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Suggest Remedies For Severe Back Pain During Pregnancy
Question: Query:
Pain in lower back. Started since 2nd pregnancy trimester, from Apr'15.
2. Lying on back, straight, was very difficult for longer period, never slept on back for more than an year post Apr'15 due to pain. Pain increased while lying or getting up from bed. It's still there but, quite less now.
2. Met ortho in Dec'15 as pain persisted even after delivery. He advised to wait for an year as ruptured membranes during pregnancy and delivery takes almost that time to heal. Advised no forward bending, weight lifting as pain was increasing with it. Have taken pain killers whenever pain was unbearable. Spine has curved a bit more after delivery.
3. Started some mild exercises for few months. Did physiotherapy after ortho and gynae advise in Sept'16 end for a week. After therapy and still continued exercises, muscle spasm improved and am currently able to sleep on back with legs folded as advised. Flat footwear stopped, weight lifting (even holding baby for longer period as he weighs almost 12 kg) was refused till back strengthens.
4. Forward bending even for 30 seconds increases pain. Exercises are helping but, I need a permanent cure from pain.
5. Some recent issues are sounds from bones on body movement. Upper back also has a little pain now and then.
Doctor has advised that my Vitamin D is within range but, decreasing and hence, pain. Was 55 in Apr'16, now, 33 in Dec'16. Lifestyle needs to be improved, exercises needs to be continued non-stop, step outside house for sunlight, walk should be a routine part.
Need opinion on this information and tests conducted. Thanks
Answer by Doctor:
I have read the problems that she has been facing since before the delivery till now.
I understand this is a very difficult time to go through and she is suffering much.
I would like to see her xrays of lumbosacral spine AP view and Flexion and Extension lateral views and if possible MRI as well.
She could be having slip disc or Spine instability. Each of these conditions have different management so it is upstand to get the Xray and MRI to confirm
Question:
Please see the MRI images provided to you by Healthcaremagic team
This is for my sister who is 36 years old.
Pain in lower back. Started since 2nd pregnancy trimester, from Apr'15.
2. Lying on back, straight, was very difficult for longer period, never slept on back for more than an year post Apr'15 due to pain. Pain increased while lying or getting up from bed. It's still there but, quite less now.
2. Met ortho in Dec'15 as pain persisted even after delivery. He advised to wait for an year as ruptured membranes during pregnancy and delivery takes almost that time to heal. Advised no forward bending, weight lifting as pain was increasing with it. Have taken pain killers whenever pain was unbearable. Spine has curved a bit more after delivery.
3. Started some mild exercises for few months. Did physiotherapy after ortho and gynae advise in Sept'16 end for a week. After therapy and still continued exercises, muscle spasm improved and am currently able to sleep on back with legs folded as advised. Flat footwear stopped, weight lifting (even holding baby for longer period as he weighs almost 12 kg) was refused till back strengthens.
4. Forward bending even for 30 seconds increases pain. Exercises are helping but, I need a permanent cure from pain.
5. Some recent issues are sounds from bones on body movement. Upper back also has a little pain now and then.
Doctor has advised that my Vitamin D is within range but, decreasing and hence, pain. Was 55 in Apr'16, now, 33 in Dec'16. Lifestyle needs to be improved, exercises needs to be continued non-stop, step outside house for sunlight, walk should be a routine part.
Need opinion on this information and tests conducted. Thanks
Answer by Doctor:
I have read the problems that she has been facing since before the delivery till now.
I understand this is a very difficult time to go through and she is suffering much.
I would like to see her xrays of lumbosacral spine AP view and Flexion and Extension lateral views and if possible MRI as well.
She could be having slip disc or Spine instability. Each of these conditions have different management so it is upstand to get the Xray and MRI to confirm
Question:
Please see the MRI images provided to you by Healthcaremagic team
This is for my sister who is 36 years old.
Brief Answer:
Needs further evaluation to decide definitive treatment
Detailed Answer:
Hi there
Thanks for the query
I have read your query and understood your problem.
You seem to be having disc prolapse which is causing this pain, aggravates on bending forward and relieved on lying down with pillow underneath.
Avoid bending forwards or lifting weights. Apply hot packs to the affected region. Do back strengthening exercises physiotherapy.
I've seen the attached reports, could you please upload only your MRI printed paper report because I need to view the canal dimensions which isn't seen in the films. Also if possible, please upload the X-ray report.
Also continue therapy for calcium and Vitamin D as usual. Take for 6 months. You can repeat the tests thereafter.
Try to get a DEXA Scan to look for bone quality.
I hope I have answered your query.
I will be available to answer your follow up queries.
Regards,
Dr. Aashish Raghu
Needs further evaluation to decide definitive treatment
Detailed Answer:
Hi there
Thanks for the query
I have read your query and understood your problem.
You seem to be having disc prolapse which is causing this pain, aggravates on bending forward and relieved on lying down with pillow underneath.
Avoid bending forwards or lifting weights. Apply hot packs to the affected region. Do back strengthening exercises physiotherapy.
I've seen the attached reports, could you please upload only your MRI printed paper report because I need to view the canal dimensions which isn't seen in the films. Also if possible, please upload the X-ray report.
Also continue therapy for calcium and Vitamin D as usual. Take for 6 months. You can repeat the tests thereafter.
Try to get a DEXA Scan to look for bone quality.
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. Arnab Banerjee
Thanks for the response Doctor.
My further response will be based on few clarifications from your end:
1. DEXA Scan of which body part specifically.
2. You seek X-ray report or film as report was already attached.
3. You seek MRI report or film as report was already attached.
Also, to share my sister has quite a relief after she started Vitamins and Calcium since few days but, will surely consider your advise.
My further response will be based on few clarifications from your end:
1. DEXA Scan of which body part specifically.
2. You seek X-ray report or film as report was already attached.
3. You seek MRI report or film as report was already attached.
Also, to share my sister has quite a relief after she started Vitamins and Calcium since few days but, will surely consider your advise.
Brief Answer:
DEXA of hip and vertebrae
Detailed Answer:
Thank you for the reply.
DEXA Scan of the hip and vertebrae will be helpful to look for bone quality.
Yes, do try the advise and precautions as mentioned earlier and follow up with me on the results.
Regards
DEXA of hip and vertebrae
Detailed Answer:
Thank you for the reply.
DEXA Scan of the hip and vertebrae will be helpful to look for bone quality.
Yes, do try the advise and precautions as mentioned earlier and follow up with me on the results.
Regards
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
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