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Q. While doing exercise, I felt sudden pain in my left lower back. How to identify the injury?

Answered by
Dr. Shakti Mishra
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Apr 14, 2017 and last reviewed on: Aug 21, 2021

Hi doctor,

As I was about to straighten my back while holding the bar to lift the weight (deadlifts), I felt a clunk sound in my left lower back. The same spot as I previously injured 20 months ago on the last rep of deadlift. I rounded my back, and it pulled me down. It got cured in four or five days. But now, I got this again, and my pelvis is tilted laterally. I can only lean towards to my right, and it is painful to straighten my back in the position. I went to a chiropractor. They did a massage on the spot of injury and some alignment adjustments. After that, it was more painful and more lateral tilt occurred. Please help.

#

Hi,

Welcome to icliniq.com.

  • It is better to have an x-ray done immediately so that we can confirm the exact site of injury.
  • That is why it is always advisable to have a warm up session before every single game you start if you are a sports person.
  • For now, avoid lifting for two to three weeks and get an x-ray done. Rest well and visit a physiotherapy center. Start a seven-day session consisting of mobilization, strengthening of back muscles, IFT (interferential therapy), ultrasound, and pelvic stabilization exercises.
  • You can do pelvic bridging exercise and repeat it for 15 times. Also, do side planks more on the right side.

Investigations to be done:

X-ray as soon as possible.

Regarding follow up:

Revert with the reports to a physiotherapist online.---> https://www.icliniq.com/ask-a-doctor-online/physiotherapist

--file attached--
Hello Dr. Shakti

Please find the attachment below and suggest the best treatment.
Thank you.
# Hi Sharon , welcome to icliniq again.
I went through the reports as attached by you completely and i think you need 15 days physiotherapy session . Osteophytic changes are also seen at the spine which requires immediate action, Ultrasound for 10 days if no further pain or swelling is noticed at L5-S1 region.
* Traction(90-90 degree), for 10 minutes.
* IFT for pain relief and core strengthening and flexion exercises.
*Avoid bending backwards and avoid lifting heavy weights.
*Put two pillows under the left side of your trunk, lie on that side and try to stay in that position for 10 minutes.
*Pelvic stabilisation exercise is a must with bridging and pelvic rotation to be done twice daily each for 15 repititions.
* These are some of the required treatment protocol suggested for your and hope you recover soon.

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