Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
152 Doctors are Online

On heat treatment after lower back injury. No fracture seen on MRI. Reason for pain?

User rating for this question
Very Good
Answered by

Practicing since : 2003
Answered : 725 Questions
Hi Doc!
Yesterday,i fell down from a flight of stairs.I hurt my lower back and used ice pack treatment for the same instantly.Now I have needle pricking pain in the left buttock especially when I try to sit or get up or turn side in the bed while sleeping.MRI doesnot suggest fracture. Now I am on heat treatment. I have to hold the area affected tightly with my both hands to be able to sit or stand or change a position.What is the cause of the pain?Please help
Posted Thu, 16 May 2013 in Bones, Muscles and Joints
Answered by Dr. Nehal Shah 4 hours later

Thanks for using healthcare magic.

I have gone through your available history.

As MRI has ruled out the fracture, your symptoms can be attributed to muscular spasm over back. A probable pressure on the locally exiting nerves is causing the needle pricking pain.

There is no reason to worry. You can take non-steroidal anti-inflammatory agents like ibuprofen or muscle relaxant apart from ice pack and heat therapy.

As soon as spasm get relieved, you will be better.

I hope I can address your concern.

Please revert to me in case if you have any queries.

Above answer was peer-reviewed by
Follow-up: On heat treatment after lower back injury. No fracture seen on MRI. Reason for pain? 23 hours later
Thanks doctor.The pain is quite severe.I am unable to turn on the bed while sleeping.Walking slowly in baby steps is not a problem.The pain seems to be like a Burn Tear and Prick.
1)How long does such trauma take time to heal? 2)Should i use cold and hot treatment both ? How does it help in healing? 3)Shall I take more of bed rest or walk around at home?

Answered by Dr. Nehal Shah 38 minutes later
Thanks for reverting to me.

Time to heal the trauma depends on its severity but it usually takes seven to ten days to have some recovery.
2-You can use cold and heat therapy alternatively. It helps in reducing the edema at intracellular level.
3- It is advisable to take complete bed rest. Do not lift the things from ground. No weight lifting.

You can use like tramadol and muscle relaxant like lornoxicam to control pain. You may get a prescription from a physician for this medicine.

Please revert to me in case if you have further query.
In case if you do not have any further query , please close the discussion and rate the answer.
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Topics

The user accepted the expert's answer

Ask an Orthopaedic Surgeon

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor