Suggest treatment for acute back pain near waist line and hip bone

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Posted on Tue, 16 Jun 2015 in General Health
Question: hi I m XXXXX......I want to ask regarding my mother's health problem. She is 67 years old....her blood pressure and sugar level is normal...she is suffering from acute back pain . Near waist line and the hip bones are aching a lot in her case. Would you be able to suggest any medicines.
doctor
Answered by Dr. Anshul Varshney 15 minutes later
Brief Answer:
I need further details

Detailed Answer:
Welcome to Healthcaremagic.
Hi, I am Dr Anshul Varshney , I have read your query in detail , I understand your concern.
Lob back pain has many reasons. To help you better, i need to know a few more details:
1. Since when is she having the pain?
2. Any radiation of pain to legs?
3. Pain is more in day or night? or is continuous in nature?
4. Any tingling or numbness in legs?
5. How the pain started? Any trauma or jerk?
6. How is her sleep?
Revert with these questions preferably in point wise manner for a better help.
Stay Healthy.
Dr Anshul Varshney , MD

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anshul Varshney 11 hours later
Hi,
1. Past 1 month.
2. Yes. Only the back of right leg's thigh.
3. Continuous is nature.
4. Yes. Numbness is there.
5. Jerk. She tried to lift a heavy object.
6. Her sleep is fine. But she prefers to sleep on floor rather than on bed. If she sleeps on bed, then the pain increases and she is not comfortable also.

Thanks. Please let me know if you require any more information.
doctor
Answered by Dr. Anshul Varshney 3 hours later
Brief Answer:
Get investigated.

Detailed Answer:
Hello,
She seems to be suffering from Prolapsed Intervertebral Disc Compression that is L5-S1 Radiculopathy.
I would advise you to get her a MRI lumbo-sacral spine done.
Also you should get Serum Calcium and Vitamin D3 levels, ESR, CRP, Rheumatoid factor.
For pain i advise following:
1. A combination of Pregabalin and Methylcobalamine
2. To do hot fomentation of the affected area.
3. To apply Diclofenac ointment locally.
4. To get physiotherapy done particularly Ultrasonic heat massage.
5. SSRI like Duloxetine helps in long term.
But if the compression is very severe, causing motor weakness , tingling on any side of the body then surgical intervention would be required.
I hope it helps.
If you have any further query, please ask me.
Stay Healthy.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Anshul Varshney

Internal Medicine Specialist

Practicing since :2009

Answered : 3072 Questions

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