Hi, My wife had a small accident 1.5 years back and she injured her back due to which she is having pain now also whenever she is going for a walk or driving or sits continuously for long. Kindly provide the suggestion and I do not want any medicine since it just reduces the pain but I want permanent relief from the problem

Dr. Swati NarangPhysiotherapist8yrs exp

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I understand your concern for your wife. In physiotherapy we have permanent treatment for back pain. All we need to do is to consult the doctor who had treated her during her accident. And then plan a treatment accordingly. If possible meet some nearby physio and start her treatment. I assure you she will be fine. We have several techniques in manual therapy by which patient get instant pain relief also. At home please make sure she should take some precautions: 1. Avoid forward bending, if required then bend your knees first and then bend forward. 2. Avoid weight lifting. 3. Sit in chairs or car seats with proper back support. 4. Try to sleep in a position that helps you maintain the curve in your back like sidelying. 5. Get enough vitamin d from sun as vitamin d keep bones strong including spine. 6. Drink plenty of water to enhance the inter vertebral disks 7. Avoid standing in the one position for a long time. 8. Try to sleep in a position that helps you maintain the curve in your back. 9. Avoid stress full activity. When pain is less or no pain make a habit of morning walk at least for 20 minutes to get fresh air in body which is really beneficial to keep fit and healthy. Meditations is an extra advantage along with walk. Treatment: 1. Apply ice or heat which ever suits you directly to the area of low back pain will decrease swelling and inflammation, and ease your discomfort. Apply it for 10 to 15 minutes only. 2. Relaxing for 5 minutes after ice or heat treatment. Massage - ask someone to massage your painful area using fingers or thumb. Massage using kneading technique. Slightly press the thumb and start rotating as it helps to induce relaxation, relieve pain, and reduce levels of stress chemicals, such as cortisol and noradrenaline. It will give you pain relief for time being. 3. After massage again relax for 5 min and apply any pain relieving ointment eg - volini or oraflame gel etc. Make sure not to do massage with the gel, it should not penetrate the body. Just a topical application of gel should be done. 4. Again relax your body for 5 minutes and perform some normal back extension and hamstring stretching exercises to get relief from your pain. While performing exercises if pain occurs then would recommend you to stop doing exercise. Massage or slightly rub the painful area. The above care will give her relief from her pain I am sure. Best regards. 

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