Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

142 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest treatment for radiating pain in lower back and sleeplessness

Answered by
Dr.
Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 11634 Questions

default
Posted on Wed, 21 Oct 2015 in Bones, Muscles and Joints
Question: My son age is 19 yrsold/5ft 7 inches/63 kgs and studying for CA exams at home.

2. he used to be active in sports/dance in his school days. But in gymnastic, he felled at his back . It was 3-4 years back. For the last 2 months,pain in lower back has spread to upper back also while laying pain is most.Now pain has increased.

3.MRI & x-ray has been done ,they are ok.

4. The prescription is for multivitamins & painkiller Exonac & taking the same.

5. he has joined pyshotherapist for last 25 days & pain is still there.

6. at night can't sleep without painkiller for more than 5-6 hrs,feels better in chair.
7. 4 weeks back,vitamins B12 which was below level ,now has improved above level ,vitamin D which was very low ,also has improved but still it is below level.
suggest how pain will go?
doctor
Answered by Dr. Praveen Tayal 42 minutes later
Brief Answer:
Mechanical back pain likely.

Detailed Answer:
Hello,
Thanks for posting your query.
From description it seems he might be suffering from Mechanical back pain.
It is a common medical problem. Mechanical back pain implies the source of pain is in the spine and/or its supporting structure. The surrounding muscles and ligaments may develop reactive spasm and pain.
The following measures will help with the pain
• Lie on a hard bed.
• Anti -inflammatory drugs like Tablet Motrin or Brufen 1 tablet as and when required ( do not repeat a dose before 6 hours) with food will help relieve the pain. He can also take oral muscle relaxants like thiocolchicoside after getting these prescribed from his orthopedician.
• Correct the posture while sitting
• Avoid prolonged sitting
• Avoid strenuous activity & lifting heavy weights.
• Apply diclofenac gel on the affected area. Warm compresses will also help.
Do continue taking Vitamin D supplements 60,000 IU every week till the levels return to normal.
The most essential and long lasting remedy is exercise. There are certain back strengthening and isometric exercises that he must learn from a physiotherapist and perform them at home whenever possible.

He can start with swimming and mild aerobic exercises. These do help a lot in the back pain. Do adequate warming up before starting the exercises daily.
Taking calcium and vitamin D 3 supplements will also help in early recovery. You can get these prescribed from your orthopedician.
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. Neel Kudchadkar
doctor
default
Follow up: Dr. Praveen Tayal 3 days later
Now ,HLA B27 has come out positive.

-what are treatment?

-what are medicines?

-what are chances of recovery?

-what are excercises?
doctor
Answered by Dr. Praveen Tayal 12 minutes later
Brief Answer:
A positive test does not mean he has a disease.

Detailed Answer:
A positive HLA B27 can be caused by:
Ankylosing spondylitis
Arthritis related to Crohn's disease or ulcerative colitis
Psoriatic arthritis (arthritis associated with psoriasis)
Reactive arthritis or Reiter's syndrome
Sacroiliitis (inflammation of the sacroiliac joint)
Uveitis
But since your son does not have any symptoms suggestive of these disorders no treatment or exercises can make the test result come back to normal. Do consult a rheumatologist for a detailed evaluation.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Drug/Medication ,  
Lab Tests ,  
Medical Topics

Recent questions on  MRI

doctor1 MD

spinal fusion. I had my s1 l5 l4 fused in Sept and I have not had a day with no pain is that normal I feel like once the Dr did surgery I get no help from their office and lately my pain had been so bad I almost went to er the other night. should I get another MRI or is this normal? also I have a lump that is 12 cm side to Side and 7 cm up and down next to my insion on my stomach had cat scan ultra sound and laperscopic surgery and had six Dr look at it and not know what it is. please help me.

doctor1 MD

I injured my knee while bowling and think I may have a torn meniscus. An MRI showed no tear, but did show wear and tear and a small bone spur on the knee. I also have tingling sensations in the upper and lower leg, hip and lower back pain, numbness and burning in the toes.

doctor1 MD

hi I am 25 years old have history on falling down from 2 meter high on my right heel then hip and back now i sever pain on my heel, hip and back pain xray and mri shows calcanium fracture, fracture t12 and sever pain tenderness and tense on right buttock please help with my buttock diagnosis regards

doctor1 MD

Hi may be you could find out if my daughter s got Mastiod after having gromet s, MRI SCAN AND CONSTANT INFECTION S BEINGtold that evrything inthe garden s rosy when it s not. Now this bump s onthe back of her right hand ear and no antibiotics are touching it . similar situation to my other daughter, now 23yrs had to end up habing a masstiod after constant ear infection s, then had to have her ear drum uplifted.However tth operation did nt work with her as they both retracted. It seem s like we are going through the whole nightmare again and it s never ending. The hospital do not want to do anything cause at the end of the day it all cost money and we feel that we are bangingi our head against abrick wall, simal to fort Knox any suggestions?

doctor1 MD

For past 12+ hours, I’ve had left side pain from left pectoral up through left shoulder and down my left arm to my hand. Sharpest pain is in shoulder, elbow and dorsal side of forearm. Some twitching in wrist and hand.

doctor1 MD

I had a discectomy and I woke up in excruciating pain. A week later a laminectomy to stop the pain. Epidural injection,Morhine, Dilaudid , nothing helps. Something does not seem right. My Dr. has released me and says it will take a year to get...

doctor1 MD

I have been diagnosed with spondylothesis of the L5 and S1 region. I have had an mri and x-rays for my back. I had an epidural injection(2) in Nov in my back which seemed to help the pain going down my legs for a couple of weeks. Unfortunately I...