Hello doctor, I have had excruciating lower back pain for over two weeks. I am a 38-year-old slightly overweight male. Got this while wrestling with brother. I am fine when sitting down but cannot put any weight on left leg and have sciatic to left knee. Ibuprofen, muscle relaxants, and steroids have not touched the pain. I have not slept for a few days because of constant pain while laying down. I was told that there may possibilities of SI joint injury. Do you know how long this typically lasts? what can I do to help with the pain?
Hello. I would like to know some further details about your pain: 1. Do you also have any paresthesias (pins and needle sensations or tingling in left foot or leg)? 2. Do you have any difficulty in holding slippers in left foot or weakness in the left leg? 3. Does your pain also increase while coughing or sneezing or defecating? What medications and in what doses you tried already? Have you any other medical illness? Or taking medications of some other problem? Radicular pain. MRI lumbosacral spine, serum vitamin B12. PIVD. Tablet Pregabalin 75mg HS, Tablet Duloxetine 20 mg BD, Tablet Tolperisone 150mg TDS,  Use Lumbar belt or corset in daytime. Avoid weight lifting, Avoid forward bending, Sleep in hard bed or mattress. Review with further details (as asked above) and MRI results.