Is my back pain, a nerve problem?

Hello,

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There are three possibilities for your pain. It could be one out of these three conditions or a combination of them.

1. Intervertebral disc prolapse.
2. Lumbar canal stenosis.
3. Para vertebral muscle spasm or lower back strain or lumbago (low back pain).

If the pain in the lower back region is unsettling for weeks, then a physical examination to determine neurological deficit is indicated. My advice is to first get an X-ray of the lumbosacral region of your spine and follow up with the same. Also, I would like you to answer a few questions for me. Is there any tingling or numbness sensation in your legs? Do you have any sensory loss in your legs? Does your lower back ache exaggerate on coughing, sneezing, or bending sideways? If you have undergone any clinical evaluation or investigation or treatment, kindly provide the details of it.

Thank you.

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The chance for intervertebral disc prolapse has decreased to some extent and there is a possibility of another condition called as pyriformis syndrome (pyriformis muscle spasm in buttock region). A physical examination is required to confirm the diagnosis and treatment can be started only after the clinical examination. My recommendation is to visit your local orthopedic doctor for the same.

Thank you.

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There is a high probability of your pain being related to nerves. I suggest you Mobizox (Paracetamol, Diclofenac sodium, and Chlorzoxazone) twice a day for the next seven days along with Pantoprazole 40 mg in the morning. Take an ample amount of bed rest, and refrain from bending forward, lifting weights, or doing any exercises. I also suggest calcium tablets and multivitamin B complex. Consult your specialist doctor, discuss with him or her, and take the medicine with consent. Apply analgesic gel to the affected region and a hot water bag or hot fomentation is also greatly helpful. My guess is you have not seen any doctor and have not taken any proper treatment for the same. Revert back after a week to an orthopaedician and traumatologist.

Thank you.

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Lower back pain is not just nerve pain or mechanical pain; there is usually a combination of the two. If there is compression of nerve causing pain, then it can be cured once the pressure is relieved. Sometimes, this is achieved by medication and lifestyle modification, including exercises and while in some cases surgery is done. Most of the cases the pain can be resolved. Only in late and advanced stages the pain becomes permanent due to multifactorial involvement.

Thank you.

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Loss of lumbar lordosis without any other changes on MRI suggests a benign pathology. You only have strained your back muscles from an incorrect posture or lifting heavy weight. Continue the medication prescribed for seven to ten days. Take rest and apply a hot water bag to the affected area. Once the pain is settled, exercises for restoration of the lumbar curvature have to be started.

Hello,

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Your back condition is related to bad posture and lack of back stretching exercises. If you do not exercise regularly, then the condition will progress and become chronic. Since the pain is relieved, you can start with the exercises. Refrain from any exercise involving bending forward as of now and do not lift heavy weights. Sleep on a hard mattress and continue hot fomentation. Once the pain settles, one has the tendency to stop exercising and forget about the precautions which will bring the pain back. Follow up after a fortnight of these exercises and precautions.

Hello,

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Yes, you can take Mobizox for a couple of days. Make sure to take ample rest and apply heat to the affected area as well. I have sent the mail to the support team, and you will receive the images shortly. Besides the images of the exercises for the lower back, I have also included images of the exercises for the cervical spine and ergonomic posture for sitting. Kindly follow the exercises for improved para vertebral muscle strength.

Feel free to discuss further.

Regards.