Back pain - #9417

PATIENT NAME: Noorjahan AGE: 26 OCCUPATION: Advocate (Practicing in court daily) CHIEF COMPLAINT: Chronic lower back pain due to prolonged standing and work-related posture strain DIAGNOSIS: Mechanical Lower Back Pain RX: 1) Tab. Myospaz Forte – 1 tablet twice daily after food for 5 days (for muscle spasm relief) 2)Tab. Zerodol-P (Aceclofenac + Paracetamol) – 1 tablet if pain is severe, max once daily after food, for up to 5 days 3) Cap pan D 1 cap before breakfast for 5 days 4) Oint. Betaflam apply to the lower back 3-4 times followed by warm compression # Lumbar Support Belt – Wear during court hours or long-standing periods. Avoid wearing while sleeping. Footwear – Use orthopedic or cushioned footwear to reduce spinal pressure If possible, alternate standing with sitting every 30–45 minutes Use a footrest while standing for long durations Perform micro-stretches during breaks Advise: 1) X-Ray Lumbosacral Spine – AP & Lateral View 2) Serum Vitamin D3 3) Serum Calcium & Phosphorus 4) ESR 5) CRP 6) Thyroid profile * Please follow the treatment and do the investigations and follow up soon. Give your valuable review and rating. Thank you Dr Shayeque Reza MD 9800280276 ( Whatsapp Only )