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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Lower Back Pain And Shaky Hands After Fall. Using Ice And Heat. Have Bulging Discs. Should I Go To Urgent Care?

Hello, i had a fall about 10 days ago...for the last 5 days, i have had mid and lower back pain , especially with flexion ...for the past 2 days i have had shaky hands...i have been using ice/heat, NSAIDS and muscle relaxers without relief...i do have a h/o bulging thoracic and lumbar discs...should i go to urgent care? Or should i give it a couple more dats I cannot get into see my PCP for 10 days...
Fri, 18 Jul 2014
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hello,
Thanks for your query.

** It seems you are suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis.
The main treatment of such pain is bed rest along with pain killers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic.
You can get the appropriate drugs prescribed from your Orthopedician after examination.
Meanwhile you can follow these measures:
- If the pain is severe, you need bed rest till the pain resolves.
- Get some analgesics prescribed and apply analgesic spray or ointments.
- While resting, keep a pillow under your knees if it doesn't bother you.
- Avoid lifting heavy objects.
- Back strengthening exercises and stretching exercises daily as advised by a Physiotherapist.
- Avoid exercises in times of pain.
- Improvise your posture while sitting.
- Using an LS contour belt of appropriate size might be helpful in providing support to back muscles.
Also, maintain a proper posture while working, sitting and standing. Keep your back straight.
Physiotherapy plays a major role in treating such conditions.

I do hope that you have found something helpful and I will be glad to answer any further query.
Take care
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Lower Back Pain And Shaky Hands After Fall. Using Ice And Heat. Have Bulging Discs. Should I Go To Urgent Care?

Hello, Thanks for your query. ** It seems you are suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis. The main treatment of such pain is bed rest along with pain killers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic. You can get the appropriate drugs prescribed from your Orthopedician after examination. Meanwhile you can follow these measures: - If the pain is severe, you need bed rest till the pain resolves. - Get some analgesics prescribed and apply analgesic spray or ointments. - While resting, keep a pillow under your knees if it doesn t bother you. - Avoid lifting heavy objects. - Back strengthening exercises and stretching exercises daily as advised by a Physiotherapist. - Avoid exercises in times of pain. - Improvise your posture while sitting. - Using an LS contour belt of appropriate size might be helpful in providing support to back muscles. Also, maintain a proper posture while working, sitting and standing. Keep your back straight. Physiotherapy plays a major role in treating such conditions. I do hope that you have found something helpful and I will be glad to answer any further query. Take care