What causes lower back pain, tight neck stiffness, and tingling in the back of the neck?

Question

Hello doctor,

For a few years, I have struggled with lower back pain. It is not a constant thing, but it comes and goes. The worst pain is when I lay flat on my back for longer than a few minutes, and when I move to get up, the pain kicks in full force. I have to force threw it in order to get up. It hurts in all directions, apart from still and flat on my back. I generally have to turn my whole interbody at the same time. The pain has been, at times, so bad that I have thrown up. Also, I get pain in the same place in my lower spine when I sneeze or cough. I do not know if my legs gave way. Or is it my reaction to ease the pain? But all I know is I have to hold on tight, or I would have been on the floor. Along with this, I suffer from a very click neck, which is uncomfortable so I have to click it for the tension to ease off. It only does it when I tilt my head to the right and click about four or five times at once and send a tingle down my arms. Sometimes, I get random numbness and tingling on the back of my neck. Please help.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your query and concern.

Your back muscles are weak, and you have nerve impingement too. I suggest you follow these:

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 two-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 there is severe pain.

9. Do hot fomentations locally over the affected area at least twice daily.

10. Apply Oxalgin gel (Diclofenac sodium, methyl salicylate, and menthol) locally twice daily.

I suggest you take the following medicines:

Tablet Pregabalin 75 mg once at night for ten days before food.
Tablet Ibuprofen 400 mg twice for ten days after food.
Tablet Rabeprazole 20 mg twice for ten days before food.
Tablet Shelcal (calcium) 500 mg twice for 30 days before food.
Tablet Vitamin-D 60 K units once daily for ten 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. Follow up immediately in case of any untoward reactions. Do physiotherapy, McKenzie back extension exercises, back core strengthening exercises, glutei strengthening exercises, and passive straight leg raising exercises. These exercises can be done initially under a 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.

This professional advice provided by me stands subject to the actual examination of the report or image and is based entirely on inputs provided to me. It should be correlated with clinical findings.

Follow up after a week.

Hope this answers your query.

Kind regards.

What causes lower back pain, tight neck stiffness, and tingling in the back of the neck?

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