Doctor my age is 48yrs, male & married. Please suggest me, I am having lower back pain for the last 15 days also on my right shoulder. I am not doing any heavy lifting work neither on running job. I applied volini/moov no result till date. Please suggest me some medicine or ointment to apply asap. Ps: while sleeping it's getting very difficult for me to turn right or left. Waiting for your reply to obey the same. Thanks

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 have mentioned back pain and shoulder pain as your main problems but your duration is since 15 days. 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, tab diclofenac 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 like dynapar qps spray for local application can be used after ice fomentation 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. Thanks & regards  

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