instruction: hello doctor my husband aged 31 is suffering from chronic back pain near the lower part extending till the upper part for the past eight months please help with the diagnosis he has a bad habit of sitting with a laptop for hours together he barely does walking or exercises he has taken an ray and ultrasound report looks to be normal but his pain has not reduced everyone says it is a muscle spasm is there any treatment for it
output: hello I cannot see the film of the ray but the report is on mild straightening of the lumbar spine vertebra and disc spaces are normal us is normal except for mild fatty liver it seems that there are two issues here lack of exercise and long hours of sitting not lead to weak core muscles and as a result the structure of the back is feeling the strain usually the muscle help to take the load of the upper body but if they are weak the disc and facet joints start sharing more load and hence the back pain the best option is to start physiotherapy do core exercises planks bridges superman position cat camel clamshell etc you will get videos on the internet if you cannot go to a physiotherapist avoid sitting for more than 20 minutes at stretch preferably use a standing desk take a course of anti inflammatory tablets and apply ice and pain gels though not together come back after three weeks