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Suggest Treatment For Severe Lower Back Pain

Posted on Thu, 2 Feb 2017

Question: I have severe pain in my lower back causing numbness down my right leg. I am having difficulty walking up right or standing up. I get severe pain in my right hip.

Answered by Dr. Dr. Gopal (17 minutes later)

Brief Answer:
Could be slipped disc.

Detailed Answer:
Hi I am Dr Gopal Goel Orthopedic Surgeon.
With symptoms like yours, i am inclined to think in terms of slipped disc probably L5-S1 or L4-5.with pressure on a nerve causing this pain.
I recommend pain killers , muscle relaxants, physiotherapy and certain precautions like no weight lifting , avoid forward bending and prolonged sitting.
If you don't get relief in 5-7 days then get an MRI of lower spine to know the exact nature of nerve compression.
Thanks for the question.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Dr. Gopal (8 minutes later)

There is constant severe pain in the right buttock area. Could there also be an issue with the S i Joint?

Answered by Dr. Dr. Gopal (9 minutes later)

Brief Answer:
Unlikely

Detailed Answer:
Hi I am Dr Gopal Goel , orthopedic surgeon
It is unlikely to have two diseases and when we can explain all symptoms from one disease , then do not think about second disease.
Involvement of L5- S1 will lead to pain in the hip area so it is explained. However for confirmation I would still go for MRI.
Numbness is also not explained by sacroilitis.
Thanks for the question.

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Remy Koshy