HomeAnswersOrthopedician and Traumatologyback painPlease tell me medicine and any test needed for back pain?

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

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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.

Answered by

Dr. Sumit Chawla

Medically reviewed by

iCliniq medical review team

Published At September 14, 2016
Reviewed AtDecember 22, 2023

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

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.

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

Dr. Sumit Chawla
Dr. Sumit Chawla

Orthopedician and Traumatology

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