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I have been suffering from intermittent low back pain. Is it sciatica?

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Patient's Query

Hi doctor,

I am having severe pain in the lower back, more on the right side. I am not able to bend front and my right leg is aching continuously. I am suffering from back pain for the last six to seven years and sometimes, it is severe. I had to take bed rest for a week, but I had never taken any medicine. A few months ago, I had the same kind of pain because of lifting a bucket full of water, and at that time I had taken medicines. Ultracet twice a day, Dolonex Rapid 20 mg once a day, and Myoril 8 mg once a day. Now, I am facing the same problem for the last few days and since yesterday I am taking the same medicines. But, the pain has not been relieved completely. Please tell me the appropriate medicine and any test if needed. One more thing I want to know is whether can this be a neurological case. Is it sciatica?
Answered by Dr. Sumit Chawla

Education:

MBBS

Professional Bio:

Dr. Sumit Chawla is a skilled Orthopedician and Traumatology specialist with extensive years of clinical experience. He specializes in managing musculoskeletal injuries, fractures, and joint disorders with precision. His expertise spans both advanced surgical techniques and effective non-surgical treatments. Dr. Chawla is committed to delivering personalized care that restores mobility, enhances recovery, and improves patients’ quality of life.

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Hello,

Welcome to icliniq.com.

Since you have pain restricted to your lower back with no radiation to lower limb the pain is not sciatica. In sciatica, the pain radiates from lower back to legs. You could have mechanical backache or disc prolapse without any impingement on the neurological structures. MRI scan will help in making a diagnosis. Currently I suggest the following treatment. Tablet Myoril (combination of Acetaminophen and Tramadol) and tablet Ultracet (Thiocolchicoside). Consult your specialist doctor, discuss with him or her and take the medicine with consent. Local application of analgesic gel over the affected region. Heat therapy to the affected area. If you have access to the physiotherapist, then you can also get shortwave diathermy to lower back region.

Thank you.

Investigations to be done

MRI scan lumbosacral spine.

Differential diagnosis

1. Mechanical backache.

2. Lumbar intervertebral disc herniation with paravertebral muscle spasm.

Treatment plan

1. Tablet Myoril 4 mg twice a day. 2. Tablet Ultracet twice a day. 3. Local application of analgesic gel over the affected region and heat therapy for lower back pain.

Preventive measures

1. Avoid bending forward, lifting weights and any exercise at present. 2. Avoid sexual activity till resolution of pain.
Medically reviewed by iCliniq medical review team
Published At September 14, 2016
Reviewed At December 22, 2023

Education:

MBBS

Professional Bio:

Dr. Sumit Chawla is a skilled Orthopedician and Traumatology specialist with extensive years of clinical experience. He specializes in managing musculoskeletal injuries, fractures, and joint disorders with precision. His expertise spans both advanced surgical techniques and effective non-surgical treatments. Dr. Chawla is committed to delivering personalized care that restores mobility, enhances recovery, and improves patients’ quality of life.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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Dr. Sumit Chawla
Dr. Sumit Chawla

Orthopedician and Traumatology

Education:

MBBS

Professional Bio:

Dr. Sumit Chawla is a skilled Orthopedician and Traumatology specialist with extensive years of clinical experience. He specializes in managing musculoskeletal injuries, fractures, and joint disorders with precision. His expertise spans both advanced surgical techniques and effective non-surgical treatments. Dr. Chawla is committed to delivering personalized care that restores mobility, enhances recovery, and improves patients’ quality of life.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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