Patient discussion about low back pain

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Q. I have a low back pain that radiates to my leg when i pick up stuff. Is it a disc herniation?

I am a 43 years old bank teller. During the past 5 months I've suffered from a low back pain. The pain is not very strong, but it gets much worse while doing physical activity. When i walk or lift heavy things the pain is even stronger, and it radiates to my left leg. Can it be signs for disc herniation?
A1It's possible that you have a nerve impingement from a disc herniation, but not necessarily so. What you need to know is that even if you have a herniated disc, the question is what would the recommended treatment be?
90% or more of herniated discs resolve without surgical treatment within 6 months. MRI imaging is generally only indicated if one is considering surgery; in other words, your pain and neurological status is such that surgery is clinically indicated. Then, an MRI may be helpful for the surgeon. If surgery is not indicated based on clinical/symptoms, then it probably is unwise to get an MRI. They often show abnormalities that are simply 'red herrings' and often prompt people to proceed with surgery that really is not needed. Beware!

A2Hi Voodoo. I have experienced some back pain that goes down the leg as well. I was told it was Sciatica. It happens on either one side of the spine or the other, not both at once. If I bend over just a certain way, I pull or pinch the sciatic nerve. The last time I did it, I was bending down to put the dog's coat on. Boy, I was a week getting over that one. I sat with the heating pad on it and linament rubbed in at night. If I tried to bend at all, it was major pain. I don't get it very often but when I do it's quite crippling. I just have to pay attention to my bending and use the knees. Sorry, I don't know anything about herniated discs. You need to see a doctor and get proper diagnosis. Good Luck.
A3Hi there. I have degenerative disc disease, and I also had numbness in my right leg. My primary physician told me to see a neurologist. I saw the neurologist and he did an MRI of my spine. In my 4th and 5th lumbar (lower back) he found a pinched nerve. He said surgery would take care of it. Well I got the surgery, which was a success. I also had disc fragments that needed to be removed. So my disc was herniated also, and a small arthritic cyst. My legs are just great now. No more numbness. Hope this helps hon. Mellou

Q. What is the best way to strengthen the low back muscles?

After having a low back strain I've been told I need to work better on the lower back muscles as too much stress is on them and they're not strong enough to handle it...any suggestions?
Ai have lower back strains but that is because i run. my back muscles are stronger then abdomen muscles and that causes an imbalance. the best way is starting swimming. the best sport for the body... and a thing to do for now (not instead of swimming just for the time being until you'll develop muscles)- lay on your stomach on a bed with your head sticking out for about 10-15 minutes every now and then. this will lengthen your back muscle and prevent strains for now.

Q. I have developed a low back pain from some heavy lifting over the weekend. What tests in the doctor's office

can I expect to confirm this. And what should the treatment be. I suspect a sacriliac strain.
A1More than likely you have developed some muscle strain. If the pain goes away on it's own after rest for a few days, I suspect that's all it is. If the pain persists and starts to radiate down your buttocks and leg(s), then you should see an orthopedic surgeon for more extensive tests. Good luck to you.
A2I doubt the doctor will order tests, but he/she will examine your back and you muscle and joint movement. If he/she thinks there is something wrong they might have you do a spine x-ray, to see there is no harm caused to your spine. The treatment is rest, no heavy lifting and some gentle exercises such as walking, swimming and streching. You can also put pain relief creams or anti-inflammatory creams.

Q. any tips for low back strain?

I'm an athlete, been having maaaajor lower back pain lately, during sports mainly but also when I just get out of bed in the morning. I was never like this- I'm really into sports and never felt so old in my life!!! Dont think the doctors really know their way with me, was hoping for some tips from your side. thanx
A1Take Ibuprofen. I take 600mg and helps a lot. Also stretch like crazy -- three times a day if you can. Stretch you hamstring totally. You need to be very limber all the time. You should also lay off on exercising for a bit. Wait for the irritations to go down. Do tons of back and stomach exercises -- only after the irritation goes down. First thing in the morning is get out of bed, turn toward your bed,lift your leg on the bed and stretch you legs. Lots of things to do. Don't wait too long to see a doctor - it doesn't help not seeing a doc. The best a doc can do is give you an MRI. Xrays are ok but an MRI tells the story. I know, I had two back operations and have a bad back for 30 years (I am 49). Had my operations 7 months ago and now I lift almost every day (I don't lift as much -- just a lot of reps). Good luck.
A2My sister-in-law has the same problem. She tried a chiropractor and that provided temporary relief. Now she is in the process of taking a series of three epidural shots. This may be an option.
A3Well could it be you are over excerting yourself? It sounds like you are very much into sports and maybe there has been a sports injury of some sort that needs to be identified. Have you gotten any x-rays done? Low back pain is very common but usually some excersie helps with the pain, not vice versa. You should perhaps see a sports medicine expert.

Q. Can a low back pain start from picking up something from the oven?

My mother has a low back pain. It started five days ago while she picked up a cake from the oven. the pain is always there, it bugs her while she sleeps and it excruciate while she is doing her regular physical activity. What can it be? should we go to our GP? Is there anything we can do to ease the pain except Tylenol? Just for the record my mom is 69 years old, and she has tuberculosis and a heart disease.
AThis is a case where your mom should have an examination by a professional. A chiropractor would be the specialist to deal with back pain and can make any appropriate referrals if necessary.

Q. i suffer from a really strong lower back pain? how can i ease the pain and treat it correctly?

A1First, take some time, don't do much, take ibuprofen, go on walks and stretch like crazy, three times a day if you can. I stretch at my desk job all the time. Just throw my leg up when I start hurting and stretch the back of my legs. I am a lot more problematic (had a couple of back operations)but that is the basics. Like I have told others. Best way to ultimately tell is by seeing a nurosurgeon or orthopedic and get an MRI. It is spendy but it tells the story. They may say operate but it doesn't mean you have to. They are professionals, find good docs, ask around. Good luck.
A2I had very bad back pain once too. It helped that I lost weight but I also began an exercise program. In the beginning it was mostly stretching exercises but slowly as I began to improve I added more. I also had a great chiropractor that really helped me. I would see a doctor to diagnose any disk or skeletal problems
A3Lower back pain is a very common complaint. What is found to be very helpful to ease the pain is moderate regular physical activity. Also, if the pain is very difficult to tolerate you can take anti-pain medications or apply local anti-inflammatory creams.

Q. i have pains in my lower back dont know if its another kidneystone or not had one bout1 yr ago

A1if you had kidney stone already, the chances of having another one is higher then most people. you should be ready to the fact you have another one but do not determine it. lower back pain can be from many reasons. and even if the source is from the kidneys- it can be other things, not just a kidney stone.
A2it can be kidney stone, but it can be also several other diagnosis. my suggestion, you should go see your doctor, and have yourself checked.

kidney stone can easily be checked with physical examination by your doctor, and also by doing some diagnostic imaging procedure. if it is a kidney stone, you'd better find the solution for its therapy with your doctor. If it is not, then your doctor will help you to find other diagnosis of your lower back pain.

Good luck, and stay healthy always..
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