instruction: what could be the possible diagnosis of injury for someone who suffers from lower back pain I started my office job approx months ago it is desk based but does involve some lifting and carrying and a driven commute of an hour each way I have had an office job role for years I have onset of pain around weeks ago and is getting worse pain is intermittent and sharp 10 nprs at worst my symptoms get worse through out the way and I find it hard to get out the car pain is mostly at the left sided lower back which spreads down the back of the left leg and knee after sitting down for a while I get pins and needles into the left foot I find it particularly hard to perform lumbar flexion and left side flexion as they are painful also I feel tenderness over la and la towards the left and centre thank you
output: hi just gone through your query it is nothing but you are suffering with la due to prolonged sitting improper posture bending straight down causes low back ache which radiates from knee to foot only using paracetamol tablets wont help you I advice you to go for ray or mri of spine to get exact point of pain starting like la or la s2 as a precaution wear is belt jumbo sacral belt which helps stop pain during pain always straight sit do not bend forward if want to pick up something sit and then pickup take accelofenac tab per day after food apply diclofenac ointment to lower back and cover it with cotton cloth for 10 15mins following with hot water fermentation try this for a week and get back to me with mri of spine or ray of spine ap lat view diclofenac ointment helps reduce pain use it for twice a day if possible if pain is severe do not do any exercise relating to back if you can bear the pain you can do back strengthening exercises after xray can get back to me after a week or days you may further need physiotherapy treatment which includes ift ultrasound and traction hope you will follow the steps to stop I told to prevent more radiate of pain stay safe take care thank you prolonged sitting improper posture mri of spine xray given remedies to stop pain is belt accelofenac tab diclofenac ointment after days