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Back pain with REDUCED DISC SPACE IN L5-S1 vertebra.

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Dear sir

I had back pain in lower portion - little bit form 1-1.6 months ago. My Job is - sitting Based - my Office hours - from 9 AM to 10.00 PM every day. I am going to self drive the car from my house to Office regular basis. Every day i have done self driving around 100 km per day for my office work. I have done X-ray on 11.07.2015 and report have finding the result is - " Marginal lapping started in in L4 vertebra. Disc space is reduced between L5- S1 vertebra, S I joint are normal. ( enclosed report for your ready reference). My Age is 45 Years. My height is 5'-7", weight is - 71 kgs. . I had done health cheek up - on month of Feb'2015. All the report - ok. except - lipid profile. ( enclosed Blood Report for your ready reference). I have saw the report in my area doctor - they have prescribed me ( the proscribed sheets enclosed for your ready reference). The one doctor has advised me - MRI - LS require. Please diagnosed me and advice me how i remove from this. The problem now is - when i have bending front side - back pain lower portion. and when i am sitting and up stand up - back pain is done lower side. I have regular have done GYM. One doctor Mr. Sudipta Bandyopadhyay have adviced me " avoiding bending from sight exercises" and four (4) type Exercises done every day twice daily. (enclosed all report for your ready reference).

Category: Orthopedic Surgeon

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Category: Spine Surgeon
 19 Doctors Online

Patient replied :

Pl. What should be done write now. And medicine to be continued or not ? Which medicine to be taken? MRI to be Done or not? How should be treatment write now? How to way of cure of back pain? To day on 15.07.2015 pain has little bit. pancid /pan 40 and painkiller tab. to be taken or not?

Can you kindly post your follow up query again?
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Patient replied :

Dear Sir
I have sent two doctor's pescribed (attachment). Can i take any medicine by the Doctor whoch pescribe me if nessacity the medicine whoch medicine is correct? . It is necessary for MRI -LS to be done or not ? Pain killer tab - ie, EZerodal -P / Etoshime -MR and Pan-40/Pantocid -40 to be continued or not ?. Another tab. Lycogold -Xt /Recovit NP to be continued ?.

I have read your query with diligence.
It looks that your sitting hours in office are too much.Long sitting or long heavy work lead to mechanical changes in spine with overload over disk,decreased nutrition of disk & increased degenerative changes at spine.There is deconditioning of muscles with increase load over spine & thus back pain.
At present you should do following-
-Continue exercises as advises.
-Avoid bending 90 degree at back.
-Use some lumbosacral support for few days at back.
-Take a mild analgesic like ultracet.
Hope this will help you.

You may take the analgesic but they should not be continued for long time.You may take a combination of paracetamol with tramadol .It is safe for kidney .Continue antacid preparation Pan -40 with analgesic.
In my opinion MRI is not necessary at present.The LYCOGOLD looks to be multivitamin ,there is no harm in taking it for short term.

Dr. Mukesh Tiwari
Category: Spine Surgeon
Fellowship - Khandaka Hospital, Jaipur
Residency - MS, Rabindranath Tagore Medical College, Udaipur, 2000
Medical School, Internship - MBBS, SMS Medical College, Jaipur, 1995
Dr. Mukesh Tiwari and 4 other Medical Specialists are ready to help you

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