Suggest treatment for lower back pain
Patient: Hello I am looking for advice, I have been suffering with lower back pain since Monday I went to my gp yesterday as the pain was ecomming severe and I was struggling to walk . She give me tramadol and paracetamol to take for a week to try and control the pain. She could no examine me due to the level of pain I was in but suspected it was muscular. Today the pain is slightly better as I have been taking the medication bu I have noticed that I am struggling to pass urine I literally have to force it out and don t get the feeling that I need to go. Is this common with back pain? Thanks in advance for our help Doctor: Dear patient don't take back pain so casually. You have got back pain with difficult y in passing urine. This is most likely due to disc herniation with nerve roots compression which is serious. Are u suffering from weakness in Lower legs or decreased sensation on your feet? If any of this symptoms are present you immediately need to consult orthopedic surgeon or neurophysician.  You gp gave you pain killers which relieved your pain but difficult urination indicates serious condition. I would advice MRI of lumbosacral spine that would confirm your diagnosis and would guide further treatment.  Meantime continental taking tramadol plus paracetamol and add methylcobalamin plus pregabalin 75mg at bedtime. Do take proper bed rest. All the best.