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Well my partner is 6ft 11, solid built. His back pain

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Well my partner is...

Well my partner is 6ft 11, solid built. His back pain started bout 2 wks ago I think its because of Hus n d n lounge being to low... However when he struggled to stand up today of the bed it was excruciating pain and I noticed dark circles appeared instantly under his eyes....the pain is in his left lower back. Please help, thanku

Doctor's Assistant: Have you had any recent injuries? What seems to make the pain better or worse?

No injuries, but his bed is way to soft... And too low for him.

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

Not back related.... Trouble urinating at times

Submitted: 8 months ago.Category: Eye
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9/21/2017
Eye Doctor: Dr. Arun Phophalia, Doctor (non-eye specialty) replied 8 months ago
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (non-eye specialty)
Category: Eye
Satisfied Customers: 38,059
Experience: MBBS MS
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Eye Doctor: Dr. Arun Phophalia, Doctor (non-eye specialty) replied 8 months ago

What is his age?

Was he investigated for his urinary trouble?

Were any medical imaging like x-rays done for back pain?

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Customer reply replied 8 months ago
He is 40years old, his urinary trouble he just said is OK now.... And he won't go to a Hospital.. Asking u guys was his compromise...
Eye Doctor: Dr. Arun Phophalia, Doctor (non-eye specialty) replied 8 months ago

Thanks for the additional information. I am writing the answer for you and will get back to you in 4-5 minutes. If you get a phone call request, you may ignore it as that is an automated site trigger. Thank you.

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Customer reply replied 8 months ago
Thankyou
Eye Doctor: Dr. Arun Phophalia, Doctor (non-eye specialty) replied 8 months ago

The low bed can be the culprit or contributory to his back pain. Also working long hours on computers or abnormal posture, bad ergonomics too can play the significant role.

Following investigations would be required;

1) X-ray of the lower back

2) MRI of the spine

Following measures would be helpful;

1) Back care in the activities of daily living, which is an integral component of the treatment of back problems. Back education is one of the most important thing which teaches the basic body mechanics, like correct posture for standing, standing at a desk or drawing board, sitting, brushing teeth, washing the face, pushing and pulling a weight, lifting a weight, getting in and out of bed, sleeping, getting into and sitting in a car. The training for these routine activity helps in preventing the spasm of the muscles. One needs to consult an occupational therapist or physical therapist which can educate about the proper and improper behaviors when back is painful in case they have to sit, bend forward, lie down, walk, cough, or sneeze. Following more need to be done:

a) Avoid activities which increases the pain.

b) Rest intermittently

c) Avoid bending at 90 degrees

d) Pushing and pulling should be avoided till pain subsides

f) Avoid prolonged sitting and standing

g) Avoid sitting or sleeping on floor

2) Anti-inflammatory analgesics like ibuprofen, other analgesics and muscle relaxants

3) Local analgesic gels or sprays / ointment

4) Hot fomentation

5) Electrotherapy like trans cutaneous electrical nerve stimulation: done by physical therapist. Other thing are ice packs, heating pads, electrical stimulation, phonophoresis, iontophoresis, relaxation, and biofeedback.

6) Good supervised physiotherapy: The exercises consist of abdominal bracing, modified sit-ups, double-knee-to-chest or low back stretches, seat lifts, mountain and sag exercises, knee-to-elbow exercises, hamstring stretches, extension exercises, and extension flexibility exercises. Swimming exercises (pool exercises) are best for back pain. Initial stretching and later strengthening exercises are taught.

7) Lumbosacral corset or support or brace

8) If obese or over weight, reduce weight for long term benefit.

He can start the following exercises;

1) Straight leg raising: Lie on the bed with your back and remain in a relaxed position. Slowly raise one of your legs upward and keep it as straight as possible. Count up to ten, and slowly bring down the leg. Do the same with the other leg. Repeat this exercise ten times.

2) Curl ups; lie on the back with knees bent, fold arms across the chest, tilt the pelvis to flatten the back, and curl-up lifting the head and shoulders from the bed / couch. Hold for ten seconds, then slowly lower to starting position. As strength builds, aim to complete one sets of ten curls. The exercise should be done twice a day (both the sets).

This is a slide show for the exercises (he can pick up your own set, which suits him);

http://www.mayoclinic.com/health/back-pain/LB00001_D

You can consult following specialists (apart from your GP);

a) Orthopedist

b) MD in Physical medicine and rehabilitation.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

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Eye Doctor: Dr. Arun Phophalia, Doctor (non-eye specialty) replied 8 months ago

Back pain and urinary trouble can also occur due to kidney stone which are passing in bladder. So an x-ray and ultrasound would be recommended.

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Eye Doctor: Dr. Arun Phophalia, Doctor (non-eye specialty) replied 7 months ago

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