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What causes severe back pain during the night?

Answered by
Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 11561 Questions

Posted on Wed, 1 Aug 2018 in Bones, Muscles and Joints
Question: Severe back pain, at or near SI joints. Hurts only at night. Interferes with sleep.
Responds well to excercise of bending forward and touching toes.
Pain is on both sides of center. 2 spots, about 3 or 4 inches apart.
Answered by Dr. Praveen Tayal 2 hours later
Brief Answer:
Oral muscle relaxants and hot compress can help.

Detailed Answer:
Thanks for posting your query.
The back pain that you have can be due to
1. Lumbar muscle strain- due to tear or pull of muscle fibres.
2. Infections like paraspinal abscess.
3. Lumbar disc herniation, sciatica, etc.
4. Arthritis or ankylosing spondylosis.
5. Weak core muscles-Strengthening the muscles that support the spine helps keep the spine in its proper position and reduce risk of sprains, strains and lower back pain.
6. Vitamin D3 deficiency.
The first step is to ensure that you maintain an appropriate posture while working. Take frequent stretch breaks and drink lots of water. Discontinue using pillow while sleeping straight. Do not lift heavy objects, especially after bending down. Eat a healthy wholesome meal which should satisfy your minerals and proteins requirement.

The most essential and long lasting remedy is exercises. There are certain back strengthening and isometric exercises that you must learn from a physiotherapist and perform them at home whenever possible. You can also undergo a weeks session of traction at your physiotherapist's clinic.

Last but not least, if its unbearable take medications or muscle relaxant prescribed by your physician. And if it has been long standing illness visit your orthopaedician and clinically-radiologically establish a diagnosis to commence definitive treatment.

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.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Praveen Tayal 1 hour later
Dr. Tayal,
Thank you for your thoughtful, thorough reply. Your answer was much better than
I expected. Your guidance is appreciated.

Best Regards, Russ XXXXXXX
Answered by Dr. Praveen Tayal 41 minutes later
Brief Answer:

Detailed Answer:
I am happy I could help.
Do recommend our services to your friends too in case you find it helpful.
Wishing you the best in whatever you do.
Best Regards.

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

The User accepted the expert's answer

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