Hi I am 27 years female. I delivered a baby in dec 2013. Since than I am suffering from severe back ache. Mine was normal delivery without any extra medication. Please suggest. My physio exercise is ongoing but the moment I discontinue it my pain starts again. I got mri done. It was also normal.

Dr. Akshay Kumar SaxenaOrthopedic Doctor14yrs exp

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Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You are very young to have a persistent back pain as a health issue. 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 paracetamol 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. Also it will be good if you can send me your mri images and report as an attachment. Do not hesitate to contact me if you need any further assistance. Thanks & regards  

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