Thanks for posting your query.
According to the clinical history provided the back pain could be part of a mechanical back pain
complex of symptoms. This mechanical back pain is caused due to bad posture, excessive exercise without adequate warming up, long work-hours in particular position, lack of proper sleep or healthy diet as well.
I suggest her to try back strengthening exercises by extension of the back muscles which can be taught by her Orthopedician or Physiotherapist. This will help to relieve the possible muscle spasm which causes the pain. Hot fomentation in the area will also be very helpful. The exercises are recommended after the acute pain subsides after adequate rest.
One must also rule out inflammatory disorders, for which I recommend you to get a X-ray of her spine after consulting with an Orthopedician. MRI
can be taken in case she has any nerve
compression symptoms or as deemed necessary by the Orthopedician.
After a thorough physical examination by the Orthopedician, she may be prescribed pain killers and/or muscle relaxants which should give her relief. Physiotherapy
may also be advised if necessary. I would suggest her to try swimming as this will help most in back conditions.
Avoid weight bearing exercises. Do only mild aerobics
which does not put her back to strain. You can discuss about this with her Gym instructor.
Give her a diet XXXXXXX in fresh fruits and XXXXXXX leafy vegetables, nuts, milk, eggs, pulses and cereals. Drink 1-2 litres of water daily. Do brisk walking exercise for 40 minutes daily. Get 6-8 hours of refreshing sleep daily.
Kindly follow up with me about her progress.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Dr. Praveen Tayal.