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What Causes Chronic Lower Back Pain That's Unbearable While Trying To Bend?

Posted on Wed, 5 May 2021

Question: Hi Doctor, Having chronic back pain in my lower back. I don't feel when my back is straight and it becomes unbearable when try to bend or sit in relaxed position. I am using pain reliever ointment since past 4 days but don't seem to have any relief. I work in an ITC firm and it involves long hours of sitting. I obey ergonomic postures but frequent pains used to occur previously too, I used to feel pain while waking up but it doesn't used to last for long. Please advise. Thanks.

Answered by Dr. Aashish Raghu (40 minutes later)

Brief Answer:
Mechanical back pain

Detailed Answer:

Hi,

Thanks for the query

I have read your query and understood your problem.

It's possible that you may be having inflammation and muscle spasm of the lower part of the spine.

It would be wise to try Physiotherapy and see the results.

Do get an Xray of the lumbosacral spine and upload it for my review.

Take Tablet Diclofenac with Thicolchicoside combination like Tablet Myospaz Th 8mg twice a day for 5 days after meals and Tablet Rabeprazole twice a day for 5 days before meals.

This will cause relaxation of the muscle spasm and give you relief.

I hope I have answered your query.

I will be available to answer your follow up queries.

Regards,

Dr.Aashish Raghu

Above answer was peer-reviewed by : Dr. Nagamani Ng

Answered by Dr. Aashish Raghu (3 days later)

Brief Answer:
Awaiting your reports

Detailed Answer:
Awaiting your Xray film and report.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Aashish Raghu (4 minutes later)

Hi Dr. I have just received XRay sheet and report is still to be received, will upload it very soon. Thanks

Hi Dr., Please find attached the X-ray and report attached.

Answered by Dr. Aashish Raghu (46 hours later)

Brief Answer:
No report

Detailed Answer:

Hi,

There is no Xray report attached. Please contact Healthcare Magic team for the same.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Aashish Raghu (23 hours later)

Hi Dr. I mailed the reports to the mail address provided by the healthcare majic team. Please see the reports and let me know what could be the remedy for my ailment. Thanks.

Answered by Dr. Aashish Raghu (4 hours later)

Brief Answer:
Slip disc

Detailed Answer:
I have reviewed the report.

Everything is OK except you may have a slipped disc at one part of the spine, and the space between the bones is reduced at L4-L5 region.

This may be the cause for your pain.

Avoid bending forwards or lifting weights.

Do perform physiotherapy to strengthen your lower back muscles.

If possible do get an MRI scan of the lumbosacral spine as this will show the slip disc and if there is any nerve compression as a result.

Continue the same medication and do report back with MRI if possible.

Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Aashish Raghu (12 hours later)

Dr. I undergone through a physiotherapy session where I got pulsed short wave and IFT. Till today I didn't take any medication except applying the ointment. I'm doing massage with ice and there is significant reduction in pain. I don't feel that pinching pain now. What would you say, is it possible that I possess the signs of having slip disc?

Answered by Dr. Aashish Raghu (5 minutes later)

Brief Answer:
Answer

Detailed Answer:
Typical signs of slip disc can be localised back pain that radiates to the lower limb in the region of the back of the thigh and calf. This indicates that the slip disc is compressing a nerve.There may be tingling and numbness as well in the region described.

If you do not have any of the advice symptoms then it may be very early disc prolapse which is not yet compressing the nerves.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Aashish Raghu (2 days later)

Dr. can I go for swimming in this situation and what should I go for to ensure I don't experience back pain. I've undergone through physiotherapy sessions. It provides relief but still I feel pain which is significantly less now. Thanks!

Answered by Dr. Aashish Raghu (1 hour later)

Brief Answer:
Yes You can go for swimming

Detailed Answer:
Yes you can go for swimming. Avoid bending forwards or lifting weights. Avoid sitting for more than half an hour at a time.

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Vaishalee Punj