Hello, I am suffering from lower back pain since a few years that seems to have worsened a lot in the past few weeks. There's no pain when touched or moving. I am not able to sit in any posture for long. Nights are turning difficult. Can't get comfortable in any posture. My xray and usg reports are normal. Physiotherapy, pain killers exercises nothing seems to work. I've consulted orthopedics and gynaecologists but they can't figure what's wrong. Please help.

Mr. Wajid MohammedPhysiotherapist16yrs exp

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Hi lybrate-user, lower back pain increases as the time goes if not treated in the starting stage, it radiates from lower back to thigh, knee, and the whole leg will get pain. I will suggest exercises which needs to be done daily atleast once a day in the morning which provides strength. Strains occur when a muscle is stretched too far and tears, damaging the muscle itself. Sprains happen when over-stretching and tearing affects ligaments, which connect the bones together. For practical purposes, it does not matter whether the muscle or ligament is damaged, as the symptoms and treatment are the same. Common causes of sprain and�strain�include: lifting a heavy object, or twisting the spine while lifting sudden movements that place too much stress on the low back, such as a fall poor posture over time sports injuries, especially in sports that involve twisting or large forces of impact while sprains and strains do not sound serious and do not typically cause long-lasting pain, the acute pain can be quite severe. Chronic causes: pain is considered chronic once it lasts for more than three months and exceeds the body?s natural healing process. Chronic pain in the low back often involves a disc problem, a joint problem, and/or an irritated nerve root. Common causes include: lumbar herniated disc degenerative disc facet joint dysfunction spinal stenosis spondylolysthesis. Ostheo arthritis deformity. Exercise's to reduce lba. 1. Lower tummy strengthening. 2. Deep abdominal strengthening. 3. Bridge. 4. Pelvis tilt. 5. Lower back stretch. 6. Leg stretch. 7. Piriformis stretch. If pain is severe and can not perform these then let me know about tablets or ointment to be given according to disease like sciatica, disc bulge or nerve compression. Also take mri of lumbar spine to check any nerve compression or disc bulge which in xray will not clears. Take accelofenac paracetamol once a day for 3 days. Follow up with reports. Thank you.  

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