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Lower back pain
I am 49 years old Suffering from lower back pain it comes when standing up from sitting it's in lower back starts from the low upper middle of the back then spreads in lower back muscles, taking zerodol MR and diclogel for the relief and do relief for some times what can it be and what to do next
Answers (23)
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Do hot fomentation
Share X-ray ls spine
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Hello,
I am Dr. Romain Rajan, General Physician (Ex Govt Medical Officer at RML Hospital, New Delhi), and your case has been allotted to me.
Thank you for sharing your symptoms. I understand your discomfort.
Based on your description, your pain pattern on getting up from sitting and spreading across lower back muscles is most suggestive of mechanical low back pain or muscle spasm, which is very common at this age.
At present, it does not appear to be a serious condition if there is no radiation to legs, numbness, or weakness.
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What you should do now
• Avoid prolonged sitting and sudden bending
• Use proper back support while sitting
• Apply local heat (hot fomentation) 2 to 3 times daily
• Continue light activity do not take complete bed rest
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Medicines
• Pain relief medicines and muscle relaxants can help short term
• Local gel like diclofenac can be used
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Exercises
• Start gentle back strengthening and stretching exercises once pain reduces
• Core strengthening is important to prevent recurrence
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When to consult a doctor immediately
• If pain radiates to legs
• If there is numbness or weakness
• If pain persists beyond 1 to 2 weeks
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Important reassurance
Most cases of this type are muscle related and improve with proper posture, exercises, and short term medication.
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For a personalised exercise plan and treatment guidance, you can reach out to me directly on
WhatsApp at 85271646 seven seven.
Wishing you a speedy recovery.
Dr. Romain Rajan
General Physician
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You can consult me on a video call.
It needs to be clinically tested , don't just take vague medicines
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Dont take pain killers of your own it will damage other organs. Please consult.
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• Your pattern — pain on getting up from sitting, starting mid-low back and spreading to lower back muscles — is most consistent with mechanical back pain due to muscle spasm / early degeneration, commonly seen with
Next Steps
• Start structured management (more important than tablets):
– Physiotherapy (core + back strengthening)
– Hot fomentation 2–3 times/day
• Medicines (short term only):
– Continue Zerodol MR for 3–5 days max (avoid long-term use)
– Topical gel can be continued
• Investigations (only if needed):
– X-ray lumbosacral spine (if persistent >2–3 weeks)
– MRI only if red flags
Health Tips
• Avoid prolonged sitting (>30–40 min at a stretch)
• Use lumbar support while sitting
• Correct posture (very important)
• Start exercises like:
– McKenzie extension
– Core strengthening
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Then kindly look into a orthopaedic specialist and take further investigation what they have advised
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Consult orthopedician and physiotherpy sessions for pain relief
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Physiotherapy session
Consult superspecialist like orthopedic probably u need xray
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Either you have had a muscle pull or soft tissue tear or injury. It can be confirmed by mri.
Take tab flexon m.r. one every 8hours for 4 days after meals.
Tab shelcal 300mg one daily for 30 days.
Diclofenac ointment over lower back, 2 to 3 times daily, but avoid massage. Do hot compression as well.Avoid bending.
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Consult online for proper management of the illness u have
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Better to visit local orthopedic clinic and get physical examination and xray done.
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You need physical evaluation and examination. Please consult with orthopedic surgeon nearby in your area.
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This could be an iliolumbar ligament issue you need physical examination and imaging to confirm. Take consultation with an orthopedic surgeon.
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Dr. Sohan Kulria
General Physician
5 yrs exp
Firozabad
If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed discussion
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Consult orthopedic
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Kindly do connect and consult
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Mri needed
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Dr. Nimmi Mulwani
General Physician
10 yrs exp
Ahmedabad
You need to consult an orthopedic surgeon
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Consult with
Take tab cipzox twice daily
Tab pan d twice daily
Apply spray
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Jiyas A F
Family Physician
11 yrs exp
Kottayam
Low back pain mainly due to Muscle strain or tightness
Poor sitting posture
Disc irritation (early stages of a slipped disc)
Facet joint stiffness.
1. First of all
Keep your back straight with support (use a small pillow
at lower back)
Feet flat on the floor, knees at hip level
Avoid long sitting
2. Move regularly
Stand up every 30 minutes
When getting up: don’t bend forward suddenly—move slowly and use your legs
3. Gentle exercises
Cat-Cow Stretch
Pelvic Tilt
Knee-to-Chest Stretch
4. Heat therapy
Use a warm compress or hot shower for 15–20 minutes
Helps relax tight muscles
5.To take Tab Ibuprofen or Tab Paracetamol for pain Relief
6.Physiotherapy exercises
7.If pain persists do a X-ray lumbar spine Ap , lateral and MRI Whole Spine.
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