How to reduce back Spasm? - #9440

Karuna

I get very severe spasm on my back.. I can't stand and can't walk.. my x-ray normal. My calcium normal. Taking supplement of vit D Age-54 yrs,private school teacher.. need to stand. Light exersion also hampers my life. Taking physiotherapy.. now

Age: 54

Chronic illnesses: B. P Thyroid

Back

100 INR (~1.18 USD)

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Dr. Mayuri Kakoti

I am a dedicated medical professional with extensive clinical experience spanning both emergency care and specialized women's health. At GBH American Hospital, I spent nine months immersed in hands-on patient care and emergency management. This role allowed me to sharpen my clinical assessment skills and develop a keen ability to manage acute medical situations with precision and compassion. My commitment to comprehensive patient care deepened during my 21-month tenure at AIIMS Guwahati. In the Obstetrics and Gynecology department, as well as in trauma and emergency care, I managed a diverse array of critical cases. I actively participated in complex procedures related to women’s health, trauma stabilization, and acute care, ensuring that every patient received immediate and effective treatment. Working in these high-pressure environments has equipped me with a robust foundation in both preventative and emergency medical practices. My approach is firmly rooted in evidence-based medicine, and I continuously strive to enhance my skills through ongoing professional development. I believe that successful healthcare hinges on a blend of technical expertise, compassionate patient interactions, and a relentless commitment to excellence. By integrating my clinical experiences with a patient-centered focus, I aim to deliver the highest standard of care in every aspect of my practice.

96 days ago

Dear Karuna,

Your severe back spasms affecting mobility despite normal X-ray and calcium levels may be due to muscle strain, nerve compression, or posture-related issues. Since you need to stand for long hours as a teacher, proper management is key.

Next Steps:
	1.	Continue Physiotherapy – Strengthening and stretching exercises are essential.
	2.	OTC Pain Relief:
	•	Topical pain relievers – Volini gel, Moov, or Diclofenac gel.
	•	Painkillers (if needed) – Paracetamol or Ibuprofen (after meals).
	•	Muscle Relaxants (like Thiocholchicoside) may be prescribed if pain is severe.
	3.	Posture & Lifestyle Adjustments:
	•	Use a lumbar support belt while standing.
	•	Take frequent sitting breaks while teaching.
	•	Avoid bending forward suddenly or lifting heavy objects.
	4.	Further Evaluation (if pain persists):
	•	MRI of the spine – To check for disc issues or nerve compression.
	•	Vitamin B12 levels – Deficiency can cause muscle weakness and nerve pain.

If symptoms persist despite physiotherapy and posture correction, consult an orthopedic doctor for further evaluation.

Accepted response

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Dr. Alan Reji

I am Dr. Alan Reji, a passionate dentist dedicated to providing exceptional patient care and advancing dental education. A graduate of Pushpagiri College of Dental Sciences (2018 batch), I have always been committed to delivering high-quality, accessible dental care that prioritizes patient comfort and long-term oral health. As the founder of Dent To Smile, a modern dental clinic in Palakkad, my vision is to create a welcoming environment where advanced technology meets compassionate treatment. I believe in a patient-first approach, ensuring that every individual receives personalized care tailored to their unique dental needs. Whether performing routine check-ups, restorative treatments, or cosmetic procedures, my focus remains on enhancing smiles while maintaining optimal oral health. With a deep interest in dental education and preventive care, I strive to empower my patients with the knowledge they need to make informed decisions about their oral hygiene. I also take pride in incorporating the latest advancements in dentistry, from minimally invasive techniques to state-of-the-art diagnostic tools, ensuring precise and effective treatments. My practice is built on trust, transparency, and a commitment to excellence. At Dent To Smile, my goal is to make high-quality dental care accessible to everyone while ensuring a comfortable and stress-free experience.

96 days ago

Severe back spasms that make it difficult to stand or walk, despite normal X-rays and calcium levels, could be due to muscle strain, nerve compression (such as a herniated disc or sciatica), or conditions like fibromyalgia or myofascial pain syndrome. Since you have thyroid issues, hypothyroidism can sometimes contribute to muscle weakness and cramps. Long hours of standing as a teacher may also strain your lower back, leading to muscle fatigue and spasms. Physiotherapy is a good step, but if your pain persists, further investigations like an MRI may help identify nerve-related problems or disc issues.

In addition to physiotherapy, consider gentle stretching, core-strengthening exercises, and using a lumbar support belt while teaching. Heat therapy, magnesium supplementation (if deficient), and posture correction may also provide relief. If your pain continues despite treatment, consult a neurologist or orthopedic specialist to rule out nerve compression or spinal issues. Adjusting your thyroid medication (if needed) and incorporating relaxation techniques like yoga may also help in managing muscle tightness and spasms.

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How to reduce back Spasm? - #9440

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