What Causes Severe Stiffness In The Back?

Posted on Wed, 21 Sep 2016

Wed, 21 Sep 2016 Answered on

Wed, 12 Oct 2016 Last reviewed on

Question : I face severe stiffness of back muscle on working for long hours or when I wake up in the morning and I have to take hot water bottle just to move out of bed. I have had sciatica attack when I was 26

Answered by Dr. Naval Mendiratta (43 minutes later)

Brief Answer:
Is it arthritis

Detailed Answer:
good evening.

thank you for writing on health care magic

Well I would like too know. few more details on your backache before guiding you further

1. how long has the backache been going on

2. do you face difficulty in turning position at night

3. when you say pain is worse after long working hours, does it involve more of a sitting job or something active

4. any mediciations tried yet?

5. any blood test you got done

do let me know these queries. would guide you further from here

regards
Dr naval

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Naval Mendiratta (20 minutes later)

Answers:
1. since 2009 December
2. No
3. Sitting Job. small chores like driving also become difficult
4. Physiotherapy - long sessions; Flupidol
5. Yes. Blood framework done. Did not come up with anything

Answered by Dr. Naval Mendiratta (13 hours later)

Brief Answer:
Is it Spondyloarthopathy

Detailed Answer:
good evening

well your symptoms do go in favor of an inflammatory arthritis which is common in your age group. Since the symptoms get worse on rest it points against the mechanical pain(stretchingod muscles or ligaments).

1. I am not sure what all blood tests have been done, but do look if esr crp and HLA B 27 have been performed.

2. you may need MRI of the spine along with screening of sacroiliac joints. that would confirm the diagnosis

3. instead of flupidol try anti inflammatory like celecoxib for short duration and see the effects.

hope the information was useful . do let me know for more queries

regards
Dr naval

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Above answer was peer-reviewed by : Dr. Yogesh D