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How to manage low back pain that radiates to the front?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am 30 years old, female, and unmarried. For the past two months, I have been suffering from severe lower back pain, and it also flows to the front side. Especially when wearing pants with elastic, such as underwear. I am not able to get relief even after loosening my clothes, and it becomes worse at nighttime. It is very painful in the lower back. Still, I have not used any medicines for this.

Please help.

Thank you.

Hello,

Welcome to icliniq.com.

I read your query and understand your concerns. I suggest you follow the following instructions for back pain.

  1. Avoid lifting heavy weights.
  2. Avoid arching your back; bend your knees to pick up something from the floor.
  3. Avoid sitting for long hours.
  4. Avoid two-wheeler rides.
  5. Improve your posture while sitting.
  6. Try to get up from your chair every 20 minutes and take a quick walk around, and then continue working. Always sit on a chair with back support.
  7. Do not get up suddenly from a sleeping position. Rather, turn to the side and then get up.
  8. 8. Take bed rest if you have severe pain.
  9. Do hot fomentations locally over the affected area at least twice daily. Apply Oxalgin gel for local application, twice daily.

I suggest taking the following tablets:

  • Tablet Pregabalin 75 mg 0-0-1 x 15 days before food at 7 PM every day.
  • Tablet Etoricoxib (Etoricoxib, yellow ferric oxide) 60 mg 1-0-1 x 10 days after food.
  • Tablet Rabeprazole 20 mg 1-0-1 x 10 days before food.
  • Tablet Shelcal 500 mg 1-0-1 x 30 days before food.
  • Tablet vitamin D 60 k units, once daily x 10 days, then once a month x 11 months.
  • Take these tablets only if you are not allergic to them. Do not take these tablets if you have bronchial asthma.

Do physiotherapy, McKenzie back extension exercises, back core strengthening exercises, glutei strengthening exercises, and passive straight leg raising exercises. These exercises can be done initially under the supervision of a physiotherapist, or learn to do them at home.

Start physiotherapy once the pain reduces. Only regular exercise 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.

I hope I have cleared all your doubts.

Feel free to get back to me in case of any further queries.

Thank you.

Medically reviewed byiCliniq medical review team

Published At August 29, 2023
Reviewed AtFebruary 24, 2026

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sharoff Lokesh Mohan
Dr. Sharoff Lokesh Mohan

Orthopedician and Traumatology

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