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I have sharp ains in my hips and lower back

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I have sharp ains in my hips and lower back .
Submitted: 2 months ago.Category: Neurology
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Answered in 16 minutes by:
12/14/2017
Neurologist: drphophalia, Other replied 2 months ago
drphophalia
Category: Neurology
Satisfied Customers: 37,210
Experience: Regularly deal with musculoskeletal neurology, spinal issues, bowel and bladder dysfunctions etc.
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Welcome to Just Answer.
Answers here are for education and information.
I will respond shortly with an answer, or further information request.

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Neurologist: drphophalia, Other replied 2 months ago

Since when are these symptoms?

What are the investigations and treatment done?

Does the pain goes away on lying down?

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Customer reply replied 2 months ago
pains are occasional, no treatment has been done, the pain is when I am walking.
Neurologist: drphophalia, Other replied 2 months ago

The pain can be due to degenerative arthritis of hip and lower back. This can also be due to pinched nerves in back. You may need following investigations for the confirmation of the diagnosis;

1) MRI of hip and back.

2) Nerve conduction velocity study.

Physical therapy is the mainstay of the treatment.

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 backis 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

Was this information helpful to you? I would be glad to answer any further questions.

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Neurologist: drphophalia, Other replied 2 months ago

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Category: Neurology
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Experience: Regularly deal with musculoskeletal neurology, spinal issues, bowel and bladder dysfunctions etc.

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