Hi thanks for your query and welcome to lybrate
. I am Dr. Akshay from fortis hospital, new delhi.
There are many causes of pain in lower back region. It can be due to faulty posture, related to weak muscles, issues with intervertebral disc, narrowing of spinal canal, any bony
instability besides many other, so accurate diagnosis is the key to proper management of the condition.
You have mentioned early osteoarthritic changes which is surprising at this stage but I would like to see the investigations which you have done which mentions these changes.
If you have localized back pain
with no other symptoms like radiating leg pain
, neurological symptoms like numbness
, weakness, paresthesias etc, then you can start with following recommendations for initial period of 2-3 weeks: - to maintain proper posture of your back while working and sleeping
- if pain
is more then you can take a short course of an anti-inflammatory medication like tab etoshine
or one which suits you
- physical therapy initially under supervision of a trained physiotherapist
and then to continue at home
- adequate calcium
& vitamin d
intake if levels are low in body
- ice packs can applied if your pain is acute, then hot fomentation can be done at home
- analgesic spray for local application can be used and is easily available.
- avoid lifting heavyweight/ acute forward bending in mornings etc we will observe you for next 2-3 weeks how you respond to this conservative management protocol.
If you are not feeling better, then we will have to get some investigations like, dynamic x rays of lower back and few blood tests for evaluation. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.