Patient's Query
Hello doctor,
I have had lower back pain for the last two to three months. The pain is sharp near my spine and the pain often radiates into my hip near my buttocks. The pain is terrible after running, though I need to run for about two to three days to train for the Navy. What do you think this is and what should I do?
Hi,
Welcome to icliniq.com.
This pain can be due to a bony defect in the spinal vertebra which can occur at this age due to heavy training, or due to disc problems irritating the nerve.
1. Avoid lifting heavy weights,
2. Avoid arching your back, instead bend your knees to pick up something from the floor.
3. Avoid sitting for Long hours.
4. Avoid 2-wheeler rides.
5. Improve your posture while sitting.
6. Try to get up from your chair every 20 minutes, 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. Take bed rest if severe pain.
9. Do hot fomentations locally over the affected area at least twice daily.
10. Apply Oxalgin gel locally twice daily,
You need to take the following medicines,
1. Tablet pregabalin 75 mg once a day at night 10 days before food.
2. Tablet Ibuprofen 400 mg twice a day for 10 days after food.
3. Tablet Rabeprazole 20 mg twice a day for 10 days before food.
4. Tablet Shelcal (Calcium) 500 mg twice a day for 30 days before food.
5. Tablet vitamin D (60k units) once daily for 10 days, then once a month for 11 months.
Take these tablets only if you are not allergic to them. Do not take these tablets if you have bronchial asthma.
Inestigations to be done is X-ray lumbosacral spine (anteroposterior and lateral views).
Follow up immediately in case of any untoward reactions.
Do physiotherapy, McKenzie's 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 it at home.
Start physiotherapy once the pain reduces. Only regular exercises can give results. After the pain reduces, swimming, yoga, and walking are good. Jogging, running, and weight-lifting may aggravate back problems.
Thank you.
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Answered byDr. Sharoff Lokesh Mohan
Medically reviewed byiCliniq medical review team
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