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Suggest treatment for persistent severe back pain

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Posted on Tue, 21 Jul 2015
Question: I have been suffering from back pain for quite some time now, to the extent that it has impacted my life adversely. I have tried various medicine, there is a temporary relief however, the pain and the inflammation does not heal.
I have been thinking of getting an epidural injection in the inflammation area ( L4-L5) region. Different folks have different opinion about epidural injection ( some say its just a pseudo and does not actually give any relief). Please advise.
doctor
Answered by Dr. Aashish Raghu (16 minutes later)
Brief Answer:
Disc prolapses, Mechanical back pain

Detailed Answer:
Hi there.

Welcome to Healthcare Magic.

I have read your query and understood your problem.

Do you have pain in the lower back region that radiates to the calf or foot ?

Do you experience tingling or numbness in your calf or foot ?

You have been suffering from chronic low back pain since a long time. Medication has not helped much.

Commonly degenerative disc disorders can lead to disc prolapse and pinching of the nerves going to your legs from the back. Bad posture, excessive weight gain, lifestyle disorders are to blame.

It is highly recommended that you show your Orthopaedic surgeon and get a thorough examination to find the cause of your back pain. Xray and MRI may be needed to look for a prolapsed disc or other conditions in the lumbosacral vertebra.

As of now, avoid bending forwards or lifting heavy weight. Use god posture she follow ergonomics at work. Apply warm soaks or hot water bag very carefully wrapped in cloth to the area of pain to relieve muscle spam which will give great relief.

You can take over the counter medication like pain killer in combination with Muscle relaxant like Diclofenac and Thiocolchiside tablet once or twice a day after a meal. This week give you better relief for time being. Also you can wear a lumbar support belt.

Epidural Steroid offers good quality pain relief by anesthetizing painful areas supplied by the pinched nerve. This is not a cure but only a mode of management of pain. This injection is given over the back, in the lower spine region under aseptic precautions. This injection may need to be repeated usually after 4 to 6 months to continue pain relief.

If a prolapsed disc is detected, it can be managed by conservative methods and also micro surgical techniques to remove this prolapsed part of the disc and can be curative.

Kindly discuss these options with your Orthopaedic surgeon after a proper examination.

Eat healthy and keep well hydrated. Exercise regularly but not strenuously and within comfortable limits.

I hope I have answered your query.

Thanking you.

Regards,

Dr. Aashish Raghu


Above answer was peer-reviewed by : Dr. Shanthi.E
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Follow up: Dr. Aashish Raghu (20 minutes later)
Thanks Doctor, appreciate your prompt reply.

To answer your question on numbness, pain radiation - The answer is No radiation or tingling.I have been to many doctors and the only problem I have been told, that the there is stiffness in the back muscles and possibly because of 'postural problem'. I will again seek the necessary medical advise.

My idea of getting epidural injection was to get the temporary relief and then work on the core flexibility issue through Yogic exercises for next couple of months because at this stage even the back extension exercise restricts my moves.

Thanks and appreciate your reply.

XXXX XXXXXXX
doctor
Answered by Dr. Aashish Raghu (7 minutes later)
Brief Answer:
Exercises, Epidural injection

Detailed Answer:
Hi there.

Thanks for the follow up query.

Yes, Epidural injection will or significant relief in back pain especially in disc prolapses.

You can do the back stretching exercises to strengthen the paraspinal muscles. Also do warm soaks which will relieve muscle spasm.

You are free to follow up with me at any time.

Thanking you.

Regards,

Dr. Aashish Raghu
Above answer was peer-reviewed by : Dr. Shanthi.E
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Dr. Aashish Raghu

Orthopaedic Surgeon

Practicing since :2011

Answered : 5395 Questions

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Suggest treatment for persistent severe back pain

Brief Answer: Disc prolapses, Mechanical back pain Detailed Answer: Hi there. Welcome to Healthcare Magic. I have read your query and understood your problem. Do you have pain in the lower back region that radiates to the calf or foot ? Do you experience tingling or numbness in your calf or foot ? You have been suffering from chronic low back pain since a long time. Medication has not helped much. Commonly degenerative disc disorders can lead to disc prolapse and pinching of the nerves going to your legs from the back. Bad posture, excessive weight gain, lifestyle disorders are to blame. It is highly recommended that you show your Orthopaedic surgeon and get a thorough examination to find the cause of your back pain. Xray and MRI may be needed to look for a prolapsed disc or other conditions in the lumbosacral vertebra. As of now, avoid bending forwards or lifting heavy weight. Use god posture she follow ergonomics at work. Apply warm soaks or hot water bag very carefully wrapped in cloth to the area of pain to relieve muscle spam which will give great relief. You can take over the counter medication like pain killer in combination with Muscle relaxant like Diclofenac and Thiocolchiside tablet once or twice a day after a meal. This week give you better relief for time being. Also you can wear a lumbar support belt. Epidural Steroid offers good quality pain relief by anesthetizing painful areas supplied by the pinched nerve. This is not a cure but only a mode of management of pain. This injection is given over the back, in the lower spine region under aseptic precautions. This injection may need to be repeated usually after 4 to 6 months to continue pain relief. If a prolapsed disc is detected, it can be managed by conservative methods and also micro surgical techniques to remove this prolapsed part of the disc and can be curative. Kindly discuss these options with your Orthopaedic surgeon after a proper examination. Eat healthy and keep well hydrated. Exercise regularly but not strenuously and within comfortable limits. I hope I have answered your query. Thanking you. Regards, Dr. Aashish Raghu