my sister who is 24 years old,suffers a discogenic disease.from 2years ago she has been suffering kind of pain on her back mostly on right part of her lower back but not in midline ,it strtches from that point to her knee (under right knee).the pain gets worse while working or bearing weight on right leg.MRI showed some kind of inborn stricture in her last disc.the doctor prescribed calcium eff,mefnamic acid tablet,baclofen tablet,diclophenac topical ointment. but the result was not stisfactory .please help.
How to cope with back pain that feels in lower back to back of knee?
I have the the same pain for 3 years. It has improved with physical therapy. I would also suggest a second opinion from a good neurologist. I know how painful it can be but there are many treatment options available. It took me going through several doctors before I got my pain under control.
There are injections-epidurals and nerve blocks as kaismama mentions, stretching and strengthening exercises, use of ice and/or heat can be really helpful. I have a lot of muscle spasms and I find heat works best for me. Chiropractic manipulations can help if the Dr says that it is okay to do-that the spine is stable enough for manipulation. Physical therapy can also be helpful to help strengthen and stabilize the core muscles. As young as she is, it is important for her to strengthen and stabilize her abdominal core muscles. These muscles support the spine so if something is unstable in the spine, it becomes more important than ever for those muscles to be strong. As far as meds, she is on a good regimen-she might try alternate anti-inflammatories or alternate muscle relaxants since perhaps another one may work better than another for her particular body chemistry.
It is tempting to take opioids but while they do relieve pain, they wont improve function and they are very habit forming and she is better off not getting into that as she has a long life ahead of her. Surgery may be another option but again, should be used as last resort unless she has progressive weakness or loses control of bowel and/or bladder then it becomes necessary or permanent nerve damage can occur. Back pain is difficult to live with. She will need lots of support and encouragement and understanding when she doesnt feel up to doing things many people take for granted.
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