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Can I Take Up Steroid Injections In Spine Have Acute Upper Back Pain From Past ?

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Posted on 6 days ago
Question: Hello Doctor
I have acute upper back pain from past 1 month, I experience pain when I lie down or when I sleep. When I woke up in morning or in mid night my entire spine is stiff and I am unable to move or get out from bed. Even of I get out of bed for 30-60 mins I have to strech out and sit straight or walk and exercise to ease the discomfort.
My Doctor suggest to go for MRI Lumbar spine, I got it done (can you please translate the report findings in plain English).
What might be causes for this pain.
What treatment options do I have.
Is it a permanent damage to my spine or curable.
Can I take up steroid injections in spine
Can I take up chiropractic approach.
Please review and suggest.
doctor
Answered by Dr. Dr. Gopal (19 hours later)
Brief Answer:
As per reports and symptoms , it is likely to be spinal canal Stenosis

Detailed Answer:
Hi ,
I am Dr Gopal Goel , Orthopedic Surgeon.
I have read the Query and reports of MRI.
My Impression , according to symptoms and MRI is spinal Canal Stenosis ( Narrowing of the spinal canal from where all the nerves exit al L4,L5 )with early lumbar spondylosis ( Mild degenerative changes).
Initial treatment would be anti inflammatory pain killers , muscle relaxants and pregabalin, Physio( IFT + Spinal Extension Exercises) .
There is no permanent damage and the condition is very much treatable.
I would not recommend Steroid injections at this stage but if no relief with medications in few weeks .
I Don't have any experience with Chiropractic methods so can not comment .
Also I would like to get your Vitamin B12 and Vitamin D3 levels.
Thanks for the question .I hope to have answered your query. Please feel free to ask any other question.
Dr Gopal Goel
Above answer was peer-reviewed by : Dr. Dr. Nagamani N.G
doctor
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Follow up: Dr. Dr. Gopal (29 hours later)
Hello doctor.

I got my test done for Vitamin B12 and Vitamin D3
Please check and correlate and advice further
doctor
Answered by Dr. Dr. Gopal (3 days later)
Brief Answer:
Very Low levels of Vitamins

Detailed Answer:
Hello Nishat,
The values of both Vitamins are very low.
You will need injections of both along with calcium supplements.
Inj Vit B12 1500 mcg Alternate days I/M x ten injections after test dose.
Inj Vit D 6L IU I/M Stat.
Calcium supplement which is suitable for you.
Please contact your local doctor for the injections.
Thanks for the question. I hope to have answered your query. Please feel free to ask any other question.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Dr.Raju.A.T
doctor
Answered by
Dr.
Dr. Dr. Gopal

Orthopaedic Surgeon

Practicing since :1983

Answered : 1532 Questions

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Can I Take Up Steroid Injections In Spine Have Acute Upper Back Pain From Past ?

Brief Answer: As per reports and symptoms , it is likely to be spinal canal Stenosis Detailed Answer: Hi , I am Dr Gopal Goel , Orthopedic Surgeon. I have read the Query and reports of MRI. My Impression , according to symptoms and MRI is spinal Canal Stenosis ( Narrowing of the spinal canal from where all the nerves exit al L4,L5 )with early lumbar spondylosis ( Mild degenerative changes). Initial treatment would be anti inflammatory pain killers , muscle relaxants and pregabalin, Physio( IFT + Spinal Extension Exercises) . There is no permanent damage and the condition is very much treatable. I would not recommend Steroid injections at this stage but if no relief with medications in few weeks . I Don't have any experience with Chiropractic methods so can not comment . Also I would like to get your Vitamin B12 and Vitamin D3 levels. Thanks for the question .I hope to have answered your query. Please feel free to ask any other question. Dr Gopal Goel