Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
What Is The Cause And Treatment For Prolonged Back Pain?
Hello Sir, I have pain in my back from 4 month. I got pain after I walk 10 min. When I am sitting a long. When I lay on bed after hour pain starts. A great pain occurs at back side. I got MRI report. MRI reports tell 1 Straightening of spine with spasm. 2 Desiccated degenerates iv discs L4-S1, only significant changes noted at L4/5 with board based disc protrusion compressing ventral thecal sac and canal, bilateral mild-moderate foramina and lateral thecal sac and canal , bilateral mild - moderate foraminal and lateral recess stenosis compressing exiting respective nerve roots. Kindly tel what I have to do. I have done physio theropy weeks. But pain still same. Thanks.
Wed, 3 May 2023
Hi,
Based on the MRI report, it appears that you have a condition called degenerative disc disease, which is a common cause of back pain. The disc protrusion at L4/5 is likely causing compression of the spinal cord and nerve roots, leading to pain and other symptoms. To manage your back pain, you may need to consider a multi-modal treatment approach that includes both medical and non-medical interventions.
Some of the options include:
* Pain medication: You may need prescription pain medication to help manage your symptoms. Your doctor may prescribe nonsteroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, or opioids.
* Physical therapy: A physical therapist can work with you to develop an exercise program that strengthens your back muscles, improves your flexibility, and reduces pain.
* Spinal injections: Your doctor may recommend injections of corticosteroids or numbing medications directly into the affected area to provide temporary relief.
* Surgery: If your symptoms are severe and have not responded to other treatments, you may need surgery to remove the damaged disc or relieve pressure on the spinal cord and nerve roots.
* Lifestyle changes: You may need to make some lifestyle changes to manage your back pain, such as losing weight, quitting smoking, or changing your job to one where you don't stand or sit for long or lift anything heavy.
It is important to follow your doctor's advice and continue with the treatment plan recommended for you. It may take some time to find the right combination of treatments that work for you, but with persistence, you can find relief from your back pain.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Priyanka, General & Family Physician
Based on the MRI report, it appears that you have a condition called degenerative disc disease, which is a common cause of back pain. The disc protrusion at L4/5 is likely causing compression of the spinal cord and nerve roots, leading to pain and other symptoms. To manage your back pain, you may need to consider a multi-modal treatment approach that includes both medical and non-medical interventions.
Some of the options include:
* Pain medication: You may need prescription pain medication to help manage your symptoms. Your doctor may prescribe nonsteroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, or opioids.
* Physical therapy: A physical therapist can work with you to develop an exercise program that strengthens your back muscles, improves your flexibility, and reduces pain.
* Spinal injections: Your doctor may recommend injections of corticosteroids or numbing medications directly into the affected area to provide temporary relief.
* Surgery: If your symptoms are severe and have not responded to other treatments, you may need surgery to remove the damaged disc or relieve pressure on the spinal cord and nerve roots.
* Lifestyle changes: You may need to make some lifestyle changes to manage your back pain, such as losing weight, quitting smoking, or changing your job to one where you don't stand or sit for long or lift anything heavy.
It is important to follow your doctor's advice and continue with the treatment plan recommended for you. It may take some time to find the right combination of treatments that work for you, but with persistence, you can find relief from your back pain.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Priyanka, General & Family Physician
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Loading Online Doctors....