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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Had Lower Back Pain, IUS Mirena Removed, Stiff Back, Hip Pain. Ideas?

I have had lower back pain for the last month. I had the ius mirena removed at jut before Christmas. I have been experiencing dull pain mainly to right side but has at times shifted to the left. Pain goes into my bottom and I also have experienced stiffness in my back, and legs and hip pain. I am taking pain relief and use a tens machine where I can. The pain is roughly where my sacroilliac joint is, more painful when sitting. I am not sure what started it off, my job is manual and requires a lot of bending and twisting. I also feel tired quite a lot. I have had a couple of periods of back pain early last year also. Any ideas of what could be done?
Tue, 22 Jan 2013
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Orthopaedic Surgeon, Joint Replacement,  's  Response
Hello,
Thanks for posting your query.

According to the clinical history provided the back pain could be part of a mechanical back pain complex of symptoms. This mechanical back pain is caused due to bad posture at work, long work-hours in particular position, lack of proper sleep or healthy diet as well.

I suggest you to try back strengthening exercises by extension of the back muscles which can be taught by your Orthopedician or Physiotherapist. This will help to relieve the possible muscle spasm which causes the pain. One must also rule out inflammatory disorders, for which I recommend you to get a X-ray of your spine after consulting with an Orthopedician. MRI can be taken in case you have any nerve compression symptoms or as deemed necessary by your Orthopedician.

After a thorough physical examination by your Orthopedician, you may be prescribed pain killers and/or muscle relaxants which should give you relief. Physiotherapy may also be advised if necessary. I would suggest you to try swimming as this will help most in back conditions.

Regards.
Dr Saurabh Gupta.
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Have Had Lower Back Pain, IUS Mirena Removed, Stiff Back, Hip Pain. Ideas?

Hello, Thanks for posting your query. According to the clinical history provided the back pain could be part of a mechanical back pain complex of symptoms. This mechanical back pain is caused due to bad posture at work, long work-hours in particular position, lack of proper sleep or healthy diet as well. I suggest you to try back strengthening exercises by extension of the back muscles which can be taught by your Orthopedician or Physiotherapist. This will help to relieve the possible muscle spasm which causes the pain. One must also rule out inflammatory disorders, for which I recommend you to get a X-ray of your spine after consulting with an Orthopedician. MRI can be taken in case you have any nerve compression symptoms or as deemed necessary by your Orthopedician. After a thorough physical examination by your Orthopedician, you may be prescribed pain killers and/or muscle relaxants which should give you relief. Physiotherapy may also be advised if necessary. I would suggest you to try swimming as this will help most in back conditions. Regards. Dr Saurabh Gupta.