Hello XXXXXXX

Thanks for your query.

Important points of your query:

•     Chief complaint: low back pain

•     Occupation Software engg: commonly associated with work stress

In 85% of cases, no cause is found for backache and they are labelled as psychological or idiopathic back pain.

In psychological causes stress, anxiety, depression and somatoform disorder are commonly present with backache.

But in 15% of cases back pain has physical illness related to nerves, muscle, bone and abdominal-pelvic organ, which need to be rule out first in every case before considering pain as psychological in origin.

Low Back Pain Common Causes (considering your age):

•     Nerve root syndromes are those that produce symptoms of nerve impingement (a nerve is directly irritated): Herniated discs, Spondylosis and Spinal disc degeneration

•     Musculoskeletal pain syndromes that produce low back pain includes myofascial pain syndromes and fibromyalgia.

•     Infections of the bones: Bacterial and spinal Tuberculosis

•     Noninfectious inflammation of the spine (spondylitis) can cause stiffness and pain in the spine that is particularly worse in the morning

•     Renal stone


For 90% of people, even those with nerve root irritation, their symptoms will improve within two months no matter what treatment is used, even if no treatment is given.

These multiple possibilities can be narrowed down to some extent if you explain the nature, duration, frequency, associated symptoms with back ache and past medical history.

Hope this will help you.

I will be available for follow up query.

Wishing you Good Health.

Regards,

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Hello XXXXXXX

Thanks again,

Being overweight increases chances of Spondylosis

Recent start of yoga increases chances of muscle spasm

Although nothing can be told with certainty, bed rest will definitely be helpful in all situations. Get atleast X XXXXXXX to rule out tubercular infection of spine.

Hope this will help you.

Wishing you Good Health.

Regards,

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