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HomeAnswersPhysiotherapyfacet painI tried to straighten my back and got a sudden pain. Please help.

What causes sharp lower back pain during exercise?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Shakti Mishra

Medically reviewed by

iCliniq medical review team

Published At April 14, 2017
Reviewed AtMay 9, 2024

Patient's Query

Hi doctor,

As I was about to straighten my back while holding the bar to lift the weight (deadlifts), I felt a clunk sound in my left lower back. The same spot as I previously injured 20 months ago on the last rep of deadlift. I rounded my back, and it pulled me down. It got cured in four or five days. But now, I got this again, and my pelvis is tilted laterally. I can only lean towards to my right, and it is painful to straighten my back in the position. I went to a chiropractor. They did a massage on the spot of injury and some alignment adjustments. After that, it was more painful and more lateral tilt occurred. Please help.

Answered by Shakti Mishra

Hi,

Welcome to icliniq.com.

It is better to have an x-ray done immediately so that we can confirm the exact site of the injury.

It might be a locking of the facet joint that usually happens if you suddenly lift a heavy object and try to lift it.

That is why it is always advisable to have a warm-up session before every single game you start if you are a sportsperson

For now, avoid lifting for two to three weeks and get an x-ray done. Rest well and visit a physiotherapy center. Start a seven-day session consisting of mobilization, strengthening of back muscles, IFT (interferential therapy), ultrasound, and pelvic stabilization exercises.

You can do a pelvic bridging exercise and repeat it 15 times. Also, do side planks more on the right side.

Investigations to be done

X-ray as soon as possible.

Regarding follow up

Revert with the reports to a physiotherapist online.---> https://www.icliniq.com/ask-a-doctor-online/physiotherapist

Patient's Query

Hello Doctor,

Please find the attachment below and suggest the best treatment.

Thank you.

Answered by Shakti Mishra

Hi,

Welcome to icliniq again.

I went through the reports attached by you completely and I think you need 15 days of physiotherapy sessions. Osteophytic changes are also seen at the spine which requires immediate action, Ultrasound for 10 days if no further pain or swelling is noticed at the L5-S1 region.

  • Traction(90-90 degrees), for 10 minutes.
  • IFT for pain relief and core strengthening and flexion exercises.
  • Avoid bending backward and avoid lifting heavy weights.
  • Put two pillows under the left side of your trunk, lie on that side, and try to stay in that position for 10 minutes.
  • Pelvic stabilization exercise is a must with bridging and pelvic rotation to be done twice daily each for 15 repetitions.

These are some of the required treatment protocols suggested for you and hope you recover soon.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Shakti Mishra
Shakti Mishra

Nutritionist

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