Q. How should I manage the low back pain after wrestling?
Hello doctor,
I have had excruciating lower back pain for over two weeks. I am a 38-year-old slightly overweight male. Got this while wrestling with brother. I am fine when sitting down but cannot put any weight on left leg and have sciatic to left knee. Ibuprofen, muscle relaxants, and steroids have not touched the pain. I have not slept for a few days because of constant pain while laying down. I was told that there may possibilities of sacroiliac (SI) joint injury. Do you know how long this typically lasts? what can I do to help with the pain?
Hello,
Welcome to icliniq.com. I would like to know some further details about your pain: 1. Do you also have any paresthesias (pins and needle sensations or tingling in left foot or leg)? 2. Do you have any difficulty in holding slippers in left foot or weakness in the left leg? 3. Does your pain also increase while coughing or sneezing or defecating? What medications and in what doses you tried already? Have you any other medical illness? Or taking medications of some other problem? The probable cause is radicular pain. The investigations to be done are magnetic resonance imaging (MRI) lumbosacral spine, serum vitamin B12. Treatment plan include: Tablet Pregabalin 75 mg HS, Tablet Duloxetine 20 mg BD, Tablet Tolperisone 150 mg TDS, Use Lumbar belt or corset in daytime. The probable diagnosis is prolapsed intervertebral disk (PIVD). Preventive measures include avoiding weight lifting, avoiding forward bending, sleeping in hard bed or mattress. Review with further details (as asked above) and MRI results.
Thank you, doctor,
I have pain and tingling from lower left back to the left knee. Very hard to bear weight on the left side while standing still. I do not have much weakness in left leg, just severe pain. No pain while sneezing or coughing. I have taken 80 mg Ibuprofen and 800 mg Metaxalone with no help from either. I do not have any other medical issues.
Hello,
Welcome back to icliniq.com. If there is tingling in the leg, you should also get NCV (nerve conduction velocity) study of your leg. It is good if there is no weakness in the leg. The probable cause is radicular pain. The investigations to be done are magnetic resonance imaging (MRI) lumbosacral spine, nerve conduction study bilateral legs, serum Vitamin B12. The probable diagnosis is prolapsed intervertebral disk (PIVD). Treatment plan include Tablet Pregabalin 75 mg HS, Tablet Duloxetine 20 mg BD, Tablet Tolperisone 150 mg TDS, must use lumbar belt or corset in daytime. Preventive measure include avoiding carrying any weight or lifting weight, avoiding forward bending, Sleeping in hard bed or mattress. Review after getting MRI is Spine and nerve conduction study of legs.
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