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Bouts of pain in the lower back,good posture,exercises - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3613 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   Good morning doctor
User :   I have a long standing problem
Doctor :   YEs pl proceed
User :   which has aggravated over a period of 8 years
User :   I have bouts of pain in my back
User :   It is a constant irritant
User :   and is making work more and more painful for me
Doctor :   ok
User :   It is also starting to restrict movement for me
Doctor :   Ok do you have the pain now? If so lower back or higher?
User :   It is there, but it is mild
User :   It is on lower back
User :   near my hips
Doctor :   Do you have any other problems, like shoulder pain, neck, wrist pain etc?
User :   Not really
Doctor :   Ok before I can advice you on definitive treatment I would like to ask you few questions, Is it ok?
User :   Please proceed
Doctor :   Please provide these details -Age: Gender: Occupation: Location: Marital Status: Weight and Height: User :   I am 36 year old, male
User :   I work in sales
User :   I am 5' 5"
User :   and I weigh 75 kgs
User :   and I am single
Doctor :   Ok do you need to travel a lot on bike or car, or sit infront of the computer for long hours?
User :   I travel by bike a lot
User :   and sit in front of the computer for moderate time
User :   about 2-3 hours per day
Doctor :   Do you have problem with your eyes?
User :   not really
Doctor :   Does the pain go into your legs? Do you have tingling or numbness at the back of your thighs or calves?
User :   not really
Doctor :   Do you have regular bowel movements? and urine problems?
User :   Regular bowel movements
User :   no urine problems
Doctor :   Ok, Do you smoke or chew tobacco/drink alcohol/Any illicit drugs/ betel nut chewing? If yes how much/how often and how long you have?
User :   Am clean doctor
Doctor :   Do you have any other health problems? Over wt, Diabetes, High Blood pressure, Asthma, Allergies,Thyroid? Any Operations If so why?
User :   No problems as such
User :   I think I am over-weight though
Doctor :   Are you hurt anytime or tried to lift weight?
User :   Fell off my bike a couple of times
User :   Nothing serious though
Doctor :   Have you seen a doctor/Taken any medication? When did you last see a doctor for a complete check up?
User :   Juts a few bruises
User :   I have seen a orthopaedician
User :   he had asked me to take some pain killers
User :   and asked me to get a car,...couldn't afford one
Doctor :   Ok,after going through the history I could think of few conditions for your chronic and recurring back pain
Doctor :   They are Muscle spams due to poor posture, Lack of proper regular exercise and Over weight
User :   The orthopaedician had mentioned poor posture
Doctor :   Ok, that is fine. Now I would like to give some suggestions on treatment part .
Doctor :   Most back pain (80 to 90%) gets better with a few weeks of home treatment and careful attention.
Doctor :   A short period of bed rest is okay, but more than a couple of days actually does more harm than good.
Doctor :   The Home treatment includes hot fomentation along with applicative muscle relaxants
Doctor :   like ZANDU BALM, IODEX or MOOV
Doctor :   Hot showers too help a lot
Doctor :   Weight reduction is the most important positive factor for any overweight individual.
Doctor :   If the home remedies dont help you. A physical therapist can apply a variety of treatments, such as heat, ice, ultrasound, electrical stimulation and muscle-release techniques, to your back muscles and soft tissues to reduce pain.
User :   ok
Doctor :   The life style changes include
Doctor :   Regular low-impact aerobic activities .Walking and swimming are good choices.
Doctor :   Being overweight puts strain on your back muscles. If you're overweight, trimming down can prevent back pain.
Doctor :   Use proper body mechanics,
Doctor :   Stand smart, Choose a seat with good lower back support, arm rests and a swivel base
Doctor :   Move straight up and down. Keep your back straight and bend only at the knees while lifting
User :   ok
User :   will keep this in mind
User :   thanks doctor
Doctor :   Please fill the feedback form
Doctor :   Is there any thing else that I could help you with?
User :   When should I seek medical advice?
User :   I mean is it really serious?
Doctor :   Back pain can signal a serious medical problem at times . See a doctor immediately if your back pain is intense and constant not relieved by home treatments and over the counter pain killers
Doctor :   Spreads down one or both legs,
Doctor :   Causes new bowel or bladder problems
Doctor :   assosciated with fever and stomach pain
User :   ok
User :   thanks
Doctor :   Thanks for consulting Health care magic. Bye for now.
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