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Reason for lower back pain after getting from sleep? How to rectify? - Online Doctor Chats

Date : 11-Jun-2013
User rating for this question
Very Good Posted in: Back Pain
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2307 Questions
User:Hi Doctor..
Doctor:How can I help you?
User:Good afternoon...
User:This was regarding my back pain..
User:I have this weird kind of back pain...its only when I sleep..
Doctor:Ok the night when I sleep..its ok..but the back pain comes always in the morning..which makes me get up from bed like an alarm...
User:cannot sleep after that..
User:but as the day passes.. the pain goes of..
User:so its basically on in the morning which forces me to get up due to excruitating pain
User:so what could be the reason & the solution..
User:I have also observed...its not only on my bed..its anywhere I sleep..
User:kindly advice..
Doctor:Since when are you having this problem?
User:from almost 10 months now..
User:tried & got a scan done..
User:all seems normal..
User:the kidney etc..all
Doctor:Can you specify the exact location of pain - is it in the centre (spine) or by the side (paraspinal), lower back or upper back?
User:lower back..on either sides...
User:by the sides..
User:and at times lower spine..
Doctor:Does the pain radiate down to your legs and feet?
Doctor:Do you have any problem while passing urine/stools?
User:when passing urine no..
User:but at times have this mucus kinds in my stools...
User:rarely though
Doctor:May I know your age, your current height and weight?
Doctor:Do you have history of diabetes, high blood pressure, thyroid problems, anemia, menstrual irregularities, etc?
User:diabetes - mom has, BP - dad...mine I have very irregular periods..
Doctor:Let me brief you.
User:which I am going to a fertlity specialist to conceive
User:suffer from PCOD..
Doctor:The pain that you describe is not very classical of any organic medical condition including PCOD.
Doctor:However occasionally someone with back problems such as lumbar lardosis/scoliosis, etc., may have such problems.
Doctor:Similarly some one sleeping in a wrong posture with a wrong mattress/pillows
Doctor:too also can experience similar aches.
Doctor:Other rare possibility could be some of the pain syndrome (body perceives normal stimulation also as painful).
Doctor:These are the few possibilities which I can think of based on the history provided.
Doctor:We need to check your spine with X-rays and radiological tests to rule out organic spine problems.
Doctor:If X-rays and other radiological test result show normal finding, then perhaps you need to change your posture while sleeping.
Doctor:Sleep erect on a flat surface.
User:sleeping flat makes it worse
Doctor:Very hard mattress and very soft mattress can worsen the pain.
User:so sleep on my sides
Doctor:Similarly sleeping on the more than 2 pillows can be harmful.
Doctor:I understand your problem, and my suggestions to you are the following:
Doctor:1. Consult an orthopedic. You may need to undergo a few test such as X-ray, blood count, hemoglobin and ESR.
Doctor:2. Use analgesics briefly.
Doctor:3. If the test come normal, perhaps you will reconsider your sleeping position.
Doctor:4. If problems persist despite the above steps, then you may need medications that modify the pain.
Doctor:A group of medications belonging to SSRI category can be taken at night to relieve the distress.
Doctor:*Medical use is only the last resort, if none of the above measures give fruitful results.
Doctor:Hope you have followed what I said?
Doctor:Do you have any doubts/queries?
User:Thanks so much..
Doctor:You are welcome.
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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