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Suggest Treatment For Lower Back Pain

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Posted on Sat, 18 Feb 2017
Question: I am 36 years of age, Male.

For the last couple of months i have been suffering lower back pain. About 4 months back i consulted an orthopaedic doctar and was advised it is result of extended sitting position and sedentary lifestyle. I was advised to do some exercises that included mainly crunches.

I tried to exercise as per the recommendation but must admit i was not regularly doing it. Over the next few weeks the condition remains the same and has actually worsen.
Now i sometimes feel pain even while travelling on a bad road when passing over a bump.
But this pain does not really prevent me from running, cycling or doing other normal jobs. The pain is more when i begin to stand while sitting.
In an attempt to get some flexibility in my body i recently attempted Yoga exercises but that aggravated the pain and did not seem to have improved the situation. My body has always been inflexible from beginning. As a result i stopped yoga too after a week.
What do you recommend as steps to take to improve the situation? What are the exercises i should do? And which ones i should avoid?
Can you recommend some further indications of exercises to be done and for how long?
Are any changes required in the office seat being used or the sleeping position or type of bed?
I am worried that prolonged condition of pain will further worsen the condition.

doctor
Answered by Dr. Dr. Erion Spaho (1 hour later)
Brief Answer:
A correct diagnosis is necessary first.

Detailed Answer:
Hello and thanks for using HCM.

I have read your question and understand your concerns.

Low back pain may be caused by conditions such degenerative lumbar spine discs disease, herniated discs, lumbar spondylosis etc.

As a first step in being treated correctly, a correct diagnosis is necessary first.

A lumbar spine MRI is necessary for this purpose.

Treatment options for this condition include rest for few days, warm procedures on lumbar spine, NSAID or painkiller drugs use, physical therapy with the aim of reducing joints loading and strengthening of lumbosacral musculature.

Besides physical therapy that may be done for one or two months, XXXXXXX exercises are among most appropriate ones for this purpose and can be done for longer periods.

Reduced flexibility is related mainly to suffering muscles.

You should avoid movements or activities that increase your pain and discomfort, and you should amplify movements or activities that make you feel better.

It is advisable also to move frequently during work hours, not to stay for long in sitting position.

Discuss with a spine Specialist about these issues.

Hope you found the answer helpful.

Let me know if I can assist you further.

Greetings.
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
Answered by
Dr.
Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4470 Questions

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Suggest Treatment For Lower Back Pain

Brief Answer: A correct diagnosis is necessary first. Detailed Answer: Hello and thanks for using HCM. I have read your question and understand your concerns. Low back pain may be caused by conditions such degenerative lumbar spine discs disease, herniated discs, lumbar spondylosis etc. As a first step in being treated correctly, a correct diagnosis is necessary first. A lumbar spine MRI is necessary for this purpose. Treatment options for this condition include rest for few days, warm procedures on lumbar spine, NSAID or painkiller drugs use, physical therapy with the aim of reducing joints loading and strengthening of lumbosacral musculature. Besides physical therapy that may be done for one or two months, XXXXXXX exercises are among most appropriate ones for this purpose and can be done for longer periods. Reduced flexibility is related mainly to suffering muscles. You should avoid movements or activities that increase your pain and discomfort, and you should amplify movements or activities that make you feel better. It is advisable also to move frequently during work hours, not to stay for long in sitting position. Discuss with a spine Specialist about these issues. Hope you found the answer helpful. Let me know if I can assist you further. Greetings.