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Upper and middle back pain
Getting severe upper back pain and middle back pain from past 9 months.done few days back mri of cervical spine with whole spine screening shows these conditions plz check report.doctor gave dolonex dt 20mg tablet 1-0-1 for 10 days and pregabalin 50mg and nortriptyline 10mg at night for 1 month.i have stomach issues can I take 1 tablet dolonex dt 10mg.whih exercises should I do.
Answers (14)
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Medicine reduces pain for just a bread time start with gentle back exercises like forward bending backwards bending rotation and later start strengthen the back muscles
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connect for detail assessment and treatment planing
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Hello
Saw your reports. Your problem can be treated and managed without any single painkiller or medicine. So stop hurting your stomach. It will take 10 to 15 days of Spinal Rehab @ ISR Jaipur (Durgapura & Bapu Nagar).
Thanks
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Contact me for best treatment
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I will tell you best exercises
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Hey there!
Please consult me online. Click the button on your right.
Regards
Your physio
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Don't worry
Visit head to heel physiotherapy clinic
Clear diagnosis & proper treatment in single session
U will b cured under Dr.andrews treatment
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Start gentle, pain-free exercises only. Avoid jerky movements.
Cervical & Upper Back (Daily):
• Chin tucks (lying or sitting) – 10 reps × 2 sets
• Neck isometrics (front/back/side) – 5 sec hold × 5 reps
• Scapular retraction (shoulder blade squeeze) – 15 reps
Thoracic Spine:
• Cat–Camel stretch – 10 reps
• Thoracic extension over rolled towel – 10 reps
• Wall angels – 10 reps
Posture & Core Support:
• Diaphragmatic breathing – 5 minutes
• Pelvic tilts – 15 reps
• Dead bug (beginner level) – 6–8 reps
Next Steps
Do not change medicine dose without doctor advice
• Start supervised physiotherapy/chiropractic rehab
• Do gentle neck & upper-back exercises daily
• Correct posture; take breaks every 30–40 min
• Review progress in 3–4 weeks
• Seek review early if pain worsens or arm weakness/numbness appears
Health Tips
• Keep screen at eye level
• Avoid long sitting; move every 30–40 minutes
• Use a low, supportive pillow
• Avoid bending neck while using mobile
• Do gentle stretches daily (no jerks)
• Walk 20–30 minutes daily
• Stay hydrated
• Avoid heavy lifting for now
• Maintain calm breathing; stress increases muscle pain
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Since your pain has been there for 9 months, it’s usually not just a muscle strain. It often involves posture-related overload, upper–mid back stiffness, and nerve irritation, which is why medicines for nerve pain are added.
If you already have stomach issues, please don’t change the Dolonex dose on your own—this medicine can upset the stomach even in smaller doses. It’s better to confirm with your doctor.
For exercises, avoid random YouTube or gym routines. Start only with gentle upper-back mobility, posture correction, and basic neck–shoulder activation. Doing the wrong exercises can actually increase pain.
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Do consult us for better understanding
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Do strengthening for cervical spine and lumbar spine muscles
Health Tips
Avoid weight lifting
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Please consult for more details regarding physiotherapy.
Because your MRI suggests disc bulge at a cervical or lumber site. So you have to do some stretching and strengthening exercises which improves your posture and muscle strength.
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please avoid any bending activities and just do a hot pack for 5-10 min
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for a long term relief you have to do strengthening exercises for your spinal muscles
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Please consult online. Back stretchings n strengthening exercises will be helpful. Warm moist compress followed by exercises.
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Posture correction
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Consult online
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As the report mentioned here is showing disc bulge, suggest you to take physiotherapy treatment with medicines.
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For better treatment and diagnosis please consult online
Health Tips
Maintain posture
Avoid heavy lifting
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Dr. Akhila Kandukuri (PT)
Physiotherapist
8 yrs exp
Hyderabad
Hello, don’t worry even though your MRI shows mild posterior disc bulges in both the cervical and lumbar spine your symptoms like pain pattern or intensity matters the most . These are usually due to prolonged poor posture or muscle imbalance, or repetitive strain. Gentle mobility work and strengthening exercises can help reduce your pain and prevent progression. However, because both your neck and lower back are involved, it’s important to follow a structured physiotherapy plan after a detailed assessment.”
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May be a in person consultation with physiotherapist would be more beneficial for your condition
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Dr. Avijit Das (PT)
Sports and Musculoskeletal Physiotherapist
4 yrs exp
Kolkata
Hi there is multiple disc bulging now you are only 26 years old so I need to discuss with your regular posture
Next Steps
If you are engaged with hyper activity like running gym . Stop doing all these activity..
Health Tips
To correct your posture.
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