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Suggest remedy for neck and lower back pain

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Posted on Mon, 18 May 2015
Question: Thanks Dr. I have been having this weird pain for two weeks now , first it was my lower back on the left vey sore went for MRI was told L4 L5 are degenerating from that to neck pain l thought my sleeping position massage my neck then my upper arm started l thought l pull muscle or nerve because of cold but the pain will not allow me to sleep very painful what can l do please am XXXXXXX 57yrs will be 58 in Nov.
doctor
Answered by Dr. Sudhir Kumar (47 minutes later)
Brief Answer:
Most probably you are having muscular pain.

Detailed Answer:

Hi
Thanks for your query

I'm Dr Sudhir Kumar

I have gone through your query and understand your concern. You are likely to be having pain in your neck. Possible causes of this are
1. Muscular pain may be there. You can take analgesic such as ibuprofen for pain relief.
2.You are likely to be having acute disc prolapse as pain is more severe. It can be confirmed by MRI of cervical spine. Treatment of this is rest and analgesic such as ibuprofen. But if pain is not relieved by ibuprofen then you likely to strong analgesic such as tramadol can be taken after consulting your doctor.
3. You may be having degenerative spine as you have such changes in lumbar spine and it is common in your age.Glucosamine is helpful. Analgesic such as ibuprofen given for pain relief.

You can discuss with your doctor about it.

Hope your query get answered. If you have any clarification then I will be happy to help you.

Wishing you a good health.
Take care.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Sudhir Kumar (22 hours later)
Hi Dr,
Thanks for ur answer like l told you l have been using Neurofen for a week now does it mean l should continue as this pain comes at night especially to turn myself in bed is sometimes difficult l have done MRI told is degenerative L4, L5. And l wake up mostly at 5 am no matter when l sleep with this pain. Does it mean l can use Ibuprofen for long PLS
doctor
Answered by Dr. Sudhir Kumar (30 minutes later)
Brief Answer:
You can continue to neurofen ( ibuprofen) for pain less sleep(PLS)..

Detailed Answer:
Hi
Welcome back
Your MRI shows degenerative changes at L4 and L5 region. You can continue to neurofen ( ibuprofen) for pain less sleep(PLS). Glucosamine is helpful in degenerative changes as it slow down and to some extent repair them.Back excercises will be of help. As you always wake up at 5am so you are likely to be having some sleep disturbance so you can take mild sedative like alprazolam after consulting your doctor as it is a prescription medicine.
You can discuss with your doctor about it.
Everything else already discussed.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.

In future if you wish to contact me directly, you can use the below mentioned link:
https://www.bit.ly/askdrsudhirortho

Wishing you good health
Take care

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Sudhir Kumar (14 hours later)
Hi Dr.
I need your assistance once again as l don't what it is first my grandson love soccer he plays a lot but this last week his knee swell as if there is fluid inside as he complained of severe pain that he can walk well nor use it to play for now he can't run too does it mean we have something wrong with our bone PLS. MARIAN .
doctor
Answered by Dr. Sudhir Kumar (8 hours later)
Brief Answer:
He may be having injury of his knee joint.

Detailed Answer:
Hi
Welcome back
I think your grandson's injury may be related to injury during playing soccer. He may be having hematoma ( blood collection) in his knee.Due to this pain he may be having severe pain. Icing, rest, elevation and analgesic such as ibuprofen will be helpful.
If this swelling doesn't have relation to injury then he need to visit orthopaedician for x rays and other investigation and treatment.
You can discuss with your doctor about it.
Everything else already discussed.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.

In future if you wish to contact me directly, you can use the below mentioned link:
https://www.bit.ly/askdrsudhirortho

Wishing you good health
Take care

Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
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Dr. Sudhir Kumar

Orthopaedic Surgeon

Practicing since :1993

Answered : 3354 Questions

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Suggest remedy for neck and lower back pain

Brief Answer: Most probably you are having muscular pain. Detailed Answer: Hi Thanks for your query I'm Dr Sudhir Kumar I have gone through your query and understand your concern. You are likely to be having pain in your neck. Possible causes of this are 1. Muscular pain may be there. You can take analgesic such as ibuprofen for pain relief. 2.You are likely to be having acute disc prolapse as pain is more severe. It can be confirmed by MRI of cervical spine. Treatment of this is rest and analgesic such as ibuprofen. But if pain is not relieved by ibuprofen then you likely to strong analgesic such as tramadol can be taken after consulting your doctor. 3. You may be having degenerative spine as you have such changes in lumbar spine and it is common in your age.Glucosamine is helpful. Analgesic such as ibuprofen given for pain relief. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then I will be happy to help you. Wishing you a good health. Take care.