Sciatica – Mumbai best Dr Vishal Kundnani – Chief Spine Surgeon specialist – Spine Surgeon Mumbai https://www.vishalkundnani.com Dr. Vishal Kundnani Fri, 25 Dec 2020 12:22:14 +0000 en-US hourly 1 https://wordpress.org/?v=6.5.5 https://www.vishalkundnani.com/wp-content/uploads/2019/08/cropped-lombalgie_icon-1-32x32.png Sciatica – Mumbai best Dr Vishal Kundnani – Chief Spine Surgeon specialist – Spine Surgeon Mumbai https://www.vishalkundnani.com 32 32 Spine Tip of the Day-Back Pain https://www.vishalkundnani.com/spine-tip-of-the-day-backpain/ https://www.vishalkundnani.com/spine-tip-of-the-day-backpain/#respond Fri, 25 Dec 2020 12:19:41 +0000 http://spinesurgeonmumbai.com/?p=3144 right-arrowRead More "Spine Tip of the Day-Back Pain"right-arrow]]>

Back pain has multiple causes

1. Simple causes of back pain – Lumbar spine
spondylogenic / Metabolic / Mechanical/ Muscular / Postural / visceral / Reffered.

Often related to life style , posture , lack of exercise , Vit deficiency , increasing weight and stress. Do not have associated nerve compression
RED FLAG signs absent usually
Investigations often not needed unless pain persists >3 weeks

Pain is typically localised , fatigue related , better with rest , and exercises help a lot , need life style modification. Pain management with simple measures – exercise , medicines and heat therapy , supervised physiotherapy help. Meet spine specialist for supervised care.

Usually improve without any active / aggressive intervention

Contact specialist if pain persists or progresses.

2. Disease related back pain

  • Tuberculosis / Infection / Trauma / Instability / Tumor / inflammation / Nerve compression related causes.
  • Symptoms often more with activity / affect mobility / increase with walking
  • Symptoms often present at rest / night pain
  • Radiation to leg with nerve paresthesiae present if nerve compression is present.
  • Pain , Numbness , Heaviness weakness in leg – buttock and back of thigh and calf
  • RED flag signs noted.
  • Fever , Rest pain , Night pain , persistent pain , weakness leg , bowel bladder symptoms

May need investigations to detail to rule out exact cause , unsupervised pain management – self medication / self guided physiotherapy – not recommended and may not help.

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