Remedy for pain reduction due to back injury - Online Doctor Chats
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Practicing since : 2004
Answered : 40 Questions
User : Dear Dr.,I hurt my back a month ago when lifting 20 Lt of water bucket. I am in complete rest. (lying on a hard cot all the time). but the pain is not reduced. My MRI impression says.Transitional vertebra (lumbarisation of S1) at lumbo sacral junction.
Circumferential disc bulge evident at L4/L5 and L5/S1 levels with no significant thecal sac comprssions / nerve root impingement.A small and sharp postero central disc protrusion at D6/D7 level causing mild ventral thecal sac compression and anterior cord surface indentation.I have pain at my lower back. Please direct me what to do to reduce the pain. Thanks.
Doctor : Hi
Doctor : Let me read the query.
User : sure Dr.
Doctor : May I know your age and gender?
User : i am 36 Male
Doctor : Apart from the bed rest, may I know, what other treatment have been suggested by your doctors?
User : initially for the first week muscle relaxant, pain killers and IFT physiotherapy.
Doctor : Ok
User : After that my Dr. told to stop the medicines and told me to continue physiotheraphy.
Doctor : Has the pain reduced?
User : it got reduced a little. but after that point the pain continues at the same level.
Doctor : Ok
Doctor : Do you feel the pain is radiating down to your lower limbs?
User : no. it is stationed at the same place. junction of spine with pelvic bone region.
Doctor : Do you feel any weakness of the lower limb?
User : no. but my left knee hurts ( ecause of the damage caused by chikengunya in 2006)
Doctor : Ok
Doctor : Do you have any other medical problem such as diabetes/hypertension/kidney disease/Gastritis?
User : no. by god's grace i am normal.
Doctor : Ok
Doctor : Let me brief you.
Doctor : The exact treatment for a disc prolapse is a surgical treatment, however, since in your case the prolapse is mild
Doctor : (indenting only the thecal sac, which is the outer most layer of the spinal cord),
User : ok.
Doctor : the need for immediate surgical treatment is not necessary.
Doctor : The next form of treatment is by medical drugs, physiotherapy and rest.
Doctor : Your doctors are right in treating you with the pain killers, physiotherapy and bed rest.
Doctor : I shall however suggest you few more things which should help you in the recovery.
User : will exercise help
Doctor : 1. If the pain is severe, you can continue with analgesics for few more days.
Doctor : Simple analgesics are ibuprofen 400mg twice daily after food.
Doctor : You can alternatively use the analgesics suggested by your doctor for a few more days.
Doctor : 2. Since analgesics can induce gastritis, use antacid syrups such as Syp Mucaine gel 2tsp twice daily before the meals as long as you use the analgesics.
Doctor : 3. Absolutely no exercises till the pain relieves completely.
User : ok
Doctor : 4. You can use lumbar belts for back support.
Doctor : They act by preventing the unintentional movements of the back which can lead to pain and thereby slowing the time of healing.
Doctor : 6. Continue with the physiotherapy - moist heat therapy or infrared radiations are one of the modalities of physiotherapy which can help.
Doctor : Discuss with your physiotherapist regarding these.
User : ok. i have few doubts. 1. what will happen to the bulge after some time. 2. when can i resume to normal routine work.
Doctor : 7. Watch out for symptoms such as weakness of limbs, pain radiating down the limbs, any difficulty while passing urine.
User : ok
Doctor : If you develop any of these symptoms, you need t to report to your doctors.
Doctor : Unfortunately the disc which has bulged out will not go back to its normal positions.
User : Will it hurt me forever.
Doctor : It can either regress in size over a period of time, or
Doctor : the worse instant it can increase the size leading to further indentation.
Doctor : In such cases the treatment is surgical.
Doctor : The symptoms mentioned to you are the symptoms and features of worsening of the prolapse.
Doctor : So watch out for this.
User : ok dr.
Doctor : The chances of this happening is only if you continue straining such as heavy weight lifting, severe exercises.
Doctor : So I would suggest you to avoid these acitivities as much as possible.
User : For your information, i am newly married.
Doctor : The present pain will gradually subside, if you follow the instructions strictly and you will be able to lead a normal life.
Doctor : Follow these instructions strictly and you should be able to lead a normal life, you should not have any problems.
Doctor : Have you followed what I have suggested?
User : yes ofcourse.
User : i am in COMPLETE REST.
Doctor : Yes, and strictly avoid exercises and if possible you can get the lumbar belts too, (discuss with your orthopedicians)
Doctor : Do you have any other query that I can assist you with?
User : yes. you are saying that with complete rest, the pain can be reduced. normally how long it will take.
Doctor : Since I haven't physically examined you, I will not be able to answer this question accurately. Nevertheless,
Doctor : It may take another few weeks (2 to 4 weeks) for the symptoms to reduce.
Doctor : It depends on the amount of inflammation that you sustained during the time of injury.
Doctor : But it will reduce if you continue with the rest.
Doctor : Have you followed what I have suggested?
Doctor : Do you have any other query?
User : yes Dr. what about the D6/D7 disc protrusion.
User : i followed your suggestion and will continue to remain in rest.
Doctor : I have discussed about this earlier, it would slowly regress or if there is further similar instances, it can worse.
User : ok dr.
Doctor : Do you have any other query?
User : thanks dr. i will follow your insturctions.
Doctor : Thanks for consulting me.
Doctor : Bye for now.
User : bye
Circumferential disc bulge evident at L4/L5 and L5/S1 levels with no significant thecal sac comprssions / nerve root impingement.A small and sharp postero central disc protrusion at D6/D7 level causing mild ventral thecal sac compression and anterior cord surface indentation.I have pain at my lower back. Please direct me what to do to reduce the pain. Thanks.
Doctor : Hi
Doctor : Let me read the query.
User : sure Dr.
Doctor : May I know your age and gender?
User : i am 36 Male
Doctor : Apart from the bed rest, may I know, what other treatment have been suggested by your doctors?
User : initially for the first week muscle relaxant, pain killers and IFT physiotherapy.
Doctor : Ok
User : After that my Dr. told to stop the medicines and told me to continue physiotheraphy.
Doctor : Has the pain reduced?
User : it got reduced a little. but after that point the pain continues at the same level.
Doctor : Ok
Doctor : Do you feel the pain is radiating down to your lower limbs?
User : no. it is stationed at the same place. junction of spine with pelvic bone region.
Doctor : Do you feel any weakness of the lower limb?
User : no. but my left knee hurts ( ecause of the damage caused by chikengunya in 2006)
Doctor : Ok
Doctor : Do you have any other medical problem such as diabetes/hypertension/kidney disease/Gastritis?
User : no. by god's grace i am normal.
Doctor : Ok
Doctor : Let me brief you.
Doctor : The exact treatment for a disc prolapse is a surgical treatment, however, since in your case the prolapse is mild
Doctor : (indenting only the thecal sac, which is the outer most layer of the spinal cord),
User : ok.
Doctor : the need for immediate surgical treatment is not necessary.
Doctor : The next form of treatment is by medical drugs, physiotherapy and rest.
Doctor : Your doctors are right in treating you with the pain killers, physiotherapy and bed rest.
Doctor : I shall however suggest you few more things which should help you in the recovery.
User : will exercise help
Doctor : 1. If the pain is severe, you can continue with analgesics for few more days.
Doctor : Simple analgesics are ibuprofen 400mg twice daily after food.
Doctor : You can alternatively use the analgesics suggested by your doctor for a few more days.
Doctor : 2. Since analgesics can induce gastritis, use antacid syrups such as Syp Mucaine gel 2tsp twice daily before the meals as long as you use the analgesics.
Doctor : 3. Absolutely no exercises till the pain relieves completely.
User : ok
Doctor : 4. You can use lumbar belts for back support.
Doctor : They act by preventing the unintentional movements of the back which can lead to pain and thereby slowing the time of healing.
Doctor : 6. Continue with the physiotherapy - moist heat therapy or infrared radiations are one of the modalities of physiotherapy which can help.
Doctor : Discuss with your physiotherapist regarding these.
User : ok. i have few doubts. 1. what will happen to the bulge after some time. 2. when can i resume to normal routine work.
Doctor : 7. Watch out for symptoms such as weakness of limbs, pain radiating down the limbs, any difficulty while passing urine.
User : ok
Doctor : If you develop any of these symptoms, you need t to report to your doctors.
Doctor : Unfortunately the disc which has bulged out will not go back to its normal positions.
User : Will it hurt me forever.
Doctor : It can either regress in size over a period of time, or
Doctor : the worse instant it can increase the size leading to further indentation.
Doctor : In such cases the treatment is surgical.
Doctor : The symptoms mentioned to you are the symptoms and features of worsening of the prolapse.
Doctor : So watch out for this.
User : ok dr.
Doctor : The chances of this happening is only if you continue straining such as heavy weight lifting, severe exercises.
Doctor : So I would suggest you to avoid these acitivities as much as possible.
User : For your information, i am newly married.
Doctor : The present pain will gradually subside, if you follow the instructions strictly and you will be able to lead a normal life.
Doctor : Follow these instructions strictly and you should be able to lead a normal life, you should not have any problems.
Doctor : Have you followed what I have suggested?
User : yes ofcourse.
User : i am in COMPLETE REST.
Doctor : Yes, and strictly avoid exercises and if possible you can get the lumbar belts too, (discuss with your orthopedicians)
Doctor : Do you have any other query that I can assist you with?
User : yes. you are saying that with complete rest, the pain can be reduced. normally how long it will take.
Doctor : Since I haven't physically examined you, I will not be able to answer this question accurately. Nevertheless,
Doctor : It may take another few weeks (2 to 4 weeks) for the symptoms to reduce.
Doctor : It depends on the amount of inflammation that you sustained during the time of injury.
Doctor : But it will reduce if you continue with the rest.
Doctor : Have you followed what I have suggested?
Doctor : Do you have any other query?
User : yes Dr. what about the D6/D7 disc protrusion.
User : i followed your suggestion and will continue to remain in rest.
Doctor : I have discussed about this earlier, it would slowly regress or if there is further similar instances, it can worse.
User : ok dr.
Doctor : Do you have any other query?
User : thanks dr. i will follow your insturctions.
Doctor : Thanks for consulting me.
Doctor : Bye for now.
User : bye
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