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Chronic lower back,visited physiotherapy,body mass index,stiffness of the body, - 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 : 2004
Answered : 1777 Questions
User :   Hi, I have a chronic back ache can you help me?
Doctor :   Hi
User :   may I know who is speaking?
User :   okay nice doctor ..
User :   I have chronic lower back ache, what do I do?
Doctor :   ok , may i ask a few relevant questions
User :   sure ... sorry, let me finish, I have been having this ache for 5 years now, and I have done physotherapy, exercises .. it is reducing but not immediate, I run everyday, exercise and what not ..
User :   please ask the questions ...
Doctor :   ok
Doctor :   may i know your age and gender
User :   my age is 33 and I am male.
Doctor :   ok
Doctor :   may i know your height and weight
User :   yes, 5 feet 10 inches and wait is 70
Doctor :   ok
Doctor :   may i know if you smoke or consume alcohol?
User :   I used to be 91 .. I run everyday .. and have been doing for 2 years
Doctor :   ok
User :   no I don't smoke or consume alchohol
Doctor :   do you have any history of diabtes , high BP , high cholesterol ,etc ?
User :   No.
Doctor :   have you seen an orthopedician earlier for this ? did you get any investigations done ?
Doctor :   may i know your occupation ? and the nature of your work ?
User :   yes, I have visited the ortho 6 months back and xray was fine, he suggested me to go to physiotherapy, I did, I was religious about, still there is no real relief, the pain is there, it has reduced quite a bit now.
Doctor :   i feel the reason for the back pain will be the weight gain
User :   I am ceo of a company and I am into telecom business.
Doctor :   since you are taking measures for weight loss and fitness , I expect it to come down gradually
User :   okay.
Doctor :   you must continue the exercises daily and the physiotherapy sessions if it gets acute again
Doctor :   for a lower back pain , the treatment is rest and symptomatic approach
Doctor :   back strengthening exercises would help
User :   okay. But my weight is normal isnt it if you take BMI calculations?
Doctor :   yes , I meant the previous weight
User :   okay.
Doctor :   since you said you have back pain form 5 years
User :   yes, it is crazy.
Doctor :   hence it must have been a contributing factor
User :   annoying in fact.
Doctor :   along with it stress, sedentary life style will cause this to persist
User :   stress too ?
Doctor :   may i know how do you travel everyday to work ?
User :   I use car to travel.
User :   its a 10 min drive.
Doctor :   ok , for how many hours do you work in a day ?
Doctor :   ok , 10 minutes drive is a great advantage
User :   that is a lot. 10 to 12 hours.
User :   some time more than that.
Doctor :   long distance travel is a common cause
Doctor :   ok , do you sit for long in front of the computer?
User :   yes I do.
Doctor :   you must take regular breaks in between
User :   okay.
Doctor :   try moving around for every one hour
Doctor :   this will reduce the stiffness of the back
User :   okay.
User :   yes.
Doctor :   you must also try to keep a back support and adapt the most comfortable posture at work
User :   okay, I dont do that, I shall take this advise.
Doctor :   lower back ache is something which needs lifestyle modifications and symptomatic treatment
Doctor :   it does not have any specific medicines as such
User :   okay. I see
Doctor :   pain killers are given for momentary relief only
Doctor :   but daily physical activity and life style modifications are the things which doctors stress on
Doctor :   i also suggest you not to use soft cushions
User :   not to use is it?
Doctor :   a hard mattress would help when you go to sleep at night
User :   oh, I always did.
Doctor :   yes , the mattress must be a hard one
Doctor :   this will give good support to the resting back
Doctor :   with soft cushions one tends to adapt odd postures
User :   okay. Good points doctor.
Doctor :   did you follow my suggestions ?
User :   I guess the time running out. Yes, I have made a not of the suggestions.
Doctor :   did i answer your questions ?
User :   yes you did.
User :   couple of quesitons.
Doctor :   are there any more questions for me
Doctor :   ok , we have a minute left
User :   it is impressive, do you work full time on this, how do you practise?
Doctor :   we are full time , 24/7
User :   oh okay.
Doctor :   you could chat any time with our doctors
User :   you work in the office work in your own clinic?
Doctor :   for more information you can look into our services
Doctor :   and you can avail them
User :   okay sure doctor. Thanks for the info
Doctor :   we also have specialist facilities
Doctor :   and phone calls ervices
Doctor :   thanks for consulting me
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