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Suggest Treatment For Pain In The Back While Having Spine Tuberculosis
Question: My mum (age : 56) was diagnosed with spine tuberculosis two months before doctors confirmed it after doing CT guided biopsy in the biopsy test they took out yellowish pus and after lab test they confirmed it is spine TB
she took ATT drugs for two months and four days before she took head bath and did stand for 30 mins right from that she is feeling pain at her back which is just below the spot where biopsy was taken but one good thing is she is able to walk independent now atleast 5 times a day (200 meter ) each time and one more information which i would like to highlight is pain is starting exactly in the afternoon particularly after lunch and if she takes DOLO 650 then the pain is not there after two hours can you please tell me is this some thing which we have to worry
she took ATT drugs for two months and four days before she took head bath and did stand for 30 mins right from that she is feeling pain at her back which is just below the spot where biopsy was taken but one good thing is she is able to walk independent now atleast 5 times a day (200 meter ) each time and one more information which i would like to highlight is pain is starting exactly in the afternoon particularly after lunch and if she takes DOLO 650 then the pain is not there after two hours can you please tell me is this some thing which we have to worry
Brief Answer:
Using a back brace will help.
Detailed Answer:
Hello,
Thanks for posting your query.
In case of spine tuberculosis, it takes many months for the pus to dry up and the bone to recover its some of the strength. Putting extra stress on a spine weakened by tuberculosis will cause pain.
The pain starting after lunch can be due to undue stress on the spine due to prolonged sitting. It is best to use a Taylor's brace on her back during the day when she sits or moves around.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Using a back brace will help.
Detailed Answer:
Hello,
Thanks for posting your query.
In case of spine tuberculosis, it takes many months for the pus to dry up and the bone to recover its some of the strength. Putting extra stress on a spine weakened by tuberculosis will cause pain.
The pain starting after lunch can be due to undue stress on the spine due to prolonged sitting. It is best to use a Taylor's brace on her back during the day when she sits or moves around.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
thanks a lot sir for your reply so is this pain expected one and we dont need to worry much about it . Please correct me if i am wrong This pain will get reduced once we reduced too much stress .
One more thing is She is not sitting while taking food she will be in a bit elevated position and will eat food but still she will be in bed only
One more thing is She is not sitting while taking food she will be in a bit elevated position and will eat food but still she will be in bed only
Brief Answer:
Use a brace for back support.
Detailed Answer:
Hello.
Thanks for writing again.
The pain is expected but can be avoided with good back support. It is worrisome if the pain is acute and unbearable.
The pain will reduce if she starts using a brace for support.
It is better to remain in bed but she can sit while taking food with a good support to the back.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Use a brace for back support.
Detailed Answer:
Hello.
Thanks for writing again.
The pain is expected but can be avoided with good back support. It is worrisome if the pain is acute and unbearable.
The pain will reduce if she starts using a brace for support.
It is better to remain in bed but she can sit while taking food with a good support to the back.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
hi sir thanks for your previous comments . My mum visited the doctor for follow up yesterday they asked to take X-Ray and the following tests
ESR,LRP,Urine bence XXXXXXX S Electrophoresis and ALP . I am scared what these tests are . Is there anything serious I am a bit worried
Please reply
ESR,LRP,Urine bence XXXXXXX S Electrophoresis and ALP . I am scared what these tests are . Is there anything serious I am a bit worried
Please reply
Brief Answer:
These are to monitor the disease progress.
Detailed Answer:
All these tests will detect if the infection in the bones is still persistent or not. Is the degeneration of bone still continuing or not. It will help in assessing the progress of the treatment given to her. It is not worrisome. Do get the tests done as advised.
Regards.
These are to monitor the disease progress.
Detailed Answer:
All these tests will detect if the infection in the bones is still persistent or not. Is the degeneration of bone still continuing or not. It will help in assessing the progress of the treatment given to her. It is not worrisome. Do get the tests done as advised.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi sir,
I heard one more shocking info regarding my mum health . the doctors have taken MRI yesterday and they said that pus accumulation is there still after 2 months treatment of spine TB so they are doubting back again whether it may be malignancy or drug resistant TB
If there are chances for drug resistant TB is it curable sir Please guide me on this
Thanks for your reply sir when you say the drugs are costly how much in a random we need to spend for the drugs per month will it be in lakhs something like 1 lakh per month that is affordable for us
Note my mum is in XXXXXXX taking treatment and I am only working in USA
I heard one more shocking info regarding my mum health . the doctors have taken MRI yesterday and they said that pus accumulation is there still after 2 months treatment of spine TB so they are doubting back again whether it may be malignancy or drug resistant TB
If there are chances for drug resistant TB is it curable sir Please guide me on this
Thanks for your reply sir when you say the drugs are costly how much in a random we need to spend for the drugs per month will it be in lakhs something like 1 lakh per month that is affordable for us
Note my mum is in XXXXXXX taking treatment and I am only working in USA
Brief Answer:
Can be treated.
Detailed Answer:
If the pus is still present then it can be a multi drug resistant TB. IN that case more antibiotics will be needed according to the culture sensitivity o the pus to control the infection. It can be cured but the treatment will be longer and costlier and more of medicines will be needed.
Regards.
Brief Answer:
Not too costly.
Detailed Answer:
The expenses depend on the drug resistance. The expenditure on medicines per month should not exceed 40-50K INR. But the treatment will be costlier than what she is getting now.
Regards.
Can be treated.
Detailed Answer:
If the pus is still present then it can be a multi drug resistant TB. IN that case more antibiotics will be needed according to the culture sensitivity o the pus to control the infection. It can be cured but the treatment will be longer and costlier and more of medicines will be needed.
Regards.
Brief Answer:
Not too costly.
Detailed Answer:
The expenses depend on the drug resistance. The expenditure on medicines per month should not exceed 40-50K INR. But the treatment will be costlier than what she is getting now.
Regards.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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