When severe back pain occurs, accompanied by numbness or weakness in the limbs, it is essential to seek medical attention without delay. This guidance comes from a neurologist at Medicina JSC (Academician Roitberg clinic), a member of the Interdisciplinary Medical Association, who notes the importance of timely evaluation for nerve-related symptoms. (Attribution: Medicina JSC)
If low back pain is paired with limb weakness, numbness, or diminishing function of the pelvic organs, a professional examination is necessary. These signs may indicate a pinched nerve or another neurologic issue that warrants assessment by a physician. (Attribution: Medicina JSC)
Beyond limb dysfunction, there are additional reasons to seek help. The neurologist explains the visual analog scale of pain, ranging from 0 to 10, where 10 represents the most intense pain imaginable. Pain rated at 4 or higher, or pain that persists for more than three to five days, should be evaluated by a clinician. (Attribution: Medicina JSC)
When pain is not severe but has a history of similar episodes, nonsteroidal anti-inflammatory drugs (NSAIDs), whether topical or oral, such as diclofenac, may be considered. More selective options, like COX-2 inhibitors, can be more effective and safer for some patients. These medicines should generally be used for no more than 3–5 days without medical supervision. To protect the stomach from NSAID-related side effects, it is prudent to take stomach-protective agents that reduce gastric acidity alongside pain relief. (Attribution: Medicina JSC)
Dry heat can help ease discomfort, such as wrapping the lower back with a wool scarf. A belt, corset, or foam cervical collar may be used if neck pain is present. The clinician notes that dry heat, combined with external NSAIDs, can relieve muscle-tonic symptoms. It is important to limit activity if pain worsens, but staying as active as possible often accelerates recovery. (Attribution: Medicina JSC)
Prevention of pain is important: lifting with proper form according to one’s physical capacity, supporting the lower back with a corset or wide belt, using a low garden bench for tasks, and incorporating regular movements into daily life. When lifting, the technique matters—bending the knees, letting the legs do the work, and keeping the back straight. (Attribution: Medicina JSC)