Suggest Treatment For Lower Back Pain

Posted on Mon, 27 Feb 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 27 Feb 2017 Answered on

Mon, 27 Mar 2017 Last reviewed on

Question : I muilty back problems from my next to my lower spine int the last 4 month i have had 2 MRI's;In have been give narco,but they dont last long and I'm a faller,can you help ?

Answered by Dr. Ahmed Aly Hassan (1 hour later)

Brief Answer:
Tramadol , pregabalin have longer duration of action than that of narco in addition to steroid injections are effective with most cases else a neurosurgeon point of view is recommended for proper evaluation and management .

Detailed Answer:
Hi

I had gone through your question and understand your concerns ..

From your given history of sciatica , disc herniation and low back pain I recommend avoid heavy lifting , vigorous movements , bad sleeping and sitting postures , overweight .
Physiotherapy , spinal straightening exercise , hot massages with topical gels and even yoga are helpful .

You may ask your physician to use tramadol 200 mg tab twice daily instead of narco as it have longer duration of action than narco , pregabalin 400 mg tab once daily , muscle relaxants , B12 vitamin supplementation , steroid injections will be effective for such cases .
If pain persists for more than 6 month i think you may need a neurosugeon minor endoscopic intervention to release your neurovascular compression causing that kind of chronic neuropathic pain.

Wish you good health,
Any further clarifications feel free to ask.

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Prasad