Suggest treatment for lower back pain in a scoliosis patient
Patient: I am having lower back pain... during the day it is a minor inconvenience just an dull ache but when I sleep if I lay on my right side I will wake up with a sharp stabbing pain in my lower right back to the point I have trouble getting up or standing for a few minutes then it subsides. I have been to the chiropractor and have an issue with scoliosis (sorry about the spelling) Doctor: Hi, thanks for asking from HCM.I can understand your concern. If you are having severe backspin on lying down on right side, it might be due to paraspinal muscle injury on right side. Such muscle injury usually manifests as dull pain on same side on standing, pain becomes severe on stretching like bending/lateral bending towards left side or pressure on muscle while lying down/direct pressure. Tenderness can be felt at pain site. There is one close differential diagnosis of it - Lumbar disc disease. It can present as pain on either side, pain is sharp/current like/radiates upto same side thigh-calf-foot. Pain becomes severe on forward bending/standing/sitting and some relief on lying down. Your backpain is more like of muscular type. It is not getting relieved due to continuous exertion. You can follow few tips : Avoid prolonged physical exertion: Avoid weight lifting: Ask some family member to massage your back. Apply hot fomentation over back thrice a day.: Apply painkiller gel like Diclofenac thrice-four times a day after proper prescription.: You can take Tab Thiocolchicoside-Diclofenac combination after proper prescription. : Avoid pressure at pain site.: Continue Chiropractor assistance.If still no relief, consult doctor for examination of back. If there will be doubt of disc disease, he will advise MRI of lumbar spine.Hope it will help you. Thanks. Take care.