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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Recurring Lower Back Pain, Diagnosed As Fragmented Disc Slip. Taking Diclofenac. Options Other Than Surgery?

Hello Doctor,

I am suffering from a recurred lower back pain which was earlier (around 10 years ago) diagnosed as a fragmented slip disc. About 3 days ago, i felt a sort of a compression snap in by lower back, bed rest along with Diclofenac (Voveron) tablets relieve pain for a while, but when I get up and sit for work the pain starts again. I am 63 years old and wish to avoid any kind or surgery. Can you suggest some medicines and Vitamins or supplementary nutritional tablets to build up my back/nerves?

regards,
Vijay
Fri, 26 Jul 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hello and Welcome to HCM,
Thanks for writing to us.
The description suggests that you have lumbar disc disease with radiculopathy. The initial management for this problem is conservative by following means :
- Bed rest
- analgesics and ocassional muscle relaxants
- Methylcobalamine preparations which helps to alleviate your "pins & needles" sensations
- lumbar back support while sitting for longer periods
- intermittent pelvic traction
Hope this helps you.
Wishing you good health...
Regards.
Dr Saurabh Gupta.
Orthopaedic Surgeon.
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General & Family Physician Dr. Het Ram Bishnoi 's  Response
Hello,
Thanks for the query to H.C.M. Forum.
Diclfenac is a pain killer , hence it will provide only symptomatic relief, not treatment.
In my opinion consult a physiotherapist and back strengthening exercise will give you complete relief.
Serratiopeptidase 20 twice in a days reduces swelling.
Good luck.
Dr. HET
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3 Doctors agree with this answer


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Recurring Lower Back Pain, Diagnosed As Fragmented Disc Slip. Taking Diclofenac. Options Other Than Surgery?

Hello and Welcome to HCM, Thanks for writing to us. The description suggests that you have lumbar disc disease with radiculopathy. The initial management for this problem is conservative by following means : - Bed rest - analgesics and ocassional muscle relaxants - Methylcobalamine preparations which helps to alleviate your pins & needles sensations - lumbar back support while sitting for longer periods - intermittent pelvic traction Hope this helps you. Wishing you good health... Regards. Dr Saurabh Gupta. Orthopaedic Surgeon.