Back Pain

Back pain, although common, can be due to a variety of reasons associated with spinal issues, disc problems, muscular pain, skin inflammation, etc. It is important to address it quickly as it can be a debilitating condition.

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I have taken MRI of lumbar spine for lower back pain. Can you please explain the results?

Query: Hello doctor, I received my MRI results on the lumbar. I have a future appointment with a spine clinic. I understand some of it, but I would like to have them reviewed, as it is hard for a non-specialist to comprehend. For years I have had mild lower back pain, just a dull pain when I lift things or...  Read Full »

Dr. Atul Prakash

Answer: Hello, Welcome to I can understand your concern. I have reviewed the reports (attachment removed to protect the identity of the patient). There are five issues mentioned in the report. Spondylolisthesis and lysis: This is the movement of one vertebra on top of another, either back or f...  Read Full »

I have been suffering from back and neck pain for the past year because of sleeping on the threaded bed. Kindly help.

Query: Hello doctor,I am suffering from back pain and neck pain. I have had this problem for the past year, but I did not consider it a problem. So, the problem gradually increased. One day I was sleeping on a threaded bed, and from then I have this back pain and neck pain issues. I did not have neck pain ...  Read Full »

Dr. Atul Prakash

Answer: Hello,Welcome to Thank you for your query.The MRI reports are not attached for me to see, but the reports are not confirmatory of any symptoms you mention. However, you seem to have, in general, poor posture both while sitting and in bed as well as poor muscle tone in the core muscles, ...  Read Full »

Why do I get back pain which aggravates only on sitting and standing?

Query: Hi doctor,I am 36 years old. I had vitamin D deficiency with back pain before four years. I did physiotherapy and ayurvedic treatment to get cured. Things got better after doing it. But still, I have some symptoms. I have back pain while sitting for a long time specifically in some kind of chair. So...  Read Full »

Dr. Atul Prakash

Answer: Hi, Welcome to Your symptoms suggest core and back muscle weakness. I suggest you do some regular exercise in the gym or yoga or even at work. Do chair-based exercise. It helps to strengthen your core strength and back toning. Do some flexibility exercise. You can consult a physiother...  Read Full »

I have pain in my back radiating to my hips. Can it be due to a torn ligament?

Query: Hello doctor, About four weeks ago, I hurt my back, lifting weights. I went to my chiropractor, who has never been wrong in 12 years. He assures me there is no disk rupture. I forget what he calls it; some joint failure. He would not call it a sprain. I have pain seemingly originating a couple to t...  Read Full »

Dr. Atul Prakash

Answer: Hello, Welcome to From the location of the dot, it looks like it is your sacroiliac joint. However, it can also be a muscle strain, a tear of a muscle, or a ligament. Treatment in the acute phase is more or less the same with rest, ice application, muscle relaxants, myofascial release...  Read Full »

After having a sudden sprain in my lower back, I was diagnosed with lumbar spondylosis. What should I do?

Query: Hello doctor, I had a sudden sprain in my lower back recently, and it is paining. I did X-ray and MRI. Doctors said that I have lumbar spondylotic change. At my lumbar spine, there is compression from the L2 to L5 region. I am unable to sit for long. After sitting for 15 minutes constantly, when I g...  Read Full »

Dr. Atul Prakash

Answer: Hello, Welcome to You do not mention an injury, and from your description, it is obvious that this is the first episode of such pain. It is highly unusual for a person of 28 years of age to be diagnosed with lumbar spondylosis with L2 to L5 compression. Please send me the MRI (magneti...  Read Full »

What should I do for my on and off lower back pain that radiates to my buttock?

Query: Hi doctor, I have been suffering from lower back pain, which radiates to my buttock and thigh muscles. The pain is not constant. It comes and goes. What shall I do? Please help.  Read Full »

Dr. Atul Prakash

Answer: Hello, Welcome to Without examining you, I can only offer possible cause of low back pain.The probable causes are: 1) Muscular strain. 2) Lumbar spondylosis. 3) SI (sacroiliac) joint in-formation. 4) Disc prolapse. 5) Lumbopelvic dysfunctionality. 6) Vitamin D deficiency. What ...  Read Full »

I have had lower back pain that radiates to my sciatic nerve for the past three years. Why?

Query: Hello doctor, I am 23 years old and have had lower back issues for the past three years. Sometimes it gets severe. I have been active in weight lifting and running my whole life. Recently my lower back has been in constant serious pain. I sleep with a pillow between my legs, but it does not help. ...  Read Full »

Dr. Atul Prakash

Answer: Hi, Welcome to I understand your concern. There are two possibilities, and they are: Sciatica Sacroiliac dysfunction Consult a chiropractor or a manual therapist to help you manage this issue. However, if you have a tingling sensation or electric shock kind of sensation in the...  Read Full »

I throw out my upper back and neck and it is causing pain. What to do about it?

Query: Hello doctor, I am 20 and about every two months I throw out my upper back and neck causing pain in my upper back, shoulders, neck, and down my arms. I am a waitress and I am assuming that is what is causing my issues but is there something more I should be doing? Chiropractic work seems to help but...  Read Full »

Dr. Atul Prakash

Answer: Hello, Welcome to Your description is suggestive of a trigger spot in the upper back and neck. Most likely this is postural and result of your professional requirements. You need to see a good physiotherapist who could help rectify your postural issues. You are already on Fluoxetine ...  Read Full »

My wife has been suffering from extreme pain in the lower back and right leg. Kindly help.

Query: Hello doctor, My wife is 24 years old and has been suffering from extreme pain in the lower back and right leg since yesterday. Because of the pain, she is unable to sit or stand. She has a history of back pain and was prescribed a tablet of Dolonex Rapid 20 mg, a tablet of Ultracet, a tablet of Tri...  Read Full »

Dr. Atul Prakash

Answer: Hello, Welcome back to Thank you for your query. I understand your concern. The current pain may take a few days to settle unless you are ready for injectables. A trained nurse or a doctor may give her these. The dosage of the tablet Diclofenac (nonsteroidal anti-inflammatory drug)...  Read Full »

I have had back pain for three months and cannot do any physical activities. Kindly help.

Query: Hello doctor, I have been experiencing back pain for the last three months. It started as a discomfort in the middle of my back, and the pain started radiating from the back into my right side and wrapped around my abdomen. As a result, I cannot do any physical activities and have sharp pain in my ...  Read Full »

Dr. Atul Prakash

Answer: Hello, Welcome to I read your query and understand your concern. You have to be assessed clinically to identify the cause of your condition. From what you have said, it is a position-related and movement-related pain. I recommend consulting a chiropractor or a physiotherapist to m...  Read Full »

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