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Suggest Treatment For Severe Back Pain

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Posted on Wed, 10 Feb 2016
Question: I have severe pain in my lower back. I have had an MRI scan, nothing found of a sinister nature.
My physio tells me it's the facet joint on my right side.
doctor
Answered by Dr. Prakash H Muddegowda (32 minutes later)
Brief Answer:
Weak lower back due to weak muscles

Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Prakash HM and I will be answering your query.
I am sorry to hear about the back pain.
Based on your query, my opinion is as follows:
1. Good to know MRI was normal.
2. Facet abnormalities might not be present as there is no neural pain in legs or waist region. Additionally, the MRI would have shown any abnormalities.
3. As the MRI is normal, it could be more skeletal muscle pain due to weak lower back. Golf could have increased the load on the lower back.
4. Strengthening back muscles through back exercises, which your physio would have advised, and if overweight, weight reduction should help.
5. If pain is moderate to severe, rest is essential and later on slowly back exercises and golf can be started.

Hope it helps.
Any further queries, here to help again.

Dr. Prakash HM
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Prakash H Muddegowda (25 minutes later)
Thanks Dr.,is there any exercises you would recommend to strengthen the muscles in the lower back? and if you could make them descriptive ie easy to follow.
Can I take a pain killer now as I have completed the dosage prescribed by my Doctor?

Thanks,
Liam
doctor
Answered by Dr. Prakash H Muddegowda (21 minutes later)
Brief Answer:
Yes, painkiller can be taken

Detailed Answer:
Hi XXXXXXX
Thanks for asking again.

Yes, painkiller can be taken for comfort. Make sure you take it after food to avoid gastritis.
For exercises, initially, while lying on your stomach face down on firm surface, prop yourself on elbows below and try to lift up. This will stretch your back. Hold it for five seconds. Repeat ten times.
After warm up, start putting your arms in air, in handsup mode or in flying style, so that pressure is on back muscles. Even legs can be lifted alternatively.

You can find easily plenty of videos on YouTube. However, start slowly.

Hope it helps.
Any further queries, here to help again.
If you do not have any further queries, you can close the discussion and rate the answer.

Dr. Prakash HM
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prakash H Muddegowda (1 hour later)
Hi Dr.,

Thanks for your prompt reply.
I did the exercise you recommended and did get some relief and I intend to do regular exercises to try and beat this condition.
When is the best time to do those exercises? Morning and evening!
I have applied a heat patch to the affected area and this appears to be working too although it maybe only temporary .

Liam
doctor
Answered by Dr. Prakash H Muddegowda (34 minutes later)
Brief Answer:
Morning 7-8 am

Detailed Answer:
Hi XXXXXXX
Thanks for asking again.

1. I would recommend use in morning, before breakfast, at least, after one hour you wake up, so that your body is warm enough and you avoid spraining yourself.
2. If possible, do on a empty stomach, or after very small liquid diet. Back exercises will increase abdominal pressure and can cause regurgitation feeling.
3. Do it for at least 15 min. Slowly start from 5 min and then can increase it. However, do not rush. Slowly strengthen it. Slow movements essential. Slower, the better for muscles.
4. Warmth will increase blood circulation, which will remove pain chemicals. Be careful, not to cause burns.
Avoid sudden lower back movements for at least 15 days. After that, there should be not much of a problem. Continue exercises for ever, as it will strengthen the back bones too.

Hope it helps.
Any further queries, here to help again.
If you do not have any further queries, you can close the discussion and rate the answer.
Thanks again for asking.

Dr. Prakash HM
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Prakash H Muddegowda

Geriatrics Specialist

Practicing since :2004

Answered : 2138 Questions

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Suggest Treatment For Severe Back Pain

Brief Answer: Weak lower back due to weak muscles Detailed Answer: Hi, Thanks for asking. I am Dr. Prakash HM and I will be answering your query. I am sorry to hear about the back pain. Based on your query, my opinion is as follows: 1. Good to know MRI was normal. 2. Facet abnormalities might not be present as there is no neural pain in legs or waist region. Additionally, the MRI would have shown any abnormalities. 3. As the MRI is normal, it could be more skeletal muscle pain due to weak lower back. Golf could have increased the load on the lower back. 4. Strengthening back muscles through back exercises, which your physio would have advised, and if overweight, weight reduction should help. 5. If pain is moderate to severe, rest is essential and later on slowly back exercises and golf can be started. Hope it helps. Any further queries, here to help again. Dr. Prakash HM