Q. I have back pain that radiates to my right leg, hip, knee, and foot. Please suggest some exercise.

Answered by
Dr. Mohammed Wajid
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Apr 24, 2020
Hello Doctor, I have a back pain that earlier moves to my right leg through hip, knee and upto downside of foot. For last one year it has been started in left leg also. Though left side pain doesn't move to foot but at hip it pinches like a needle while driving specialy. Now during lock down due to excess use of mobile and sitting etc pain and stiffness has been started in my neck that moves from left back side of neck to head sometimes. Though I have started some Yogasans with help of Utube but have no relief rather it is increasing I think. Earlier I had taken physiotherapy for 1 month but all in vain. Kindly help me and suggest me some exercise or Yogasans, if possible online.

Dr. Mohammed Wajid

Physiotherapy
#

Hi. i got your point and understand how you feel when it pains.

as per MRI reports you mentioned, its a LBA (low back ache) which radiated to leg and now shifting to left lower body as well. and about your cerical problem may be there's a nerve compression and that neck pain radiating to shoulder if ignored it will pass through arms. so i suggest you some best and pain relieving exercise and plz follow it if you want to reduce and stable the pain. actually you need IFT and ultrasound theraoy for 2 weeks with immediate effect but may be not available due to lock down, but at home you can try the following which is also very effevtive in reducing pain.

Apply diclofenac ointment in the area of pain mainly at lower back, neck, shoulder and knees and cover it for 10 - 15mins with a cloth. then clean it with warm water following hot water fermentation. repeat this twice a day and if laun is severe you can take Zerodol-P tablet once a day.

EXERCISE'S TO BE DONE ARE AS FOLLOWS.

1. Lower Tummy strengthening. It is important to strengthen your lower tummy muscles because these muscles work in partnership with the lower back. 2. Deep Abdominal strengthening. 3. Bridge 4. Pelvic tilts. 5. Lowe back stretch 6. leg stretch 7. Piriformis stretch. these exercise's need to be done daily once for first week. each exercise 10 times and two sets of each.

and for cervical do the following.

1. neck stretch 2. neck tilt 3. neck turn 4. head rotation.

these exercise will help in reducing cervical pain and strengthen muscles.

please do not over pressure while doing it as it may increase pain. so do all the exercise gently and in a proper posture. if you can get a MRI report it will be very helpful to study further about the condition. as you pain history is long so it takes easily 3-4 months to complete the treatment. hope you'll follow the treatment plan as adviced follow up after 4 days over audio call if possible.

take care thank you.


The Probable causes:

stress improper posture

Investigations to be done:

MRI LS

Differential diagnosis:

Cervical pain

Probable diagnosis:

disc bulge

Treatment plan:

exercise and medicines ( zerodol, diclofenac )

Preventive measures:

no forward bending, no heavy object lifting

Regarding follow up:

4 days


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