What causes severe pain in lower back?
Patient: hi I would like to know what I should to do I have really bad beck lower pain and I used only tylenol and some hit pads but still hurts I am take caring of paralise person spine cord ijnury C4 and C5 so  always I lifting her but  main essue is my work I m doing landscapeing  and I  am female 25y old what I should do pain is really often. Doctor: HiThank you for asking HCM. I have gone through your query. Your problem can be due to repetitive stress injury or due intervertebral disc injury from heavy weight lifting.  A physical examination with an orthopedician will be helpful in ruling out this. MRI might be needed in case of positive findings for intervertebral disc injury.  Usually I manage such cases with NSAIDs like Nimusulide , muscle relaxants like tizanidine and local anti inflammatory gels. Muscle strengthening exercises and physiotherapy will be needed if it is long standing. Hope this may help you. Let me know if anything not clear. Thanks.