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38 years
I have back pain long time i visit a doctor after x ray and blood test crp is higher than average at the first stage he need me to go to biological tr. i use when i feel pain proxen what do u advise
Nov 27, 2013
2nd opinion

Dr. Rania Mousa General Medicine
High CRP level implies inflammation in a place in your body ,so symptoms +high CRP will guide to the place of inflammation in the body .

Back pain has different causes ,if you have a chronic back pain ,you make good by consulting a doctor and making blood tests and X ray to know the cause of your problem .
To treat back pain the first issue is to treat the cause (causes are several ,like a compressed nerve sciatica or a disc herniation or degeneration or mass pressure ,...),the treatment depend also on duration of pain for how long accompanied symptoms such as
numbness of legs ,....

Every one has different treatment but however the usual treatment if no serious cause ,it may be your case since your doctor advise for physical therapy and proxen .

You might do the following to minimize your pain :

-keep as active as possible but avoid long standing

-take a hot warm bath when you have a back pain this may ease the pain

-exercise regularly especially stretching exercises ,such as walking, running, swimming, etc. There is no firm evidence to say that any particular back strengthening exercises are more useful to prevent back pain than simply keeping fit and active

-avoid heavy lifting

-lose weight this have big effect on reducing back pain

-stop smoking and alcohol,smoking affects joints and inter-vertebral spaces and affects inflammation healing process

- put a small firm pillow between the knees when sleeping on the side helps to ease symptoms at night

-proxen is fine when taking if it eases your pain if not you will need stronger one but take it with a stomach protective medicine such as gastrimut,pariet ,....

-you can ask your doctor for a muscle relaxant if you feel your back tender and it can be used for short time period

- The doctor may add antidepressant medicine to the pain killer if you suffer chronic unspecific back pain

-physical therapy is of great benefit

So the treatment plan focuses first on conservative treatment and lifestyle if this relieve pain it is ok if not then we add an anti-inflammatory or pain killer if that relieve the pain it is ok if not we add other medicine or procedure depending on the cause ,.....thus proceeding to the next step depending on what step the patient is satisfied

Be patient follow the doctors rule
Again the cause is the key for treatment
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Thank
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