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I have reviewed the attachments (attachment removed to protect the patient's identity). It is a grade 1 lumbosacral pain with no abnormality. The degenerative changes are mild. I suggest the below treatment plan along with intake of tablet Ibuprofen, which includes: Cat and camel exercise (come to quadruped position, with exhalation and raising the spine upward towards ceiling and inhalation and lowering the spine towards the floor). Repeat the exercise ten times twice daily in a slow manner. Do not over-stretch yourself. Bridging exercise (lie down on the bed with face up, bend the knees and feet flat, raise your pelvis with feet flat, and head on the bed. Maintain the position for a count of five and return to the resting position.) Repeat the exercise ten times twice daily. Gym ball exercises (buy a gym ball of 65 cm, sit in front of it and let it get supported by the wall. Now, place both your hands at the back of the head and try to push the ball with your back; push for five counts n come back to rest position). Repeat 10 to 15 times twice daily. I also suggest you apply a hot pack twice daily at the tender areas and have fresh coconut water and milk products to maintain strong bones and joints. Finally, maintain a good posture by having back support with pillows at the lower back whenever you sit and support with pillows under the knees and back when you lie down. I hope this helps.
Investigations to be done:
I suggest you go for an MRI (magnetic resonance imaging) scan if pain persists.Preventive measures:
You should avoid sitting or standing for long hours.Regarding follow up:
I suggest a follow-up after ten days.