How should severe back pain for over six months be treated?
My wife who is 30 years old has been having severe back pain since last 6 months. We have visited multiple orthopedecian and one recently
Please note i have attached the report from the xray done recently
Flat back syndrome
I have seen the report. There is loss of normal curvature of lower spine. Loss of lumbar lordosis is also called as Flat back syndrome.
Kindly ask specific query so that I am better able to help.
Medicine better than surgery
In my experience, management with medicines is better than with surgery.
In medicines also, we need to be careful about prolonged use of medicines that may have side effects.
Cause of this condition must be treated. If the cause is vitamin D deficiency, then giving Architol will help. While taking Architol, we need to be aware of its toxicity symptoms. Its a fat soluble vitamin and may accumulate in body. Toxicity may include muscle pain, muscle spasms, kidney stones, confusion, thirst, urination etc. Since bone density is normal I am assuming that vitamin D is near normal or normal.
Best treatment of lumbar lordosis is its prevention. Cause has be found and its appropriate management to be done. If there is muscle spasm, then it needs to be identified and corrected. If there is a disc problem, it will show in MRI. I think surgery has not been there otherwise back surgery is a common cause of loss of lumbar lordosis. Ankylosing spondylitis is better dealt by a rheumatologist.