I am 46 years of age. I have a complain of lower backache and left leg. I can't sit long even half an hour. Please advice.
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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 low back pain with radiating pain in legs which is an indication that there is a nerve compression in spine. Also mention whether there are any other neurological symptoms in legs like numbness, weakness, paresthesias etc also present? I will require: - a detailed neurological charting of lower limbs (motor, sensory and evaluation of deep reflexes) preferable done by an experienced doctor or a physical therapist - dynamic x ray of your involved region of spine done - mri ls spine meanwhile you should continue with: 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, also medications for neuropathic symptoms like tab pregabalin or tab gabapentin can be added in small doses for relief of leg symptoms - 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. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.
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