Lower Backache

Age-41 years Sex- male C/o- Pain in the lower back for 6 months. aggravation- bending, prolonged walking, pressing amelioration- bending backward, stretching X-ray- attached Occupation- daily wage laborer in vegetable market Appetite, thirst- normal desire- salty things, sweet things aversion- no stool- normal urine- normal Thermals- hot Mentally he is irritable, can't bear contradiction Like to be in company Desires to be praised Suggest treatment

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The age and occupation along with aggravating factors and amelioration factors suggestive of PIVD. Muscular Imbalance and forward bending activities are the factors responsible for the condition. Treatment * LS belt use during work * regular stretching of hamstrings, gluteus, piriformis, calf muscles and strengthening of core and back extensors would improve the condition. * hot fomentation to the lower back would benefit D/D *SI dysfunction * Lower cross syndrome * paraspinal muscle spasms * piriformis syndrome Clinical examination to rule out involvement of nerve and muscles required.
Thank you @Dr. Twara Aashish
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As the patient is wage labourer, we have to elicit the trigger and onset of the complaint, modalities here seem to be of lesser importance as bending forward to carry weight is relieved by bending backwards or stretching. Arg. Nit, Calc. Sulph, Lyc, Med, Nat. Mur, Plum, Sulp can be thought of
Thank you Dr. Mohanty I agree with your suggestions.
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Rx Lycopodium.
Rhustox Thuja
रोगी वात व्याधि से ग्रस्त है। चिकित्सा संबंधी योग,,, महायोगराज गुगल अन्डी के तेल में मिलाकर सुबह-शाम सेवन कराएं। महानारायण तैल की मालिश करें। महारास्नादि क्वाथ 25 ग्राम सुबह-शाम खाने के बाद दें। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।
The pain may be due to his occupation. Rx 1. Shallaki Tab 2. Mahanarayan Tail Abhyang 3. Ostolief Tab 4. Chropaxe Tab 5. Agnikarma will be of great help here. 6. Try to take small breaks in between working hours.
Rx Cap Lumbatone 1 BD Cap Neurowinneutra 1 BD Tab Marma gutika 2 BD Sahacharadi+Prasarinitailam kativasti Yoga and Pranayam
Katibasti. Cap.Stresscom 1-0-1 Tab.Rumalaya fort 2-0-2. Erandbhrushta haritaki with lukeworm water at bedtime.
Dear Dr. Nipun Roy Sir, Advice for the case. Advice for Basti chikitsa.
Dx -probably lumber spondilitis Rhustox30 tds MP6x KP6x tds
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