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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Lower Back Pain, Hip Pain, Leg Pain. Prescribed Pain Killers, Calcium Dose. History Of Diabetes, Mild Angina. Treatment?

since last two months I am suffering from lower backpain , hip pain. The pain spreads over legs and my walk is affected. Orthopaedic Dr. said the problem is not severe and prescribed pain killers and daily calcium dose. This gave temp. relief. After this, I underwent Mckenzie physiotherapy exercises. These eased severity of pain, but pain persists. What should I do get over the problem. I am 67, mild diabetic, mild angina and am taking heart and BP medicines.
Mon, 16 Jul 2012
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Ayurveda Specialist 's  Response
Hello and thanks for writing in at HCM
I am a general physician in India and read your mail in detail. The history you have given makes diagnosis of PIVD (Prolapsed Inter-vertebral Disc) or Acute Lumber Strain or Diabetic Neuropathy. Diagnosis lot depend on the duration of time and severity of pain and to what extend it radiates to the hip and legs.
1. If your have multiple episodes of pain and severe pain in legs with or without numbness or even if you have first episode of pain but pain is quite severe than it is PIVD. Consult your orthopedic and get your X-ray LS Spine done done and if need and advised by your doctor go for MRI scan.
2. Secondarily if your pain is severe at the starting and getting reduced day by day and radiates less to the leg, morning stiffness is more and pain reduces as the day progress than it is Acute Lumber strain. It is treated by medication and physiotherapy as advised by your doctor. But it can take some time may be 1-2 months to get complete relief.
3 As your are diabetic and hypertensive don't forget about Diabetic Neuropathy. It causes due to uncontrolled Blood sugar level. Check your sugar level by HbA1c.
4. The best treatment for low back pain is Complete Bed rest.
Consult your doctor and rule get to a proper diagnosis and get treated.
Best Wishes
Dr. Dinesh Kumar Bhatia
Health Care Magic
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General & Family Physician Dr. Pavan Kumar Gupta's  Response
Hello
Since you have already been seen by an orthopedic doctor,it rules out any neurological problem or sciatica.It could be due to VIT D deficiency.
I would advise you to take VIT D orally in the dose of 60000 units every week for 8 weeks along with other medications being taken by you.
I hope you shall be alright.
Thanks
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Lower Back Pain, Hip Pain, Leg Pain. Prescribed Pain Killers, Calcium Dose. History Of Diabetes, Mild Angina. Treatment?

Hello and thanks for writing in at HCM I am a general physician in India and read your mail in detail. The history you have given makes diagnosis of PIVD (Prolapsed Inter-vertebral Disc) or Acute Lumber Strain or Diabetic Neuropathy. Diagnosis lot depend on the duration of time and severity of pain and to what extend it radiates to the hip and legs. 1. If your have multiple episodes of pain and severe pain in legs with or without numbness or even if you have first episode of pain but pain is quite severe than it is PIVD. Consult your orthopedic and get your X-ray LS Spine done done and if need and advised by your doctor go for MRI scan. 2. Secondarily if your pain is severe at the starting and getting reduced day by day and radiates less to the leg, morning stiffness is more and pain reduces as the day progress than it is Acute Lumber strain. It is treated by medication and physiotherapy as advised by your doctor. But it can take some time may be 1-2 months to get complete relief. 3 As your are diabetic and hypertensive don t forget about Diabetic Neuropathy. It causes due to uncontrolled Blood sugar level. Check your sugar level by HbA1c. 4. The best treatment for low back pain is Complete Bed rest. Consult your doctor and rule get to a proper diagnosis and get treated. Best Wishes Dr. Dinesh Kumar Bhatia Health Care Magic