You are probably reading this article because either you or your close relative or friend is having back ache and the one who are not reading it are probably already bored reading so much about it. So  if this problem is as old as human race itself why don’t we have a foolproof treatment ?  Well we must understand that this is not a simple headache, or high blood pressure or high sugar where popping up 2 or 3 pills will control it. Here you have to exert by doing regular exercises, taking necessary precautions probably changing your life style or even change your profession.

The most common cause as we all   know is prolapsed disc, but other causes like listhesis, infection or tumors need to be ruled out because latter group invariably requires surgery and in former case only 1-2 % require surgery. The best treatment   is to take all preventive measures like regular walks or exercises, maintaing   a good body weight, avoiding heels etc. If you still develop some pain or discomfort, immediately consult Orthopedician , rather than taking pain killers and than visiting him after a week when the pain is bothering your nights sleep. Majority of  cases respond to rehabilitation , but mind it not all the exercises shown on television or magazine are good for you, please take your Orthopedicians advice.

Early therapy includes physiotherapy, local rest, analgesics etc but do it under expert guidance and a team of Orthopedician with Physiotherapist is the best option.  Sciatica or the leg pain indicates a critical stage where a  involvement of nerve is suspected,  and a MRI is preferred to evaluate the extent. The Surgery is advised when there is progressive neurological involvement in the form of  decreased sensation, weak muscles, bladder involvement etc. 

Back pain with weakness in legs in elderly is most commonly due to canal stenosis. Here also the protocol is same. The point to be emphasized is that it takes time and let this fact shouldn’t discourage you or take you to malishwalas, glasswalas, or some miyan jee in a pursuit for some miraculous or quick relief. Take care and its rightly said that time is the best healer and it would cure your back pain also !! Any questions ??