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Having back pain problem. What could be the cause and suggest the cure? - Online Doctor Chats

Date : 12-Sep-2013
User rating for this question
Very Good Posted in: Back Pain
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
Doctor:How can I help you?
User:Hi Sir, GM
User:Here :)
User:my name is also XXXXXXX
Doctor:I would be Dr. Prasad; please proceed with your query.
User:i am having back pain problem now
User:not sure whether it is due to stress/nerve problem or anything else
User:how to cure this
Doctor:I am glad that you are looking for a cure and not treatment of pain.
Doctor:The cure starts with finding the exact cause of back pain.
User:so should i go for any test or check up?
Doctor:Since back pain can be caused by multiple factors that includes local back muscle spasms, improper posture, systemic disease as well as spine problems it is essential that you figure out your causes.
Doctor:Yes, a detailed clinical examination and test is going to be necessary. But before I comment on testing, can you describe your symptoms?
Doctor:Since when you have this back ache?
Doctor:Which part of the back hurts?
User:i have this since last 6 months
Doctor:Is it the lower back or upper back?
User:Lower back or sometime even the upper back
Doctor:Is the pain localised to the centre or paracentral areas?
Doctor:Do you have a continuous pain or intermittent pain?
User:intermittent pain
Doctor:Location - centre along the spine or paracentral besides the central spine?
User:centre along the spine
Doctor:Since the pain is intermittent, do you notice factors that starts/worsens the pain and relieves it?
User:yes, happens
Doctor:Can you name those factors?
User:not able to get u sir, Sorry
Doctor:I mean if you have noticed any factors that starts/worsens pain or relieves this pain?
Doctor:Does the pain radiate to below to the legs? doesnt
Doctor:Any problem while passing urine/passing stool?
User:no nothing...its perfect
Doctor:May I know your age?
User:29 years
Doctor:Do you have any other medical illness such as diabetes/thyroid problems?
Doctor:Thanks for providing these details.
Doctor:The symptoms you describe does not seem to be related to serious spine problems which require immediate medical attention.
Doctor:However the role of posture, systemic factors need to be assessed by the doctors.
Doctor:So yes, you need to plan a visit to an orthopedician whenever feasible.
User:ok sure, will do that. Thanks for yoir advise
Doctor:he can examine the spine area and if need order for blood test - blood count, ESR, Calcium, thyroid hormones as well as X-rays.
Doctor:If no serious problems are found, he will suggest physiotherapy and ergonomic improvements.
Doctor:During this time period, if you develop pain, you can take oral pain killers like ibuprofen along with topical agents like volini gel.
Doctor:That should suffice in reducing the pain.
Doctor:Have you followed what I suggested?
Doctor:Do you have any other questions?
User:Yes, got it..Thnx for ur advise
User:no questions, we can close this chat session
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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