Lower back pain caused by pressure on the lumbar spine due to excess weight is challenging, especially when pain limits exercise. A permanent solution typically involves a combination of weight management, pain control, and physical therapy tailored to your condition.

🩺 Managing Your Condition

• Since running is painful, consider low-impact exercises like walking, swimming, or cycling to help reduce weight without stressing your back.
• Physical therapy focused on strengthening core muscles can support your spine and reduce pressure on the affected discs (L4, L5, possibly L6).
• Weight loss medications like Orlistat (O-Stat 120 Capsule) may be prescribed alongside a low-calorie diet to assist in reducing body fat, but these should be used under strict medical supervision.

🏥 Self-Care and Lifestyle

• Maintain a balanced diet rich in millets, dals, vegetables, and fruits common in Indian cuisine to support weight loss and overall health.
• Avoid prolonged sitting or heavy lifting that can worsen back pain.
• Use pain relief medications as prescribed but aim to reduce reliance by improving physical conditioning.

⚠️ When to See a Specialist

• If pain worsens or you develop symptoms like numbness, weakness, or bladder/bowel issues, consult a spine specialist or orthopedic surgeon promptly.
• Regular follow-up with a pain specialist or physiotherapist is important to adjust treatment and monitor progress.

Weight loss and strengthening your back muscles are key to long-term relief. Please consult your orthopedic doctor or spine specialist to develop a personalized plan that fits your pain level and lifestyle.

If you want, I can explain specific exercises or dietary tips in more detail.To narrow down potential causes, we will need some more information.I understand you've been dealing with lower back pain for 4 years, with pressure on L4, L5, and L6 due to being overweight. You're finding it hard to exercise and are looking for a permanent solution. To provide the best advice, could you please share your age and gender?