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HomeAnswersSpine healthback painI am experiencing lower back pain. Why?

What could be causing lower back pain with sharp discomfort?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At May 21, 2024
Reviewed AtMay 21, 2024

Patient's Query

Hello doctor,

I am experiencing lower back pain, characterized by sharp discomfort, exacerbated by movement.

Kindly help.

Thank you.

Hello,

Welcome to icliniq.com.

I can understand your concern.

Please adhere to the following instructions for managing your lower back pain:

  1. Avoid lifting heavy weights.

  2. Refrain from arching your back; instead, bend your knees when picking up objects from the floor.

  3. Limit prolonged sitting periods.

  4. Avoid riding two-wheelers.

  5. Improve your sitting posture.

  6. Take short breaks from sitting every 20 minutes, stand up, and take a brief walk before resuming work. Ensure your chair provides adequate back support.

  7. Avoid sudden movements when getting up from a lying position; turn to your side before rising.

  8. If experiencing severe pain, opt for bed rest.

  9. Apply hot compressions locally over the affected area at least twice daily.

  10. Apply Oxalgin gel (Diclofenac sodium, Methyl salicylate, and Menthol) topically twice daily.

In addition to these measures, take the following medications:

  1. Tablet Pregabalin (75mg) once a day at night for 10 days before meals.

  2. Tablet Ibuprofen (400 mg) twice a day for 10 days after meals.

  3. Tablet Rabeprazole (20 mg) twice a day for 10 days before meals.

  4. Tablet Shelcal (500 mg) (Calcium and vitamin D3 )twice a day for 30 days before meals.

  5. Tablet Vitamin D (60 K units) once daily for 10 days, then once a month for 11 months. Consult your doctor and take the medications accordingly.

Please note:

  1. Only take these tablets if you are not allergic to them.

  2. Do not take these tablets if you have bronchial asthma.

  3. Seek immediate medical attention if you experience any adverse reactions.

  4. Avoid jogging, running, and weight-lifting exercises, as they may exacerbate your back problems.

I hope this information will help you.

Thank you.

Investigations to be done

Xray DL spine - Anteroposterior (AP) view and Lateral view,

Treatment plan

Medicines - further treatment to be decided after seeing the xrays

Regarding follow up

Follow up after xrays

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

Dr. Sharoff Lokesh Mohan
Dr. Sharoff Lokesh Mohan

Orthopedician and Traumatology

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