What are the reasons for constant back pain?

Hi,

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• Actually, you are very young to have persistent back pain. There are many causes of pain in lower back region.

• It can be due to faulty posture, related to weak muscles, issues with intervertebral disc, narrowing of spinal canal, any bony instability besides many other, so accurate diagnosis is the key to proper management of the condition.

• Please tell me the intensity of your back pain on a scale of 1-10. Are there any other neurological symptoms like numbness, weakness, paresthesias (burning or electric shock like sensations), etc., are also present?

• If you have localized back pain with no other symptoms like radiating leg pain, neurological symptoms like numbness, weakness, paresthesias, etc., then you can start with following recommendations for initial period of 2-3 weeks:  

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  • Maintain proper posture of your back while working and sleeping.
  • If pain is more then you can take a short course of an anti-inflammatory medication like tablet Etoshine or Paracetamol or one which suits you.
  • Since your pain is only since 2 days, I will also like you to have muscle relaxant like tablet Myoril for a period of 3-5 days.
  • Physical therapy initially under supervision of a trained physiotherapist and then to continue at home.
  • Adequate calcium and vitamin D intake if levels are low in body.
  • Ice packs to be applied at home three to four times in a day, for 15-20 minutes every time.
  • Analgesic spray like Dynapar QPS spray for local application can be used after fomentation and it is easily available.
  • Avoid lifting heavyweight, acute forward bending in mornings, etc.
  • We will observe you for next two to three weeks how you respond to this conservative management protocol.

• If you are not feeling better, then we will have to get some investigations like, dynamic x-rays of lower back and few blood tests for evaluation.