This is about my wife. She is 28 yrs old we have been married for 9 months nowadays she is complaining of lower backpain. She says if she stands she feels fine but when she sits on sofa or on flat ground she feels pain. She says that pain is more prominent in the morning and evening. Could you suggest what could be concern.

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. Your wife is very young to actually have persistent back pains. If she has 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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