Pain Management Specialist Questions Back Pain

What is the possible treatment for back pain followed by lifting heavy weight?

I am a workout freak and also into lifting heavy weights during my workout. However since yesterday I am suffering from a low back pain after lifting heavy weights which just doesn't seem to be settling inspite of a painkiller. What is the possible treatment for this?

4 Answers

Dear sir

Severe low back pain after heavy lifting can be a ruptured or protruded disc, muscle strain, posterior element "facet pain,” or combination of the above. The discs or facet irritation or inflammation can result in “Sciatica” or “nerve irritation.”

Best treatment is ice to sight, antinflamatories (if no HX ulcer or kidney disease). Slow stretching.

Painkillers is vague word, I would assume “hydrocodone or Tylenol with codeine.” These help to turn off the pain, but do not decrease the inflammation.

If no improvement after medications, X-rays, Mri studies, and exam by PCP AND/OR SPINE DR/PAIN DR.

Depending on the above diagnosis, epidural treatment of inflamed nerves “Sciatica” can be helpful, and if you develop weakness or numbness in legs or loss of bowels urine can warrant more urgent surgical evaluation.

Helpful nerve stabilization medications include Lyrica or gabapentin, antiinflamatories ibuprofen aleve or ketorolac.
Best of luck.
Sorry for your Holiday Hardship,
Dr. W
Ice, heat, and a medrol dose pak. If not better in 48 hrs, call your Dr or pain specialist.
Before you can treat a cause of pain, one needs to understand the underlying pathology. Is it muscle strain, a ruptured disc, facet degeneration, SI joint arthropathy? Is the pain radiating or just confined to your back? If it persists, always go and be seen by a qualified pain medicine specialist.
A pain killer depending on the type may or may not address the inflammation. Rest is the best treatment along with ice over the low back. If not better in a few days I would see a health provider for an examination.