Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Lower Back Pain
Question: Hello Doctor ,
I am 27 year old.
I recently got lower back pain from past 2.5 weeksa and doctor asked me for physiotherapy and NeuroDay tablet for 2 weeks and no relief...and He referred me for MRI. and my MRI report says diffuse disc buldge. I really don't know how and when it happens just started light pain and increased now. I get more pain when I sleep on back...I have attached please have a look and let me know what is the treatment for this..
I am 27 year old.
I recently got lower back pain from past 2.5 weeksa and doctor asked me for physiotherapy and NeuroDay tablet for 2 weeks and no relief...and He referred me for MRI. and my MRI report says diffuse disc buldge. I really don't know how and when it happens just started light pain and increased now. I get more pain when I sleep on back...I have attached please have a look and let me know what is the treatment for this..
Brief Answer:
Medication, lifestyle modification, Physiotherapy
Detailed Answer:
Hi there.
Thanks for the query.
Do you have back pain that radiates to the left lower limb?
Any tingling or numbness?
You have a mild disc bulge that is compressing on the nerve going to your legs.
The degree of compression is very less, so nothing to worry about.
Avoid bending forwards or lifting weights. Apply hot packs to the painful regions. Take Tablet Diclofenac with Thicolchicoside combination twice a day for 5 days after meals and Tablet Ranitidine 150mg twice a day for 5 days before meals. If your have tingling and numbness, hot can take Tablet Pregabalin 75mg with Methylcobalamin combination once at night for 2 months.
Continue physiotherapy and request for TENS treatment as well.
Don't take Tablet Neuroday. It is not useful for your condition.
I hope I have answered your query.
I will be available to answer your follow up queries.
Regards,
Dr. Aashish Raghu
Medication, lifestyle modification, Physiotherapy
Detailed Answer:
Hi there.
Thanks for the query.
Do you have back pain that radiates to the left lower limb?
Any tingling or numbness?
You have a mild disc bulge that is compressing on the nerve going to your legs.
The degree of compression is very less, so nothing to worry about.
Avoid bending forwards or lifting weights. Apply hot packs to the painful regions. Take Tablet Diclofenac with Thicolchicoside combination twice a day for 5 days after meals and Tablet Ranitidine 150mg twice a day for 5 days before meals. If your have tingling and numbness, hot can take Tablet Pregabalin 75mg with Methylcobalamin combination once at night for 2 months.
Continue physiotherapy and request for TENS treatment as well.
Don't take Tablet Neuroday. It is not useful for your condition.
I hope I have answered your query.
I will be available to answer your follow up queries.
Regards,
Dr. Aashish Raghu
Above answer was peer-reviewed by :
Dr. Yogesh D
Hello Dr. Aashish.
Thank you for your answer, this reduce my worry a bit.
I will follow your suggestions.
Only sometime I get kind of radiating to leg may be once in 2 days or something like that but I get pain when stand long...and also when I walk long.. slight pain is almost whole day.
2. one more point was mentioned as dehydration seen on all discs is it a point to worry ??? does it depend on time of TEST because TEST was done in the evening.?
3. Do u have stop following like using bike (which I usually do to office) and sitting on chair for long ? As I work in software IT so please suggest what modification you suggest.
thank you so much for your support.
Thank you for your answer, this reduce my worry a bit.
I will follow your suggestions.
Only sometime I get kind of radiating to leg may be once in 2 days or something like that but I get pain when stand long...and also when I walk long.. slight pain is almost whole day.
2. one more point was mentioned as dehydration seen on all discs is it a point to worry ??? does it depend on time of TEST because TEST was done in the evening.?
3. Do u have stop following like using bike (which I usually do to office) and sitting on chair for long ? As I work in software IT so please suggest what modification you suggest.
thank you so much for your support.
Brief Answer:
Answers mentioned below
Detailed Answer:
Thanks for the reply.
Usually dehydration in the disc is the first stage in slip disc disease. This can progress to slip discs if care isn't taken. The disc hydration doesn't change according to the time of the day.
No need to stop using the bike. It is advisable to not sit continuously more than half an hour. Do get up and walk around for 5 minutes and extend your back a bit. Avoid forward bending.
Do use ergonomic keyboard and mouse. Keep the compost screen at eye level. Use proper lighting. Do back extension exercise. Do physiotherapy for lower back muscle strengthening. Eat diet rich in protein, fresh fruit and vegetables. Drink 2 litres of water daily.
Answers mentioned below
Detailed Answer:
Thanks for the reply.
Usually dehydration in the disc is the first stage in slip disc disease. This can progress to slip discs if care isn't taken. The disc hydration doesn't change according to the time of the day.
No need to stop using the bike. It is advisable to not sit continuously more than half an hour. Do get up and walk around for 5 minutes and extend your back a bit. Avoid forward bending.
Do use ergonomic keyboard and mouse. Keep the compost screen at eye level. Use proper lighting. Do back extension exercise. Do physiotherapy for lower back muscle strengthening. Eat diet rich in protein, fresh fruit and vegetables. Drink 2 litres of water daily.
Above answer was peer-reviewed by :
Dr. Veerisetty Shyamkumar
Hello Doctor ,
Thank you.
is their is solution to rehydrate or improve hydration of discs ?
Doesn't this disc buldge usually takes longer time to heal ? usually if I apply heat packs and use some hard surfaced mat (acupressure) around back for few mins pain wi reduce and allows me to sleep.
Thank you.
is their is solution to rehydrate or improve hydration of discs ?
Doesn't this disc buldge usually takes longer time to heal ? usually if I apply heat packs and use some hard surfaced mat (acupressure) around back for few mins pain wi reduce and allows me to sleep.
Brief Answer:
Prevent progression
Detailed Answer:
Dehydration of disc cannot be reversed. Though you can prevent the progression of the degeneration by the precautions mentioned earlier.
Prevent progression
Detailed Answer:
Dehydration of disc cannot be reversed. Though you can prevent the progression of the degeneration by the precautions mentioned earlier.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Thank you doctor for you all you suggestions and answers. one last question here in report it is mentioned as dehydration seen at all levels (in second section it is mentioned) is that means only lower back discs are dehydrated or all ? and Is this dehydration is normal observation? because in final overall observation radiologist has not mentioned about it.
Brief Answer:
Dehydration in lower back discs. It is first stage of slip disc. Progressiv
Detailed Answer:
Lower back discs as seen in the MRI are dehydrated.
Dehydration of disc is the first stage of disc prolapse or slip disc. It is not a normal funding and things can progress to slip disc in few years in care and precautions aren't taken.
Dehydration in lower back discs. It is first stage of slip disc. Progressiv
Detailed Answer:
Lower back discs as seen in the MRI are dehydrated.
Dehydration of disc is the first stage of disc prolapse or slip disc. It is not a normal funding and things can progress to slip disc in few years in care and precautions aren't taken.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
