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It is a very common complaint. You must have heard it from many of your friends around, including old people. You must have heard it being said that we are having back pain, so as a neurosurgeon, out of all the patients we see in the OD, 60 to 70 patients come to us with back pain i.e. lower back pain.
The first reason for this, which is the most common or the most common reason, is that the patient gets muscular spasms, or what we call pulling of the tendons, due to which these tendons pull.
The movement of the patient becomes a little restricted due to which the patient starts having pain in the waist. This is a lot of weight that has to be pulled on the waist belt. This is common in those patients like those who lie for a long time.
Software engineers work while sitting on a chair, the reason for this is that they work by leaning forward, they do not use back support, due to which there is a curve in our waist, normally there is a curve which is called The curve which we call lumbar lordosis is, so our muscles have to do extra work because of this poster which they become stiff, spasm occurs in them and they get pulled. Due to this, the patient feels pain
secondly those people who have suffered any kind of injury or those people who have suddenly lifted heavy weight? or those people who come to us from the interior, who usually sleep.
We use a cot because the cot is a little lower than the middle, so our muscles become stiff. Due to being stuffed, we get pain, so this is a very common reason for lower back pain or waist pain.
For this pain, we explain three types of things to the patient. The first thing is that whenever you are a computer software engineer or those who have to work sitting on a chair for a long time, this happens when Also, when you sit, you sit straight with back support and there is a lumbar support behind your waist which you can use to put it on your back, so when you sit like this, your posture will be corrected.
Other patients who come from the interior scene etc. or those who are using cots, then they should not use cots, they should use a hard mattress.
The second thing is that we people need painkillers i.e. pain. We give medicines to relax the tendons and after a few days, when four to five days pass, then we also advise physiotherapy to such patients and these muscular spasms are treated in one week to two weeks. It gets resolved.
Secondly, there is an important reason that everyone must have heard, which we also call Satika, which is also called Hamar Kun Nisa. In this, what happens is that there is a gap between the two bones of our spine.
There is soft tissue which is normally within its boundaries but due to some reason like due to injury or due to lifting heavy weight, our disc or disc is soft tissue.
It comes outside and presses our nerves, due to which there is pain in the waist and legs. Now how can a common patient know that his back pain is the pain of Aku Nisa? If it is there or what is there, then what happens in it is that the patient will have back pain, that back pain will go towards the feet, there may also be numbness in the feet and when he bends towards the front, due to bending, he will feel pain in his back.
If the patient's pain or pain increases, then after taking this medicine, after examination, we get him an MRI done. In that MRI, we confirmed that the patient has the problem of Arka Nesa. After that, what usually happens is that The treatment is conservative treatment and the second treatment is surgery.
The conservative treatment means that we tell the patient three types of treatments.
First of all, we prescribe medicines to him, which include pain medicines, and Medicines are used to relax the tendons.
Secondly, we advise the patient to do physiotherapy. In physiotherapy, waist and leg exercises are done.
Thirdly, we tell the patient not to lift any heavy weight. Do not do bending work, and do not sit on the ground so that you do not have to get up from the ground, then we advise the patient to do these types of things for six weeks, and for those who are 85 to 90, this is Arko Nisa.
The problem that occurs can be cured by medicines, physiotherapy, and Etihad, but for the remaining 10 to 15 people whose problems cannot be solved then we do surgery in them.
Now people have a misconception that after the surgery, the patient is This does not happen at all. It is just a half to one-hour procedure in which the patient is made to lie upside down and a small incision of 2 to 3 cm is made.
After making the incision, We cut the bone a little and after cutting, we cut out the disc which is the pawn or the soft tissue that is pressing the veins, and the patient gets cured within one to two hours.
And the next day we discharged him.
Apart from this, the back pain can be due to some kind of tumor, it can also be due to some kind of infection or due to injury i.e. due to fracture.
It is also possible that out of this I would like to talk about one thing which is infection. You people must have generally heard that people get TB of the lungs.
Similarly, people can also get TB of the waist and that waist. In TB, we call it caries spine or post disease, in which we usually treat it with medicines. The total treatment period is from 12 months to 18 months. The patient has to take medicines daily and with the medicines he gets relief from TB. The issue gets resolved, for its diagnosis we get an MRI done but this MRI is a contrast MRI in which we first give an injection in the vein, do an MRI, scan it, diagnose it, and then treat it with medicines.
There are a few such patients in whom some kind of pus is formed or bone fracture occurs. In TB patients, in that case, we operate on whatever is there, otherwise it is treated with medicines. Which includes cancer or waist tumors, it can also be treated by operation, so I hope that you have got all the information regarding lower back pain or back pain.
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