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76-Year-Old with Back Pain After Fall: Physiotherapy or Wait?

Dr Rishabh Jain |6 Answers |Ask -Follow

Physician, Radiologist - Answered on Nov 13, 2024

Dr Rishabh Jain is a consultant interventional radiologist at Fortis Escorts, Okhla, Delhi.
He specialises in intervention radiology, digital imaging, MRI, fluoroscopy and digital mammography. As the radiology faculty at PhysicsWallah, he helps train medical aspirants prepare for NEET-UG and NEET-PG and guides them about careers in medicine.
Dr Rishabh completed his MBBS from All India Institute of Medical Sciences and MD (radiodiagnosis), vascular and interventional radiology residency programme from the Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh.... more

Question by RATHINDRA on Aug 02, 2024Hindi

Health

I am 76 yrs. old senior citizen. I have a long history of back pain for 45 yrs - sometimes. I take rest and its gets well. 1-1/2 months I slipped and fell in the bathroom landing on buttocks and got severe pain. Orthopedician gave pain killer and after 5 days use got severe Diorrhea. Dr. changed another pain killer after 5 days got black stool - blood hemorrhage. Did not go to Dr. Stopped medicine and also blood thinner Acitrom 3mg and Ecosprin 75/20AV blood thinner medicine and problem solved. But have jamming pain in the lower spine / pelvic area. Should I start physiotherapy exercise or wait till pain stops which may be long way off. Also give me physiotherapy procedure. Thank You.

Ans: Hi, you can’t stop Ecospirin and Acitrom permanently if they were given for heart disease. You need to consult an Orthopedician.
Was the pelvic x-ray normal?

DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.

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I'm having lower back pain for 6months,i work in mnc, so I have to sit for 9-10 hrs. I have completed 2 yrs in this mnc, but I the pain starts from last 6months.

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I am having persistent back pain for almost 15 years now, the pain is now reaching my legs & if I walk for more than 5 mins continously it pains a lot & I have to stop n then resume walking, please advice

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Have you done your blood tests for Vitamin D/Vitamin B12? Have you done your x-rays/MRI for the back?
If yes, what does it show?
A physiotherapist needs to evaluate you, understand the cause of your pain and accordingly give you the treatment since you have pain for 15 years. If it is paining in your legs too then some nerve in the back is also getting compressed. Please do the MRI for your lumbar spine and show an orthopedic or physiotherapist.

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Asked by Anonymous - Jun 24, 2024Hindi

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Hello Dr Nidhi, Dr Shakib and Dr shreya Had an accident 1.5 yrs back. I had a small fracture with z bone where legaments attached on backside of knee.Also i had dislocation of 5mm of leg below knee. I was treated with belt for whole leg PTS brace for 4 weeks then PCL/CI Brace for next 3 weeks alongwith gradual physiotheropy at home. But unfortunayely my legaments could not get strenth and I cannot walk as normal before. I have pains. I did Physiotheropy exercizes but could not do gym exercizes. I have kidney function issues creatnine 1.5 and protien 2 plus So I took ayurvedic medicines as was already taking for kidney issue. Also I am a vegetarian. I am really under tension as I cannot walk with normal speed as wrll as for long distance and perform other routine duties. Even my left knee has also giving pains since last 2 month and my low waist is also giving me much pain since last three months. Not done any exercise in last month. Pleasd give me proper guidance to recover. Thanks

Ans: Hello Anonymous,
For how long did you do the physiotherapy? Are you still continuing with the physiotherapy?
Have you done recent MRI?
Aqua-therapy which means doing exercises in water can help heal the knee very well. If possible for you please ask a certified aqua-physiotherapist or go to a center that has aqua-therapy and do exercises there in their pool. This will help you in developing proprioception which will strengthen the muscles around the knee very well. Also your core muscles need to be worked on.
Also please go to a good sports physio or a physio who does myofascial release. You may need therapies like cupping, dry needling, myofascial release rather than only conventional physio. That can help your waist pain and knee.
Warm regards,
Dr Nidhi Bajaj Gupta
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