HomeAnswersOrthopedician and Traumatologyback painI have persistent back pain. Please help.

I have back pain due to sitting in front of computer for long hours. Kindly advise.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At June 1, 2018
Reviewed AtFebruary 18, 2024

Patient's Query

Hello doctor,

I am a 27-year-old male. I was sitting in front of the computer for more than 10 hours per day for the past month. I have mild pain in my lower back, not constant pain. the pain is either left side or right side but on the right side is more time the pain always shifts its position. and while walking my right side bottom thigh got pulling pain at a step in and sometimes my lower limb felt pain. and I feel some weakness in the right leg while I sit I feel some numbness in my left bud and left bottom thigh. I have taken MRI and consulted the doctor, the doctor says the lumbar spine looks normal. I consulted a radiology specialist and she said the hip and sacroiliac joint MRI essentially looks normal. The lumbar spine has mild disc bulges causing radiating pain and numbness in the legs and feet described in detail below:

At L4 or L5 level: Mild posterior-central disc bulge is seen indenting the thecal sac and encroaching bilateral neural foramina (right more than left) compressing right exiting nerve roots and abutting left exiting nerve roots. The annular tear is noted at this level.

At L5 or S1 level: A mild posterior-central disc bulge is seen indenting the thecal sac without any nerve root compression.

So, I consult another ortho specialist and he suggested doing physiotherapy and exercise for 10 days now. I completed 14 days but I did not feel any improvement. Previously two months ago I have taken treatment for erectile dysfunction and the doctor suggests taking medicine for one month, but I took it for two weeks and stopped the medicine. I do not know of any side effects from the tablets. So please advise me to take proper treatment.

Hi,

Welcome to icliniq.com.

I have seen your reports (attachment removed to protect patient identity). According to your complaints, I will suggest you few things. Do not sit in front of the computer for a long time not more than one hour after that at least walk for two to three minutes and you can get back to your work. Because of long-standing sitting in front of the computer, your shoulder muscles must be weakened. So, to strengthen your muscles you need to start exercises for that. Coming to your disc prolapse. You have symptoms for that if you have weakness in your legs then it requires surgery. Before that, I will prescribe nerve-related tablets. Tablet Pregabalin 75 mg daily once after food for one month.

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

Dr. L. Jaya Prakash Reddy
Dr. L. Jaya Prakash Reddy

Orthopedician and Traumatology

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