What could be the causes of back pain?

Question

Hi doctor,

I have had pain in my lower back. I did an MRI (magnetic resonance imaging) scan to find out that one disc is abutting the left nerve. Now I have pain in my left leg also. I am currently under Lyrica (Pregabalin) 75 milligrams and cortisone injection (IM).

Please help me.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and understand your concern.

I saw the MRI (magnetic resonance imaging) reports (attachments removed to protect the patient's identity). I suggest you do the following things for back pain:

Avoid lifting heavy weights.

Avoid bending your back, instead bend your knees to pick up something from the floor.

Avoid sitting for long hours.
Avoid two-wheeler rides.
Improve your posture while sitting.
Try to get up from your armchair every 20 minutes and take a quick walk around and then continue working. Always sit on a chair with back support.
Do not get up suddenly from a sleeping position. Rather, turn to the side and then get up.
Take bed rest.

If there is severe pain,

Do hot fomentations locally over the affected area, at least twice daily.
Apply Oxalgin (Diclofenac plus Paracetamol) Gel – for local application, twice daily.
Take one tablet of Lyrica (Pregabalin) 75 milligrams for 15 days before food at 7 PM every day,
Tablet Etoricoxib 60 milligrams twice a day for 10 days after food,
Tablet Rabeprazole 20 milligrams twice a day for10 days before food,
Tablet Shelcal (calcium plus vitamin D3) 500 milligrams twice a day for 30 days before food,
Tablet Vitamin D 60 K units once daily for 10 days, then once a month for 11 months.

Take these tablets only if you are not allergic to them. Do not take these tablets if you have bronchial asthma. Consult with a doctor and take medicines with their consent.

Do physiotherapy, back core strengthening exercises, glute strengthening exercises, and passive straight leg raising exercises. These exercises can be done initially under the supervision of a physiotherapist or learn to do at home. Start physiotherapy once the pain reduces. Only regular exercises can give results.

After the pain reduces, the following activities are good for you:

Swimming, yoga, and walking are good. Jogging, running and weight-lifting may aggravate back problems.

Thank you.