I feel intense back pain while seating from lying position. It did not happen when I do it little oblique toward Rt or left. What can be possible reason. Kindly explain treatment modality. Can it be PIVD?

Dr. Shikha ShahPhysiotherapist4yrs exp

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Hello lybrate-user, Yes, it is suggestive of classic back pain where your IV disc of the spine is slipping posterior, i.e. The jelly like structure between your disc is slipping out of its normal borders. This could be a clear case of PIVD (posterior inter-vertebral disc involvement) with no slipping from the sides of the disc. To begin with, avoid sitting with crossed legs and on a chair for a few days until your pain intensity is reduced. This is to avoid hitting your jelly like disc and prevent it slipping more posterior (backwards) towards the spine. This can cause more pain and might extend up to hips, legs or foot. 1. Tuck your stomach inside for about 20 percent in without holding your breath. This activates main core muscle which was hidden due to pain history. Repeat 10 reps for about 5-6 times/day 2. Standing position: Extend your back backwards without bending your neck to avoid over pressure with your hands on your hips. Gently and slowly do this exercise to push that disc back into this place. Avoid clenching your buttocks and maintain a minimum basic distance between your feet. Repeat 10 reps for 6 times/day 3. Lie on your back and lift your hips off the bed with your hands by your side. This is a bridege-like exercise in sections. I.e. Lift your hips first followed by stomach followed by chest up in a slow and controlled manner till the point of pain. If you feel better and back pain level goes down then kindly keep going and repeat 10 reps for 5 times/day. ** Exercise ball: Try to sit on a ball with a good core balance (tuck tummy in) and legs apart as per the requirement. Kindly do exercise no 1** (tummy tuck) while sitting on it and move your pelvis/hip forwards and backwards without moving any other PART OF YOUR BACK, CHEST OR STOMACH- (LIKE A CAT AND CAMEL) ** If pain arises from back or anywhere else then stop the exercise immediately and lie down on your back with 2 pillows under your knees to relax your tight muscle behind the thighs which often pulls out leading to back pain** Kindly perform these exercises and update me further regarding your pain status. Double check with ball exercise in front of mirror to avoid mistakes and feel free to ask any queries. Take care, Thank you.  

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