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
Hi doctor,
My wife has lower back pain (center pain at monkey bone). We took two X-rays, and the doctor says it is an acute lumbar strain. I wanted to know why this happens and the line of treatment for it. How long it takes to cure this? Kindly give your opinion.
Hi,
Welcome to icliniq.com.
I am sorry to hear about the problem and hope to help you. You have given a very brief history, and I need to get further into it. Since when the pain started, and what is the pattern of the pain? Does it radiate down the leg? Does she have any fever or reduced appetite? Any history of trauma? Kindly answer the questions so that I can guide you accordingly.
Patient's Query
Hi doctor,
This is happening for the last one and a half months. There is no history of trauma. She gets the pain and subsequently gets relief in five to six days. This happened the third time in this one and half month. So we did an X-ray which are attached. There is no fever or loss of appetite. Pain radiates to the buttocks and down to the right leg a little bit but not continuous. We went to a local doctor, and he told us it is acute lumbar strain and gave medicines Etro-TH tablet, Arcopan-D tablet, Pregamyth-SR tablet, and Arcizen gel. We want to know will it be cured with medicine and exercise? Or will it keep happening again and again? Kindly give your opinion.
Hi,
Welcome back to icliniq.com.
I am highly doubtful if it is only lumbar muscle strain. It is likely that it can be disc protrusion. Most of the cases of disc protrusion get better with medicine and exercises if done routinely, and along with it, she must take precautions like not to lift the weight for two to three months. But as you say that there is a waxing and waning course, I would like to rule out inflammatory arthritis. If possible, can you get ESR (erythrocyte sedimentation rate) and CRP (C-reactive protein) done for her? I hope this was helpful.
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Orthopedician and Traumatology
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