Dr. Suman Saurabh
Orthopedician and Traumatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I have had extreme pain in my lower left back sacral joint extending into my buttocks for two days. I cannot lie flat or on the left side. I struggle to sleep, and the pain worsens when I stand, lower myself to sit, and lie flat. I am currently taking Oxycodone, Diclofenac, and Co-codamol 30/500 mg for chronic pain from endometriosis and fibromyalgia.
Hello,
Welcome to icliniq.com.
I read your query and understand your concern. I would like to know if you sustained any trauma or have a history of lifting relatively higher weights. I would also like to know the exact site of the pain. For that, you can show the picture. It would be advisable to get an MRI of the lumber spine and sacroiliac joint. Meanwhile, you can take some analgesics. Consult your specialist doctor, talk with them, and take medications with their consent.
Thank you.
Investigations to be done
Treatment plan
Preventive measures
Patient's Query
Hello doctor,
I have taken Voltarol suppositories, Co-codamol 30/500 mg, and slow-release Oxycodone. Along with these medications, I had cold packs and applied Diclofenac gel to the site, but nothing was effective. I have not slept in 48 hours. There was no history of an accident or fall. Had a sore or aching left-sided back pain for a few days and then suddenly could not move. I am feeling stuck as I cannot lie down or sleep. Please advise if there is an injection I can have to assist with inflammation and pain.
Hello,
Welcome back to icliniq.com.
You can use an injection of Ketorolac 30 mg for relieving pain. Consult a specialist doctor and take medications with their consent. But the diagnosis must be made with MRI (magnetic resonance imaging) as supportive treatment would not work for long. So try to get MRI done as early as possible.
Thank you.
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Orthopedician and Traumatology
Orthopedician and Traumatology
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