I am 21 years old, i'm having a back pain and low hip pain from 2 years and also recently 4 months it's very tough. For that i'm taking daily pain killers like aceclofenac and diclofenac tablets from 1 year. What to do please give me suggestions and now i'm worried about my kidneys because I am taking daily painkillers .please provide useful thing and also tell me tips not to get kidney issues and this pain. Thank you.

Dr. Dev Anand RamanathanPhysiotherapist19yrs exp

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Regards, Lybrate user. Most low back pain has been classified in recent literature as "non-specific low back pain" (that means the exact cause of the pain disorder is difficult to find). However, what is known is that most non-specific low back pain responds well to exercises or movements of the back. It is essential to know what factors cause your pain and what factors relieve your pain to make decisions for appropriate management. Most patients who complain of back pain need posture education to ensure they use their bodies and muscles appropriately and not abuse them. For instance, assuming a 100% body weight load on the lumbar discs (discs present in between the vertebral bones of the back), just sitting straight normally increases that pressure to 140% body weight, and if one is slouched (bent forward) in sitting, then the pressure increases to about 185% body weight. So, if posture is maintained incorrectly, there is a chance that pain will be maintained. Appropriate and simple exercises, if done precisely, can reduce and prevent back pain from occurring. It is recommended to have a detailed evaluation with an orthopaedic physiotherapist or manual therapist to ascertain areas of concern to be addressed appropriately.� you may feel free to reach out to us for a virtual consult as well. You may use doctor code drc221 if you prefer.  

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