HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Suggest Treatment For Back Pain And Infected Surgical Wound

Posted on Sat, 5 Jul 2014

Question: the patient is suffering from severe back pain after a surgery the wound has been infected .she has other complications such as lung infection heart not functioning properly she was prescribed dolonex dt 50 mg restyl .5mg
can u suggest anyother way by which she can hav any relief
thank u

Answered by Dr. Mukesh Tiwari (39 minutes later)

Brief Answer:
Hello, Welcome at HCM.Please reply following queries.

Detailed Answer:
Hello,
Welcome at HCM.
Before answering your query can you reply following questions -

-What is present situation of wound(Its size,looking red or pale,etc.)?
-Is it draining with pus/fluid?
-Do you get it dressed it frequently?
-Is there associated neurological deficit?

Please reply.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Mukesh Tiwari (2 hours later)

1) the surgical wound at the surface has healed but there is pus in the sutchered part due to foreign metal like screw present in the spinal cord to fix the fracture

2).there is no dressing done ,due to pus she is suffering from severe pain

3) the lower part of her body ie her legs are not XXXXXXX due to neurological problem

Answered by Dr. Mukesh Tiwari (2 hours later)

Brief Answer:
Thanks for your reply.

Detailed Answer:
It looks that situation is one of the complicated one.

In your case prime importance should be given to control & keep diabetes in limit.
As there is metallic implant in body & there is presence of pus.This is making the situation one of the complicated one.If your doctor has checked for effectivness of antibiotic on infective organism & tried antibiotic for at least 3 weeks then you should ask for removal of metallic implant to give relief from infection as well as pain.

In such severe pain i used to give tramadol as an analgesic.YOu may ask for this from your doctor.

Hope this will help you.

With best wishes.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Mukesh Tiwari (2 hours later)

she is not in a position to take any surgery or intravenous fluids since her lungs are filled with lot of fluids and her heart is not functioning to its capacity to undergo surgery for removal of the metallic plate so a procedure to get rid of pain without surgery ,intravenous fluids .your appropriate advise in this case will be welcomed

Answered by Dr. Mukesh Tiwari (11 hours later)

Brief Answer:
It looks that your main concern is her pain.

Detailed Answer:
Yes,If your main concern is her pain then you should search for a good anestesiologist & critical care specialist who may administer thoracic epidural analgesia to her.Your doctor may look for feasibility of this procedure in her case.If she is fit for that this is very good procedure to give her relief from pain.

With best wishes.

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Prasad