Q. Please see the MRI and suggest treatment for right lower back pain.
Hi doctor,
I have right lower back pain from the past two years. I have enclosed my MRI reports. I take Nucoxia 60, whenever needed, 3 to 4 days when pain increases. I cannot tolerate anti-inflammatory medicine due to stomach upset. The pain always remains, but it reduces when I lie on my stomach. It increases on lying on the back, sitting, and standing. All blood tests including RA factor, HLA-B27, etc., are normal. Please see the MRI and advise diagnosis and treatment.
Hello,
Welcome to icliniq.com.
I would have preferred to see the MRI films myself rather than just the to report (attachment removed to protect patient identity).
- You seem to be describing symptoms of back pain rather than leg pain. This matches with the MRI report that does not show a disc prolapse. Disc bulges are common with age and do not equate to a disc prolapse.
- What you need to do is the following:
- Look at your sitting posture especially, if you have a sitting job, Read about ergonomic office chair position and follow the instructions.
- See a good physiotherapist and start doing core strengthening exercises and avoid any exercise that aggravates the pain.
- Get some manual therapy over the tender spots with myofascial release done by the physiotherapist.
- Get shortwave diathermy of IFT (interferential therapy) or TENS (transcutaneous electrical nerve stimulation), whichever is available, or the physiotherapist feels the need.
- I suggest Ultracet (Acetaminophen and Tramadol) tablets for pain, and this will not upset your tummy.
- Apply Voveran TPM gel (Diclofenac) locally.
- Do moisture heat pack for pain relief.
Number 1 and 2 are the most important. The exercises will help improve muscle strength and help with pain.
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