What Causes Lower Back Ache While Waking Up?

Posted on Mon, 17 Nov 2014

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

Mon, 17 Nov 2014 Answered on

Thu, 11 Dec 2014 Last reviewed on

Question : Hi I have back ache mainly in lower back through out the day even when i wake up in the morning or after noon sleep. It agrevivates in the days of menstural cycle(During that whole back pains). i received the following prescription from the doctor..

Hello
You are welcome and it’s good to see you.
After going through the whole discussion I think you need regular exercises to strengthen your back muscles along with balanced diet rich in calcium (milk and milk products), proteins and vitamin (especially vitamin D).
My prescription would be – 1.Get blood test done for vitamin D and B12.
2. Cap.uprise D3 60K once a week for 3 months
3. Tab. citromacalvit once daily for 1 month
4. Tab.Thiospas 8mg twice daily for 4-5 days then whenever you have backache.

I am done with the test and attached the report with my profile. The D3 is less than required. Should we continue with the above prescription or some change is required? (Calcium report is due for tomorrow)

Answered by Dr. Dr. Sudhir Kumar (48 minutes later)

Brief Answer:
It is OK

Detailed Answer:
Hi,
Thanks for your query.

I'm Dr. Sudhir Kumar,

After going through your query I concluded that your prescription is OK. I want to add to it that vitaminD3(Cap.uprise D3 60K) should be taken with a glass of milk for its better absorption. I Will also like to add analgesic such as ibuprofen after meals for pain relief. You can discuss with your treating Doctor about it.

Hope I have answered your query.
If you have any further questions I will be happy to help.

Wishing you good health.
Take care.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. Sudhir Kumar (20 hours later)

Hi doctor

Thnx for ur reply..as per my B12 report its around 400 and in the range. So u plz let me know do i need to take Tab. citromacalvit once daily for 1 month also. Also i have heard vitamin D injections are given. when are they given? Also, i have heard vitamin D supplement side effect is it add fat to the body.
waiting for ur reply..

Answered by Dr. Dr. Sudhir Kumar (56 minutes later)

Brief Answer:
Citromacalvit is not vitamin B12

Detailed Answer:
Hi
Welcome back

After going through your query and follow up query I want to say that as your B 12 is normal, you need not to take supplements of vitamin B12. But citromacalvit is nothing to do with report of B 12. Citromacalvit is tablet of cacium citrate and calcitriol . So you need to take it. Also vitamin D3 injections are available. These are given when a person can't take vitamin D3 by mouth or he has problems in absorption of vitamin D3. There are no side effects of vitamin D3 (like increasing body fat content).

However it can cause toxicity if its level are very high. You are unlikely to achieve that level in 3 months. You can discuss with your Doctor about it.

Hope I have answered your query.
If you have any clarification then I will be happy to help you.
If you have no clarification then you can close the query and rate the answer.

Wishing you a good health.
Take care.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Dr. Sudhir Kumar (14 hours later)

thanx dr...

Answered by Dr. Dr. Sudhir Kumar (37 minutes later)

Brief Answer:
Welcome

Detailed Answer:
Hi
Welcome back
I am happy to know that you are satisfied .
Hope I have answered your query. I will be happy to help you if you have any clarification. If you have no clarification then you can close the query and rate the answer.
Wishing you a good health. Take care.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju