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Suggest Treatment For Persistent Back Pain In An Obese Person
Question: Hello Doctor,
I am a 40 year old XXXXXXX male. I am having lower back ache since past almost 16 years. Though it has aggravated more from past 7-8 years. Some doctors say i have Ankylosing Spondylytis because my HLAB27 is positive, where as Rhematologists says not i dont have AS. I have tried all the possible medical options known to me. I have even tried yoga, walk, gym, swimming, physiothrapy but unfortunately i am not able to continue with any of the regime's for more than 15-20 days, after that i get some sever pain in some part of my body and everything stops. I am an IT professional so my job requires me to be seated most of the time. I am overweight 84 Kgs, my height is 163cms. Please give me some proper guidance to cure my problem.
Thanks in advance for your help
I am a 40 year old XXXXXXX male. I am having lower back ache since past almost 16 years. Though it has aggravated more from past 7-8 years. Some doctors say i have Ankylosing Spondylytis because my HLAB27 is positive, where as Rhematologists says not i dont have AS. I have tried all the possible medical options known to me. I have even tried yoga, walk, gym, swimming, physiothrapy but unfortunately i am not able to continue with any of the regime's for more than 15-20 days, after that i get some sever pain in some part of my body and everything stops. I am an IT professional so my job requires me to be seated most of the time. I am overweight 84 Kgs, my height is 163cms. Please give me some proper guidance to cure my problem.
Thanks in advance for your help
Brief Answer:
MRI scan needed for diagnosis.
Detailed Answer:
Hello,
Thanks for posting your query.
The chronic low back ache that you have can be due to a wrong posture, muscle spasm, disc prolapse or ankylosing spondylosis. To confirm the diagnosis it is best to get an MRI scan of your lower back done.
To get rid of the pain, you need to lose few extra kilos and improvise your posture. The first step is to ensure that you maintain an appropriate posture while working on the computer. Take frequent stretch breaks and drink lots of water. Discontinue using pillow while sleeping straight. Do not lift heavy objects, especially after bending down. Eat a healthy wholesome meal which should satisfy your minerals and proteins requirement.
TREATMENT: Some general guidelines can help you to reduce lower back pain. These are as follows:
1) Take adequate bed REST with maintaining posture. Individuals who do not regularly exercise to build strength and flexibility are more likely to experience recurrent or prolonged lower back pain.
2) Alternate Hot water bottle or Ice pack can help to relieve most types of low back pain by reducing inflammation.
3) Non-Steroid Anti-Inflammatory Drugs (NSAIDs) and oral muscle relaxants are quite useful to reduce inflammation and back pain. You need proper prescription from your doctor.
4) Exercise for Lower Back Pain : It is a key element of almost any lower back pain treatment plan. You may contact with Physiotherapist regarding this.
It includes 3 components: aerobic conditioning, stretching, and strengthening. The exercises are done through a controlled, progressive program to build more strong and flexible spine.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
MRI scan needed for diagnosis.
Detailed Answer:
Hello,
Thanks for posting your query.
The chronic low back ache that you have can be due to a wrong posture, muscle spasm, disc prolapse or ankylosing spondylosis. To confirm the diagnosis it is best to get an MRI scan of your lower back done.
To get rid of the pain, you need to lose few extra kilos and improvise your posture. The first step is to ensure that you maintain an appropriate posture while working on the computer. Take frequent stretch breaks and drink lots of water. Discontinue using pillow while sleeping straight. Do not lift heavy objects, especially after bending down. Eat a healthy wholesome meal which should satisfy your minerals and proteins requirement.
TREATMENT: Some general guidelines can help you to reduce lower back pain. These are as follows:
1) Take adequate bed REST with maintaining posture. Individuals who do not regularly exercise to build strength and flexibility are more likely to experience recurrent or prolonged lower back pain.
2) Alternate Hot water bottle or Ice pack can help to relieve most types of low back pain by reducing inflammation.
3) Non-Steroid Anti-Inflammatory Drugs (NSAIDs) and oral muscle relaxants are quite useful to reduce inflammation and back pain. You need proper prescription from your doctor.
4) Exercise for Lower Back Pain : It is a key element of almost any lower back pain treatment plan. You may contact with Physiotherapist regarding this.
It includes 3 components: aerobic conditioning, stretching, and strengthening. The exercises are done through a controlled, progressive program to build more strong and flexible spine.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
First of all thanks a lot for the answer. I forgot to mention that my MRI scans have been done 3 times since 2004, with latest being in 2013. All the scans reveal some reduced space between L3, L5, L7 vertebrae's with no disc bulging but slight degeneration.
Brief Answer:
Back muscle spasm more likely.
Detailed Answer:
Hello.
Thanks for writing again.
The mild reduction in disc space is an age related change and is not likely to cause a persistent pain like you have. Back muscle spasm is more likely.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Back muscle spasm more likely.
Detailed Answer:
Hello.
Thanks for writing again.
The mild reduction in disc space is an age related change and is not likely to cause a persistent pain like you have. Back muscle spasm is more likely.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
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. Chakravarthy Mazumdar
Answered by
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