Suggest Treatment For Lower Back Pain

Posted on Mon, 27 Feb 2017

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

Sun, 26 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 (-4 hours 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.

Above answer was peer-reviewed by : Dr. Prasad