I have been experiencing lower back pain for four days. I am currently taking Hifenac-D Tablet and Myotop-150 Tablet. Will it heal without surgery?

Most cases of short-term lower back pain improve with your current medicines, some rest, gentle movement, and good posture. Surgery is rarely needed unless the pain becomes very severe, lasts for a long time, or you develop neurological symptoms such as numbness, weakness, or problems with bladder or bowel control.

I have had lower back pain for four days. My medications are Hifenac-D Tablet, Myotop-150 Tablet, and Pregabalin. Is surgery necessary for recovery?

Surgery is usually not needed for lower back pain lasting only a few days. Continue taking your medications as prescribed, rest when possible, move gently, and maintain good posture. If the pain worsens, spreads to your legs, or does not improve within a few weeks, consult your doctor for further advice.

I injured my left shoulder in a bike accident and am experiencing severe, sharp pain at the back of my shoulder. I have been taking Voveran SR 75 and Myotop 150mg, and applying Muscodac gel, but the pain has not reduced. What alternative medicines or treatments should I take for pain relief?

Since Voveran SR (diclofenac) and Myotop (tolperisone) are not relieving your severe, sharp pain after a bike accident, you require a proper physical evaluation rather than just switching medications. This persistent pain could indicate a structural injury like a shoulder dislocation, rotator cuff tear, or fracture that oral painkillers alone cannot fix. Please consult an orthopaedic specialist immediately for an X-ray or MRI. In the meantime, immobilise your arm using a shoulder sling, apply ice packs for 15 minutes to reduce swelling, and avoid movement. Your doctor may prescribe stronger prescription analgesics, such as a tramadol-paracetamol combination, once a definitive diagnosis is made.