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Back pain on walking for 10 mins, lower back to hips - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Back Pain
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
User :   hi
Doctor :   Good afternoon.
Doctor :   Dr. XXXXXXXX here
Doctor :   How can I help you?
User :   good abtrnoon doc
User :   doc my woife is suffring frm back problem from last 1 month
Doctor :   Ok
User :   her back pain starts if she walk for 10 min
Doctor :   Ok
User :   she is asthamatic also
User :   pls provide a solution
Doctor :   Which part of the back is it aching - upper or the lower back?
Doctor :   Is the pain radiating down the legs too?
User :   lower back just abv hips
User :   not radiating in legs
Doctor :   Does she complain of difficulty while lifting legs or walking?
Doctor :   Does she have history of reduced sensation in the legs?
User :   no
Doctor :   Does she have any problems while passing stools or urine?
User :   no
Doctor :   May I know her weight and height?
Doctor :   Is she working? - if yes what is the nature of work/
User :   4 feet 10 inch, 52 kg
User :   yes she is working
User :   she is soft skill trainer
Doctor :   Ok - Does it involve sitting on a chair for long hours?
Doctor :   Does the back hurt to touch?
User :   no, her job is standing for 7-8 hrs
User :   no
Doctor :   Ok
Doctor :   If she lifts her legs while lying down, does it hurt?
User :   no
Doctor :   Has she had similar symptoms in the past?
Doctor :   Can you confirm her age?
User :   not in past
User :   28 age
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   Let me explain to you
User :   ok
Doctor :   Based on your description, the pain appears to be arising from the lower spine.
User :   ok
Doctor :   It either could be a soft tissue inflammation or a disc that may have prolapsed.
Doctor :   Without physical examination, X rays or scans,
Doctor :   it is difficult to predict the seriousness of the problems.
Doctor :   The following measures are needed.
User :   pls tell
Doctor :   1. Adequate rest - absolute bed rest till there is reduction of pain is most important.
User :   ok
Doctor :   2. Local antiinflammatory measures such as hot water bags, topical volini cream or spray applications.
Doctor :   3. Oral anti inflammatory medications such as Tab Ibuprofen 400mg twice daily for a 5-6 days.
User :   but these things work for some time only
Doctor :   one word of caution while using oral medications.
Doctor :   the medications need to be stopped or cut short if she develops gastritis/heart burns.
Doctor :   They should not be used, if she has history of kidney problems.
Doctor :   4. Once the pain is slightly better, she needs to involve in back strengthening exercises.
User :   no she dont have any kidney problem
Doctor :   5. It will be ideal, if she can see an orthopedician or a spine surgeon,
User :   what kind of exercises?
Doctor :   physical examination, xrays or scans of the back along with injectable medications
Doctor :   will help her - both in assessing the severity of the condition as well as getting faster relief.
Doctor :   A few exercises such as flexing the hips to the opposite shoulders while lying down, standing and turning the back one side and then the opposite side and so on are to be practised.
Doctor :   These exercises need to be implemented as the pain reduces slightly.
User :   ok
Doctor :   All these measures will help in bringing down the pain.
User :   ok doc
Doctor :   Rarely some people may need intrathecal steroid injections, aggressive physiotherapy techniques
Doctor :   such as ultrasound/infrared diathermy
Doctor :   for pain relief.
Doctor :   Few people who are resistant to all these or
Doctor :   if there is neurological deficits happening
User :   ok
Doctor :   surgical treatment would be necessary.
Doctor :   Have you followed what I have suggested?
Doctor :   Do you have any other query?
User :   will follow all the things, no doc thanx for valubl suport
Doctor :   Thanks for consulting me.
Doctor :   Have a nice day!!
User :   hanx
Doctor :   Bye for now.
User :   same 2 u
Doctor :   Hi
Doctor :   Do you have any other query?
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