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Lower back pain on moving back and on coughing

Resolved Question:

Hi,

Subject : Re lower back pain (Physiotherapist located the pain at L3,L4), mild at most of the time and sometime severe during day or night while standing up or down.

Impact : Uneasy while working whole day at office, Pain while standing up or down from chair, sofa or floor, Pain while coughing as well.

I have lower back pain for last 13 days i.e. from 28th Nov.
I am working in IT for last 8 years and I never never had any such problem in past. I am not sure what caused this problem suddenly which is not allowing me to work properly. I would like to let you know that pain is not severe and it is either mild all the day at work or over the night at home. Also it is appearing and disappearing after rest for a day or two. I am worried about any further consequence of it which can make my life and career difficult as I have seen with many of colleagues. I have listed down following activity which I carried out in last 45 days which could help you to analyze and understand actual cause of this back pain.

1. Change in environment - I was working in UK for last 3 years and returned to India for my wife's medication. As i said, I had never such issue in UK or before. I was doing business as usual including driving car to work and late office hours sitting at desk. Not sure sudden change in environment caused this issue..!
2. Discontinuation of Yoga classes - After returning from UK on 22nd Oct, I took Yoga classes from 22nd Oct to 22nd Nov in Aryavadsala, Kerala. I was accompanying my wife for her medication at Aryavadsala, Kerala where she was getting Ayurveda treatment. I could not continue the Yoga classes from 22nd Nov onwards. Not sure if discontinuation of Yoga Class caused this problem.
3. Lifting heavy weights - I have travelled from Kerala to Chennai on 22nd Nov and I have lifted heavy briefcases weighing 30-35 Kgs while travelling.
4. Sitting Posture at work - I have joined the office in Chennai and I realized yesterday that height of the monitor was not at line of the eye sight. I need to incline my head to work. I think that this may cause this problem however not sure. After discovering it, I have increased the height of the monitor yesterday night with the line of sight.
5. Bed Mattress - The mattress provided in our new flat at Chennai caused the back pain problem for my wife and then we stopped using the mattress provided. My wife got the relief from back pain but it is still continue for me. We are using the general mattress lying at ground.
7. Workout/Swimming caused to reappear the pain - Back pain is appearing/disappearing frequently. It was fine for 2-3 days(Sat/Sun) and so I started swimming and gym yesterday morning. The back pain started again yesterday.
6. Traveling by auto - Normally I feel pain everyday less or more while getting down from Auto. Currently I am traveling by Auto to work everyday. From yesterday, the pain has not reduced after getting down from Auto.

I am not sure who would be right specialist for such problem if required. I went to a general Physician once and he has given me the advice to take rest along with some pain killer which I did not take as pain was not severe. I went to Physiotherapist yesterday, he advised to take the Ultrasound therapy which I did not prefer.

Please suggest the way forward to get rid of this back pain. I am looking for a plan to get rid of it gradually and completely if not quickly knowing the cause of this pain.
Many Thanks in advance.

Regards,
Deepak



Category: Family Physician-GP

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Category: Sexually Transmitted Diseases(STD)Specialist
Dr. Deepu Sebin Sebastian is online now

Expert:  Dr. Deepu Sebin Sebastian replied 4 Days.

Hello Deepak

Thank you for choosing DoctorSpring.

The Low back needs evaluation. The symptoms are suggestive of a possible disc bulge / herniation causing radicular pain. The only way to know for sure is a 'MRI of Lumbosacral spine with whole spine screening '.

You can get in touch with a Orthopediac Surgeon for this.

There is no point in detailed symptom analysis as it will not give a definite diagnosis and will only delay the treatment. I would recommend an MRI asap.

Hope this helps
Feel free to ask followups
Thank you


Patient replied :

Hi Deepu,

Many Thanks for your quick response.

Could you please let suggest me Orthopedic Surgeon at Chennai where I can get the MRI done ASAP. I am staying at Ceebros Boulevard Apartment at Thoraipakkam, OMR Road.

I understand that DoctorSpring is located in Chennai at below location. Could I visit there to contact any Orthopedic Surgeon? Otherwise please suggest me any Orthopedic Surgeon. I am new to Chennai city and staying here for last 2 weeks only.

DoctorSpring Pvt. Ltd.
F5, Suite H35
New Beach Road
Thiruvanmiyur East
Chennai 600041

Regards,
Deepak
M: 0880992574


Expert:  Dr. Deepu Sebin Sebastian replied 3 Days.

Hello,

That is just our company registered address. We operate out of offices in Bangalore and US. You can go to any qualified Orthopaedic Surgeons/Spine surgeon near your locality. He/She will suggest an MRI which you can get it done at scan centres like Aarthi Scans or Bharath Scans Chennai. Another option would be hospitals like MIOTs / Appolo / Fortis.

Hope this helps
Thank you


Patient replied :

Hello Sir,

Many Thanks for providing me valuable advice last time.
I have contacted Orthopedic Surgeon at Apollo Hospital, Chennai and get the MRI done. Please find the scanned copy of MRI Scan.

Could you please advice me further over it?
Though doctor said that it is mild disc bulge, whether this type of illness is cured completely over the time and what would be symptoms or scan that will ensure me that the this has been cured completely.

Orthopedic Doctor advised me to the following. Please let me know if you have any second opinion over below advice.
1. Take medicine as precribed for next 3 month(pdf attached)
2. Perform back strengthening exercise
3. Walking as much as I can do, but no jogging and no work out.
4. Advised to continue SWIMMING consistently as I do.
5. Do not seat and work continuously for more than 30 min without any break.

Regards,
Deepak


Expert:  Dr. Deepu Sebin Sebastian replied 2 Days.

Hello,

As I suspected this is disc bulge / herniation.
Your Doctors guidance and recommendations are absolutely right. And among them most important are two things :

1. Posture (when u sit, lean, squat, lie down). A detailed explanation is beyond the scope of this consult. You can refer on-line from some good sources. Use chairs with good back support. You can find your body itself will adjust by the pain mechanism . The kind of chairs which make you feel comfortable without any pain or strain are best one. Do not bend over anymore in life !(just kneel down). Always hold the boady steady (the core) and tight.

2. Back strengthening exercise - Follow them religiously !

Disc bulge is a common issue. Most 95% would resolve by these treatment in few weeks - months.

Wish you speedy recovery
Thank you


Dr. Deepu Sebin Sebastian
Category: Sexually Transmitted Diseases(STD)Specialist
Experience: 
MD, Internal Medicine - Stanley Medical School
Medical School - MBBS - Govt. Medical College, Kottyaam

Diagnostic Prediction - Stanford School of Medicine
Received Specialty training in Critical Care, Cardiology, Neurology, Gastroenterology, Nephrology from Stanley Medical College and in Endocrinology, Rheumatology.

Hematology and Geriatrics from Madras Medical College.
Dr. Deepu Sebin Sebastian and 4 other Medical Specialists are ready to help you

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