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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Persistent Lower Back Pain

Hello Doctor, I have lower back pain from past 4 weeks, I have consulted Orthopedics. Pain from left low back and it sometime traverses to leg mildly but not always, Rigid back . Pain usually comes when lie on back and sit for long time. When i get up i have pain if i sleep on back. Constant mild pain is present always 1 week doctor prescribed me Nuroday PSR and Nacoxia and SWD and IFT in physiotherapy. 2nd week He asked me to stop Physio and some back exercise. Since No complete relief he asked to go for MRI. I have attached report of MRI , Please know your opinion on the same.
Wed, 28 Aug 2019
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General Surgeon,  's  Response
Hi,

Noted your history of low back ache for 4 weeks, consulted orthopedic surgeon who gave you Neuroday PSR, Nacoxia and Physiotherapist gave you SWD and IFT. Relief is there but not completely hence asked for MRI. This MRI is not attached with this query, it is difficult to know the exact diagnosis.

Well, as per the history that you have provided, this seems to be related to either Slipped disc or can be muscular causing fibromyalgia and thus the pain is not getting relieved completely.

Additional treatment with a muscle relaxant, short course of a steroid and complete bed rest will help further. Carry one the treatment as per the MRI report also. Local hot fomentation followed by application of local Rubefacient liniment can help to relax the muscle spasm.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant, General Surgeon
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Suggest Treatment For Persistent Lower Back Pain

Hi, Noted your history of low back ache for 4 weeks, consulted orthopedic surgeon who gave you Neuroday PSR, Nacoxia and Physiotherapist gave you SWD and IFT. Relief is there but not completely hence asked for MRI. This MRI is not attached with this query, it is difficult to know the exact diagnosis. Well, as per the history that you have provided, this seems to be related to either Slipped disc or can be muscular causing fibromyalgia and thus the pain is not getting relieved completely. Additional treatment with a muscle relaxant, short course of a steroid and complete bed rest will help further. Carry one the treatment as per the MRI report also. Local hot fomentation followed by application of local Rubefacient liniment can help to relax the muscle spasm. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, General Surgeon