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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Cure For Severe Back Pain?

my back is causing me to collapse to the floor without warning making me yell out in pain ,as i feel it is a trapped nerve.I have suffered with my back before but is normaly ok after a week or so, but has gone on for three months or more. some days it feels ok, then as day goes on it weakens, iam unable to peform simple duties ,then next morning its ok for an hour or so, then without warning my legs go from under me
Mon, 20 Jan 2014
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General & Family Physician 's  Response
Hi, thank you for the query.
This is probably a case of a herniated disc.
To be sure of the diagnosis, your doctor will need to ask for your complete medical history, carry out a physical examination on you which might involve a neurological examination and a straight leg raise test. To confirm the diagnosis, a magnetic resonance scan will be demanded.

Treatment may be nonsurgical or surgical
Nonsurgical treatment is recommended in patients who do not have neurological deficits. This involves rest, non steroidal anti inflammatory drugs (e.g Ibuprofen or Naproxen), physical therapy and epidural steroid injection (needs to be done by an expert).
In the majority of cases, a herniated lumbar disc will slowly improve over a period of several days to weeks. Typically, most patients are free of symptoms by 3 to 4 months. However, some patients do experience episodes of pain during their recovery.

Only a small percentage of patients with lumbar disc herniations require surgery. Spine surgery is typically recommended only after a period of nonsurgical treatment has not relieved painful symptoms

In my opinion, I would suggest you take an appointment with your doctor for proper evaluation and management but in the meantime you may take some anti inflammatory drugs to relieve the pain.

I hope this answers your query.
I wish you good health

Dr Bihle
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  User's Response
HI
Thank for asking to HCM
I really understand your pain, and this will be subsided with the NSIAD drugs and for this I would advise you to have a "Ibuprofen and Acetaminophen" three times in day this will give good result it is equally important to keep the stress level low, because the functional episode aggravate the symptoms, take care and stop worrying have nice day.
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What Is The Cure For Severe Back Pain?

Hi, thank you for the query. This is probably a case of a herniated disc. To be sure of the diagnosis, your doctor will need to ask for your complete medical history, carry out a physical examination on you which might involve a neurological examination and a straight leg raise test. To confirm the diagnosis, a magnetic resonance scan will be demanded. Treatment may be nonsurgical or surgical Nonsurgical treatment is recommended in patients who do not have neurological deficits. This involves rest, non steroidal anti inflammatory drugs (e.g Ibuprofen or Naproxen), physical therapy and epidural steroid injection (needs to be done by an expert). In the majority of cases, a herniated lumbar disc will slowly improve over a period of several days to weeks. Typically, most patients are free of symptoms by 3 to 4 months. However, some patients do experience episodes of pain during their recovery. Only a small percentage of patients with lumbar disc herniations require surgery. Spine surgery is typically recommended only after a period of nonsurgical treatment has not relieved painful symptoms In my opinion, I would suggest you take an appointment with your doctor for proper evaluation and management but in the meantime you may take some anti inflammatory drugs to relieve the pain. I hope this answers your query. I wish you good health Dr Bihle