Backache

Question

I\'m 28 years old female, known case of hypothyroidism. I take 50mcg thyroxine for it. 
Since yesterday, I\'ve had this excruciating back pain that starts at a spot near the right of my spine and sort of feels as a current down my leg. It waxes and wanes, from becoming very mild such that I\'m able to move about, do house work to becoming extremely severe, that I have to either sit or lie down. Cough, sneeze, the movements in prayers, straining (as in toilet) seems to make it worse, often to the extent that I hold my breath, readjust myself and resume breathing.

I\'m not in Pakistan, so please guide me, what can I do to heal this pain at home, any medication that I should take or apply or, if I have to visit a doctor, who should I visit as in a GP or an orthopedic or someone else. I\'ve been applying topical pain killers and took Panadol as well but nothing seems to work long term.

Please help!

Prof. Dr. Brig R Arsalan Bukhari · Answer

get your MRI done and consult the doctor near you for assessment

Dr. Ambreen Farhan · Answer

take online consult

Dr. Muhammad Asad Arif · Answer

urgent MRI and see a GP at the earliest, they will refer you to orthopaedics or if you can afford private, book a direct appointment with the orthopaedic surgeon

Dr. Junaid Ahmad Shahryar · Answer

rest
continue with anti inflammatory pain medication
hot fomentation
avoid forward bending, lifting, twisting, stair/ramp climbing, sitting on the floor
use lumbosacral corset assistance for mobilization
get xray LS spine Ap Lateral
get MRI LS spine.
consult nearby orthopaedic surgeon..

Assoc. Prof. Dr. Saleem Akhtar Rana · Answer

Don't worry, reduce weight if you are overweight, never bend your back to pick some heavy object,
rather sit down and Pick @ then rise up.Have a rest few days,it will be all right

Dr. Muhammad Shahab · Answer

Hello.
I am sorry you are going through this. I work in the UK as Orthopedic and Spine Surgeon.
You can book an appointment online via Marham.pk and we can go through this in detail.

Hope this helps.

Dr. Auon Shabbir Khan Niazi · Answer

It seems like you are having sciatica. It will take 2 to 3 months to resolve. Better to see a local GP for bed rest, pain medication and physio. All the best

Dr. Jamshid Ali · Answer

needs history and clinical exam
x rays L/S spine AP and LAT
CBC
Urine R/E
tab Brexin 20 mg of if pain several need BD
Tab Neubrel fort TDS
Tab Gabazim 75mg BD
tab teph 40mg OD
use for 10 days

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Prof. Dr. Brig R Arsalan Bukhari - Orthopedic Surgeon

MBBS, FCPS, FRCS (Glasgow), AO Fellow (UK), FICS (USA), Fellowship Advanced Joint Replacement (UK), Fellowship AO Trauma and Disaster management (Switzerland), Fellowship Sports Medicine (UK), Fellowship Onco-Orthopedics (UK) | Rawalpindi

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