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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medicine For Lower Back Pain

Hi, while at work today, I was sitting in a very low chair (elementary school) & hurt my back. I leaned forward to lift a medium sized Rubbermaid bin filled with wooden blocks, and before I could fully lift it something popped/snapped/pulled in the sacral area of my lower back. It hurts to move, especially going from sitting to standing or vice versa. Also, it feels rather warm to touch but the pain muscular.
Thu, 17 Jul 2014
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  User's Response
Hi, thanks for posting your concern in HCM. From the history, it seems that you have got traumatic PIVD. To rule out, you may need an Xray LS spine- AP & Lat, and MRI of LS spine done. For pain management, you should have rest for 2 days, stat bolus dose of injectable analgesic ( e.g. Diclofenac with Ranitidine) followed by oral analgesic ( PCM/ Diclofenac/ PCM+Diclofenac) with some PPI to avoid peptic ulcer, some musle relaxant ( eg cyclobenzaprine 15 mg) and ice pack 4 times a day for 1 day. You may need a lumber brace also. All the medication dosage should be according to the age or body weight. Please consult local orthopaedic consultant or write back to me with the reports of imaging. Wish you an early recovery. Dr. Kaushik
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Suggest Medicine For Lower Back Pain

Hi, thanks for posting your concern in HCM. From the history, it seems that you have got traumatic PIVD. To rule out, you may need an Xray LS spine- AP & Lat, and MRI of LS spine done. For pain management, you should have rest for 2 days, stat bolus dose of injectable analgesic ( e.g. Diclofenac with Ranitidine) followed by oral analgesic ( PCM/ Diclofenac/ PCM+Diclofenac) with some PPI to avoid peptic ulcer, some musle relaxant ( eg cyclobenzaprine 15 mg) and ice pack 4 times a day for 1 day. You may need a lumber brace also. All the medication dosage should be according to the age or body weight. Please consult local orthopaedic consultant or write back to me with the reports of imaging. Wish you an early recovery. Dr. Kaushik