severe back pain from last 3 months ...plz help me

[ainny]

my mom is having severe back pain from last 3 months.she had lifted some weight now she can bent ,can't stand longer because she suffers severe pain.but pain is relieved by lying down.pain occurs again on standing some time. my question is whether she is suffering from muscular pain or there is some disc prolapse?

she had gone to a doctor ,he said for MRI,doctor says she is suffering from muscular pain or spasm .he given her muscle relaxants and pain killers but her pain is still there.

what precautions should she take and what is the reason and treatment of her pain?She has not taken muscular relaxants yet.she was taking MECOBALAMINE and CALCIUM from 2 months off and on.
her MRI was done at  T1 and T2 weighted axial and sagital sections at the level of lumber spine without contrast

FINDINGS :

There is evidence of circumferential disc bulge at the level of LV4-LV5 causing thecal sac compression
Minimal dessicatory changes are seen at L4-L5 level
Straightening of lumber spine is noted due to muscular spasm
degenerative changes are noted as well.
vertebral heights are normal
no other pathology seen

IMPRESSION :
circumferential disc bulge L4-L5 causing minimal thecal sac compression.

[caregiver222]

Muscle relaxants are contraindicated. They will cause loss of muscle tone and exacerbate the pain and discomfort. Gentle massage and warm baths are far better.

She should have her physician prescribe transdermal lidocaine (5%). It is fairly expensive, but works well in this kind of situation. Cut the patches into strips and wear for no more than twelve hours. They tend to unstick) and in this case can be taped in place with adhesive tape.

The spasms are best relieved with quinine sulfate tablets, which the FDA has recently seen fit to restrict. It is still available in some health food stores. The spasms are sometimes due to calcium or magnesium deficiency.

[LazyMoose]

The key to stretching is you should not try to stretch a knotted muscle. We can all benefit being able to recognize a deeply knotted muscle, this takes practice, and a message therapist can show you how to find and manually break knots down. Kind of like stretching a garden hose with a knot in it, the knot will tighten, making the area worse. One the knots are gone, then its safe to perform stretches tailored to your needs. Actually deep manual massage by rolling on therapeutic rollers and different density's of balls (like a tennis ball) is in many cases more beneficial than stretching , for many it instantly feels better, when stretching might not. I also use a"There Cane" - a simple but impressive invention, but it only works if you really want to learn how, takes experimenting and practice - time.

[Paxiled]

As for me, the physical therapists worked a lot on core strengthening, but took away most of the stretching I was doing, claiming it was putting stress on the back.  They gave me motion exercises but very little stretching.  But now they're working on my neck and using a lot of stretching, trying to solve my arm pain.  None of it has worked, though, but I just say this to show that everyone's got a theory, and every practitioner becomes a school of medicine unto his or herself.  Medicine is a lot like religion.

[LazyMoose]

Ive been through all that myself.  

As mentioned above Orthos main knowledge is surgery.  They dont do much else. That is the last choice after all other options failed.

Herniated discs - not very unusual. Many people without pain have herniated discs and dont know it.

Disc degeneration - again, almost all people over 30 have this. Its like tire ware on a car, it happens to all of us.

The first step to recovery is to reduce inflammation. Ice before heat, heat increases inflammation. I have used the natural approach with success, turmeric, bromelain, arnica gel in addition to NSAID's  

Muscle tension might resume after inflammation is minimized. That is the body's natural defense mechanism to limit movement and possibly create further aggravation. But our bodies can get stuck in this phase, creating muscle imbalance. A massage therapist can help to find muscle knotting, and hopefully,  if they understand what is called Myfacsial muscle release or "Trigger Point" muscle release therap, it helps a lot to get out of the muscle pain re-occurring cycle the eventually debilitates many pain sufferers.

Lastly if needed, some way to make the back stronger than what it is. A weak back coupled with stronger legs will create muscle tension in the back. Not all can afford Physical therapy, but it works if done properly with the specific patients needs in mind. General 'one size fits' all Physical Therapy is almost pointless, although very common.

Remember- stretch for the rest of ones life!

[Paxiled]

I read recently on a physical therapy outlet that 90% of people who have an attack of back pain get better with or without treatment over time.  Also, virtually every human will show problems with the discs in the back.  While seeing an orthopedist is helpful for diagnosis, they make their money on surgery and surgery is what they do.  If you see a physiatrist or rheumatologist, they'll recommend some kind of shot, because that's what they do.  A conservative doc will either send her to physical therapy or give her some ibuprofen and wait.  Meaning, and I know because I've been going through this for awhile now, it's hard to tell when docs are selling and when they're being docs.  My guess is, most docs will be very reluctant to do any kind of back surgery except when absolutely necessary, and collecting info is a good thing to do, but in the end, back pain is difficult to correctly diagnose and treat, and most of us will get it eventually if we live long enough.  If you want to try something natural in the meantime, there's too much out there to list exhaustively here, so it's best to buy a book on natural treatment for back pain.  And I mean a lot out there -- acupuncture, chiropractic, massage of a million types, yoga, pilates, core muscle building, natural anti-inflammatories such as glucosamine and chondrointin sulfate, MSM, arnica montana, ginger, turmeric, proteolytic enzymes, etc. etc.    

[gymdandee]

She should take the muscle relaxants and see a Neurosurgeon for her back and she should bring the MRI report and film to the Neurosurgeon.