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What causes lower back pain?

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Posted on Mon, 14 Jul 2014
Question: Hi
i am having lower back pain from last few days. I feel it while sitting mostly at work. This was intermittent from last few months and used to go away after application of analgesic cream or hot packs. But now it seems to be everyday. Kindly advise.
doctor
Answered by Dr. Anshul Varshney (24 minutes later)
Brief Answer:
I need further details

Detailed Answer:
Dear Friend.
Welcome to HCM. I am Dr Anshul Varshney. I understand your concern.

Back pain can be Acute or Chronic. Causes, investigations and treatment all depend on that.

Your low back pain can be due to:
1.Prolapsed Inter Vertebral Disc
2.Muscular Back pain.

Give me following details so that I can help you better:
1.Exactly since how long are you having it?
2.Any radiation of pain to legs?
3.Any tingling and numbness associated?
4.Any weakness or muscular wasting in legs?
5.Pain is mostly when? On movement or at rest?
6.Does the pain gets aggravated or relieved when you lie down?
7.Any stiffness of back ?
8.Any frequent reddening of eyes?
9.Any investigations if done please attach.
10.What treatment you have taken , please mention

Revert with these details preferably in point wise manner.
This is my personal opinion for you based on available details. If you have any further query please ask me.
Stay Healthy
Dr Anshul Varshney, MD

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anshul Varshney (23 minutes later)
Dear Doc. XXXXXXX

Please find my answers below:
1.Exactly since how long are you having it? - This has been recurring over the last couple of months. It used to come and then go away after a night's rest. However, last few days (4 days), it has been persistent.
2.Any radiation of pain to legs? - No. None.
3.Any tingling and numbness associated? - Nothing.
4.Any weakness or muscular wasting in legs? - No.
5.Pain is mostly when? On movement or at rest? - Mostly when sitting down/getting up. Today, its been there while sitting at desk as well. If i sit still, no pain, if i change posture, i feel it in bottom (at my belt level) of my spine.
6.Does the pain gets aggravated or relieved when you lie down? - No pain while lying down.
7.Any stiffness of back ? - Yes, i think its associated. Only in lower back.
8.Any frequent reddening of eyes? - If i work too long ( there has been few long days over the fast few months due to work), then at the end of day eyes are red. i believe thats because of excessive staring at laptop screen. Goes away in the morning.
9.Any investigations if done please attach. - No, not done. If anything is required please advise.
10.What treatment you have taken , please mention - Normally i would apply analgesic gel/cream and go to sleep. No pain in the morning after that. Sometimes, i will apply a hot pack while going to sleep. That also relieves the pain. As i said, its been there intermittently (once/twice a week) over the last couple of months. Always goes away in the morning. Only the last 3/4 days, its been there in the morning too.

looking forward to your reply.
Regards,
XXXX
doctor
Answered by Dr. Anshul Varshney (11 minutes later)
Brief Answer:
Get investigated

Detailed Answer:
Dear XXXX
It seems you have Low back pain due to incurrent posturing.
But reddening of eyes and stiffness of back are associated in Ankylosing Spondylitis.

So, we should not ignore that possibility.

I would advise you following:
1.MRI LS Spine (Including Sacroiliac joints to see for sacroiliatis)
2.HLAB 27

Even if there is evidence of PIVD in your MRI, treatment would be conservative until and unless some nerve compression is there.

There should not be any nerve compression as evident from your history.

Till the reports are available, observe following:
1.Hot fomentation 2-3 times a day.
2.Local Volini gel locally
3.Back support
4.Use hard mattress
5.Get physiotherapy of back.
6.In cases of sever pain you can take a combnation of Tramadol and Acetaminophen once or twice a day.

Review with me once you have your reports.
Stay Healthy


If you have any further query please ask me.
Stay Healthy
Dr Anshul Varshney, MD

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Anshul Varshney

Internal Medicine Specialist

Practicing since :2009

Answered : 3072 Questions

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What causes lower back pain?

Brief Answer: I need further details Detailed Answer: Dear Friend. Welcome to HCM. I am Dr Anshul Varshney. I understand your concern. Back pain can be Acute or Chronic. Causes, investigations and treatment all depend on that. Your low back pain can be due to: 1.Prolapsed Inter Vertebral Disc 2.Muscular Back pain. Give me following details so that I can help you better: 1.Exactly since how long are you having it? 2.Any radiation of pain to legs? 3.Any tingling and numbness associated? 4.Any weakness or muscular wasting in legs? 5.Pain is mostly when? On movement or at rest? 6.Does the pain gets aggravated or relieved when you lie down? 7.Any stiffness of back ? 8.Any frequent reddening of eyes? 9.Any investigations if done please attach. 10.What treatment you have taken , please mention Revert with these details preferably in point wise manner. This is my personal opinion for you based on available details. If you have any further query please ask me. Stay Healthy Dr Anshul Varshney, MD