Dr. Main kafi time se backache se pareshan hu. Ye regularly whole day bana rehta he. Na bethte banta he aur na hi lette hue. Pehle karib one year ago mene Dr. Se consult kiya tha tab mere vitamin d ki kami aayi thi so after treatment backache me kafi improvement ho gaya. But aajkal phir se kafi dard shuru ho chuka he. So me ye janna chah raha tha ki mujhe phir se wahi treatment lena hoga. Ya is backache ka koi reason bhi ho sakta he. So kindly consult with appropriate medicines. Thanks.

Dr. Akshay Kumar SaxenaOrthopedist13yrs exp

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Hello, thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. There are many causes of pain in lower back region. It can be due to faulty posture, related to weak muscles, issues with intervertebral disc, narrowing of spinal canal, any bony instability besides many other, so accurate diagnosis is the key to proper management of the condition. 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. 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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