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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have back pain. Had a fall earlier. Was taking nuxofen and cocodomol for the same before. What to do?

I am 40. I fell over about 2 weeks ago and landed on my side. prior to this about one year ago i had severe back pain it moved around my back to my buttocks and sometimes down my leg. My doctor prescribed me nuxofen and cocodomol. Since I fell my back has been aching again and it is very stiff in the mornings, i have to brace myself to bend down, bending my legs and sometimes find it hard to get back up again. It hurts when i cough or sneeze.
Mon, 20 May 2013
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Orthopaedic Surgeon 's  Response
Hello,
Welcome at HCM.

I have read your query.

It looks from your details that you are having back pain which raadiates in leg,there is stiffness in morning & there is pain on coughing.

All your symptoms are directing towards the diagnosis of prolapse intervertebral disc.For this you should do following-

-At least have a x ray of your back.The best will be MRI investigation.This will be able to give you details about bony as well as soft tissue problem.

-Take rest for few days.

-Avoid bending over your back.

-Keep your weight under control.

-Take the help of a physiotherapist .You may get relief with help of ultrasonic therapy,intermittent traction therapy,galvanic therapy,etc.

-Take a good analgesic like tramadol with paracetamol on prescription from your doctor.

-If your problem is severe then consult to a orthopedic surgeon.You may be a candidate for surgery if there is severe radiating pain in limbs with weakness or urinary problems.

Hope this all will help you.

With best wishes.
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