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Suggest treatment for severe back pain

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Posted on Mon, 11 May 2015
Question: I fell on April 4, 2015..partly on dirt (the right side) and the left side hit cement from the sidewalk. About 4 days later, left lower back pains started. The pain is also in my hips and they feel very stiff. My theighs hurt and my legs feel like they have been exercising. I am not over weight and I do exercise. My back is tender to the touch today, April 1. I also have a sprained wrist.
I has been putting a heating pad and taking tylenol and ibuprofen
I am female and am 56
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Answered by Dr. Ivo Ditah (3 hours later)
Brief Answer:
Is this pain getting worse or better?

Detailed Answer:
Hi and thank you so much for this query.

I am so sorry to hear about this pain. I have reviewed your information with special attention on the circumstances of your fall and the evolution of the pain. I am confident you do not have a fracture otherwise you would have been unable to bear weight on this leg. With persistent and resistant pains, I will suggest that you get more potent pain medications. This would require a doctors’ prescription and am sure this would be pretty difficult.

For now, I will like to optimize the doses of the pain medication that you are taking. Paracetamol can be taken 3-4times daily and Ibuprofen 3times daily. I will suggest that you take it regularly and not only wait to take when in pains as this compromises the effectiveness in controlling pain. In addition to that, continue with with the heating pad. Physical therapy would be of help as well.

If this fails to address the pain, let me know and we shall review the treatment and probably make more recommendations at that time.

I hope this helps. I wish you well. Thanks so much for using our services and feel free to ask for more information and clarifications if need be.
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Ivo Ditah

Internal Medicine Specialist

Practicing since :2002

Answered : 3922 Questions

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Suggest treatment for severe back pain

Brief Answer: Is this pain getting worse or better? Detailed Answer: Hi and thank you so much for this query. I am so sorry to hear about this pain. I have reviewed your information with special attention on the circumstances of your fall and the evolution of the pain. I am confident you do not have a fracture otherwise you would have been unable to bear weight on this leg. With persistent and resistant pains, I will suggest that you get more potent pain medications. This would require a doctors’ prescription and am sure this would be pretty difficult. For now, I will like to optimize the doses of the pain medication that you are taking. Paracetamol can be taken 3-4times daily and Ibuprofen 3times daily. I will suggest that you take it regularly and not only wait to take when in pains as this compromises the effectiveness in controlling pain. In addition to that, continue with with the heating pad. Physical therapy would be of help as well. If this fails to address the pain, let me know and we shall review the treatment and probably make more recommendations at that time. I hope this helps. I wish you well. Thanks so much for using our services and feel free to ask for more information and clarifications if need be.