matters, for female the age matters for conception
Doctor :  
if you have some confusion in conception
Doctor :  
you can go fro pre conceptional counsellling
User :  
can i have more information on that from you Dr
Doctor :  
there they will guide you properly
Doctor :   yes will help u
Doctor :  
where do yu stay
Doctor :  
area
User :  

Doctor :  
ok
Doctor :   A gynecologist will guide you in this
Doctor :  
do you have apollo hospital there ?
User :  
yes
Doctor :  
thats good
Doctor :   a direct one to one counseling will help you more on this
User :  
ok thanks for that but are you aware of the Fernandes Institute at Abids,
Doctor :   yes i am aware of it
User :  
how good is it? Do u suggest anyone there?
User :  
Its actually close by to my office
Doctor :   its a good hospital
User :   ok

Doctor :   this hospital dedicated for women and child health
Doctor :  
Dr AAAAAAA Rathna
Doctor :  
or Dr Shashikala D
User :  
ok thank u for that :)
Doctor :  
are good gynecologist there
Doctor :  
you can consult them
Doctor :  
will send you the diet chart and exercise chart with in 24 hrs
User :   thats a lot

Doctor :   please fill the feed back form and comment box
User :  
thanks a lot
Doctor :  
ok
Doctor :  
take care bye for now
User :   bye you too take care, happy weekend

Doctor :  


Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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Doctor :  
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