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Lower back pain and stifness towards the stomach - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Back Pain
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   hello doctor
Doctor :   HI
Doctor :   Please post your query
User :   wanna discuss about the backbone pain.
Doctor :   May i know your age and occupation?
User :   my maid is suffering from pain in mid to lower backbone every morning
User :   she is around 30 years
Doctor :   ok
Doctor :   How long she is having it?
User :   2 months
Doctor :   Did she have an history of fall?
Doctor :   or any history of trauma
User :   no
Doctor :   ok
Doctor :   Is it assctd with excessive work?
User :   at start it was on the bone but now she feels it is sfifting towards stomach
Doctor :   Back pain is classified according to etiology in mechanical or nonspecific back pain and secondary back pain. Approximately 98% of back pain patients are diagnosed with nonspecific acute back pain which has no serious underlying pathology.
User :   she does household work at varios places
Doctor :   DiD she undergo any investigations?
Doctor :   ok
Doctor :   Like Xray
User :   no she has been consulting doctor but he has just specified tablets to xray done
Doctor :   ok
Doctor :   The treatment very much depends on the precise cause of the low back pain.
User :   with some exercises
Doctor :   Moreover, each patient must be individually evaluated and managed in the context of the underlying background health status and activity level.
Doctor :   OK
User :   what culd be done in this case doc..
Doctor :   First thing to do is to rule our bone pathology by taking an xray
Doctor :   and do an physical examination
User :   ok doc
Doctor :   Some times urinary infections would also cause back pain
Doctor :   is she having any pain during urination
User :   this may due to her hectic routine all the cores are related to standing positions
Doctor :   Any history of kidney stones for her?
Doctor :   ok
Doctor :   short term relief includes
User :   no doc
Doctor :   Heat therapy,Use of medications, such as muscle relaxants,opioids, non-steroidal anti-inflammatory drugs (NSAIDs/NSAIAs) or paracetamol (acetaminophen).
Doctor :   Depending on the particular cause of the condition, posture training courses and physical exercises might help with relieving the pain
User :   ok doc..
Doctor :   Exercises can be an effective approach to reducing pain, but should be done under supervision of a licensed health professional.
User :   thank u doc... n x ray wil defenetely clear up the picture
Doctor :   Physical therapy consisting of manipulation and exercise, including stretching and strengthening (with specific focus on the muscles which support the spine). '
Doctor :   yes sure
Doctor :   Xray is very important
Doctor :   first investigation
User :   ok doc..thank u so much..
Doctor :   then comes the role of MRI etc
User :   ok
User :   thank u doc..
Doctor :   iS there anything else i can help you with?
User :   no ..thank u doctr
Doctor :   Thanks for consulting..bye for now
Doctor :   Bye..
User :   bye
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