I have pain at my back several years ago. I am female of age 45. I have contacted several gynaelogist and eat medicine bt does not help is is low bone denisty and some other I also take xray which is normal can you suggest me anythng.

Dr. Akshay Kumar SaxenaOrthopedist13yrs 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 chronic back pains and you have also stated that you have taken treatment from many doctors. 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. Low bone density is a factor in females of your age group especially if they have had their menopause earlier but it should not cause back pain since a long time, although if you have low bmd, it will require treatment as well. Do not hesitate to contact me if you need any further assistance.  

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