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I Am58 , Female Overweight , Have Had Back Pain

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Posted on Tue, 2 May 2023
Question: I am58 , female overweight, have had back pain 4- 6 weeks. MRI shows bulges, protrusions, arthrititis. L1-L5 & L12. Back clinic for exercises, tolerated well. Started having Severe pain going down right side, to foot. tried Accupuncture 8x no help. Given muscle relaxers.also was given Rx to add lyrica ... insurance, no pay .. Trying to figure if it's worth the $$. When should I be concerned. Dr says if it gets worse go to ER, it gets worse everyday, so that seems silly.
doctor
Answered by Dr. Dr. Praveen Tayal (17 minutes later)
Brief Answer:
Detail below.

Detailed Answer:
Hello,
Thanks for posting your query.
I have gone through your query and understand your health concerns ,
Lower back pain is quite COMMON among middle aged individuals. Back muscle strain is one of the MOST common causes of acute to severe lower back pain. Lifting a heavy object, twisting, or a sudden movement can cause muscles or ligaments stretch or develop microscopic tears.

Some other underlying causes like Sciatica, Spondylitis, Lumbar herniated disc, Degenerative disc disease, Isthmic spondylolisthesis etc should be ruled out through clinical examination and radiological investigation (like X- ray, CT scan, Myelogram, MRI etc). Kindly, consult with Orthopedic surgeon regarding this for proper management of the case.

TREATMENT: Some general guidelines can help you to reduce lower back pain. These are as follows:

1) Take adequate bed REST with maintaining posture. Individuals who do not regularly exercise to build strength and flexibility are more likely to experience recurrent or prolonged lower back pain.

2) Alternate Hot water bottle or Ice pack can help to relieve most types of low back pain by reducing inflammation.

3) Non-Steroid Anti-Inflammatory Drugs (NSAIDs) are quite useful to reduce inflammation and back pain. You need proper prescription from your doctor.

4) Exercise for Lower Back Pain : It is a key element of almost any lower back pain treatment plan. You may contact with Physiotherapist regarding this.

It includes 3 components: aerobic conditioning, stretching, and strengthening. The exercises are done through a controlled, progressive program to build more strong and flexible spine.

5) Epidural Steroid Injections - deliver steroids directly into the painful area of the lower back to reduce inflammation. It doesn't heal the components of the back, but often provide enough pain relief to allow patients to move, exercise and heal.


I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Wishing you good health.
Regards.
Dr. Praveen Tayal.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Praveen Tayal (29 minutes later)
My MRI showed degenerative disc diseas & herniated disc in L1. My question is should I be concerned enough to go to ER. My GP said "if it gets worse go to er." The pain is worse everyday. Is there anything to worry about that I should go to ER? Can I cause damage?
I go back to neck & back clinic on Wednesday to be reevaluated. But want to know if this much pain is normal (throbbing in buttocks, and shooting pain and aches up & down leg.
doctor
Answered by Dr. Dr. Praveen Tayal (47 minutes later)
Brief Answer:
Due to nerve compression.

Detailed Answer:

Hello.
Thanks for writing again.
This much of pain is not normal, this may be due to nerve compression caused by herniated disc.
As your pain is severe and going worse day by day so it should be concern enough to go to ER.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12314 Questions

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I Am58 , Female Overweight , Have Had Back Pain

Brief Answer: Detail below. Detailed Answer: Hello, Thanks for posting your query. I have gone through your query and understand your health concerns , Lower back pain is quite COMMON among middle aged individuals. Back muscle strain is one of the MOST common causes of acute to severe lower back pain. Lifting a heavy object, twisting, or a sudden movement can cause muscles or ligaments stretch or develop microscopic tears. Some other underlying causes like Sciatica, Spondylitis, Lumbar herniated disc, Degenerative disc disease, Isthmic spondylolisthesis etc should be ruled out through clinical examination and radiological investigation (like X- ray, CT scan, Myelogram, MRI etc). Kindly, consult with Orthopedic surgeon regarding this for proper management of the case. TREATMENT: Some general guidelines can help you to reduce lower back pain. These are as follows: 1) Take adequate bed REST with maintaining posture. Individuals who do not regularly exercise to build strength and flexibility are more likely to experience recurrent or prolonged lower back pain. 2) Alternate Hot water bottle or Ice pack can help to relieve most types of low back pain by reducing inflammation. 3) Non-Steroid Anti-Inflammatory Drugs (NSAIDs) are quite useful to reduce inflammation and back pain. You need proper prescription from your doctor. 4) Exercise for Lower Back Pain : It is a key element of almost any lower back pain treatment plan. You may contact with Physiotherapist regarding this. It includes 3 components: aerobic conditioning, stretching, and strengthening. The exercises are done through a controlled, progressive program to build more strong and flexible spine. 5) Epidural Steroid Injections - deliver steroids directly into the painful area of the lower back to reduce inflammation. It doesn't heal the components of the back, but often provide enough pain relief to allow patients to move, exercise and heal. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal Wishing you good health. Regards. Dr. Praveen Tayal.