Suggest treatment for severe lower back spasms
Patient: I have a lower back injury, and do not know how it happened. I have had lower back spasms in the past. About every few months that will last only a few hours. This time i felt fine, until i bent over and it felt like a knife was stuck into my lower spine. Paint at 9/10. At that point it was very painful to stand back up. Throughout the rest of the night movement in any way was painful, and it was impossible to get comfortable in bed to sleep. The pain is not as severe today, about a 7/10. But movement in any way is very hard and painful. The pain is located on my lower spine, and the muscles right around the area. Occasionally, the upper part of the butt muscles feels like it is pulled. Doctor: Hi,Low back pain is sometimes very painful and may interfere with your daily activities. Rest with hot compresses on your back and the avoidance of lifting heavy objects is the first line you may do. Taking some NSAIDs, muscle relaxants, whether topical or in tab forms are very helpful, topical gels with yoga is highly recommended at your stage.Sometimes you may need intramuscular injections of steroids to decrease the inflammation around your nerve root, pregabalin and B12 supplements are effective with the neuropathic pain. If all these fail you may ask your specialist for more investigations or even minor endoscopic interventions or even spinal surgeries are needed in some late cases so I insist you go to your specialist for better management of your case.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Ahmed Aly Hassan