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Suggest Treatment For Severe Lower Back Pain
Question: I am 55 years male. I am suffering from severe lower back pain/spasm and stiffness. Please advice
Brief Answer:
I want to know little detail about your illness
Detailed Answer:
Hello,
I have studied your reports and your case. I believe that your spine is having a cyst which is compressing your spinal cord. Before I advise you any thing, I want to know little detail about your illness.
1. Since when you are having back pain?
2. Are you also having pain in leg and if yes then what is more back pain or leg pain?
3.Are you also having numbness and weakness in leg?
Please send me answers of these questions. I will try my best to help you.
Thanks.
I want to know little detail about your illness
Detailed Answer:
Hello,
I have studied your reports and your case. I believe that your spine is having a cyst which is compressing your spinal cord. Before I advise you any thing, I want to know little detail about your illness.
1. Since when you are having back pain?
2. Are you also having pain in leg and if yes then what is more back pain or leg pain?
3.Are you also having numbness and weakness in leg?
Please send me answers of these questions. I will try my best to help you.
Thanks.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Respected Sir,
Thanks for your kind reply. I am giving the details of my illness
1. This attack (lower back pain) is since 20-25 days. But similar episodes have been happening since the last 20-25 years. The specifics are:
The lower waist pain is localized at a certain region which sort of gets jammed when i tend to bend say to lift something or to wear shoes it gives me jerk/spasm which is unbearable. It is similar to a hinge of a door which would require lubrication for movement when it gets jammed. I visualize that adding oil may remove this jam. Besides this, the stiffness is also in elbows, finger joints, knee but comparatively of negligible intensity, but yes it is there.
2. NO
3.NO
Sir, I am a fitness freak to the extent of addiction. I exercise daily - aerobics, stretching and bending. I also do abdominal crunches. But this problem has become sort of chronic and is affecting my profession and quality of life. When i don't exercise, my energy level goes down. Right now I have been advised complete bed rest and following medicines:
Texxa 150, Acenac MR, Pregamet 75, Pantocid D.
If you require any other information i shall be glad to furnish the same. May i add that i also have this cervical spondylitis at C3 and C4 which i keep in control by exercising. This has also resulted in almost fatal vertigo in the year 2001.
With regards.
XXXX. XXXXXXX
Thanks for your kind reply. I am giving the details of my illness
1. This attack (lower back pain) is since 20-25 days. But similar episodes have been happening since the last 20-25 years. The specifics are:
The lower waist pain is localized at a certain region which sort of gets jammed when i tend to bend say to lift something or to wear shoes it gives me jerk/spasm which is unbearable. It is similar to a hinge of a door which would require lubrication for movement when it gets jammed. I visualize that adding oil may remove this jam. Besides this, the stiffness is also in elbows, finger joints, knee but comparatively of negligible intensity, but yes it is there.
2. NO
3.NO
Sir, I am a fitness freak to the extent of addiction. I exercise daily - aerobics, stretching and bending. I also do abdominal crunches. But this problem has become sort of chronic and is affecting my profession and quality of life. When i don't exercise, my energy level goes down. Right now I have been advised complete bed rest and following medicines:
Texxa 150, Acenac MR, Pregamet 75, Pantocid D.
If you require any other information i shall be glad to furnish the same. May i add that i also have this cervical spondylitis at C3 and C4 which i keep in control by exercising. This has also resulted in almost fatal vertigo in the year 2001.
With regards.
XXXX. XXXXXXX
Brief Answer:
You need to see a neurosurgeon
Detailed Answer:
Hello,
It is good that you are concern about your fitness and doing exercises daily. It is also a good news that there is no leg pain or weakness as it suggest there is no nerve compression in the back.
I have studied your MRI and there is one cyst which is causing bone destruction and that may be the cause of your back pain.
I would suggest you to show it to a neurosurgeon. He might advice you a CT scan guided biopsy or a surgery to remove this cyst. As if this cyst remain there then chances of nerve compression and weakness may be there.
I would also suggest you to avoid weight lifting and doing any such activity which can put sudden heavy load on the spine as it can cause collapse of the spinal column.
I hope this answer will be helpful for you. Let me know if there is any other followup questions.
Thanks.
You need to see a neurosurgeon
Detailed Answer:
Hello,
It is good that you are concern about your fitness and doing exercises daily. It is also a good news that there is no leg pain or weakness as it suggest there is no nerve compression in the back.
I have studied your MRI and there is one cyst which is causing bone destruction and that may be the cause of your back pain.
I would suggest you to show it to a neurosurgeon. He might advice you a CT scan guided biopsy or a surgery to remove this cyst. As if this cyst remain there then chances of nerve compression and weakness may be there.
I would also suggest you to avoid weight lifting and doing any such activity which can put sudden heavy load on the spine as it can cause collapse of the spinal column.
I hope this answer will be helpful for you. Let me know if there is any other followup questions.
Thanks.
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
Respected Sir,
Thanks for your kind advice. I am uploading the advise of both neurosurgeon for your kind perusal. Both have ruled out any serious concern pertaining to the cyst. I have started the treatment (Dr. Jha's) from today. Please advice.
with regards
CXXXX XXXXXXX
Thanks for your kind advice. I am uploading the advise of both neurosurgeon for your kind perusal. Both have ruled out any serious concern pertaining to the cyst. I have started the treatment (Dr. Jha's) from today. Please advice.
with regards
CXXXX XXXXXXX
Brief Answer:
it is good that cyst is not harmfull
Detailed Answer:
Hello,
It is good that your neurosurgeon found that this cyst is not harmful though I feel that this is the cause of your back pain. I would suggest you to show it to some higher centers if possible in XXXXXXX It is not common to have a cyst causing compression and destruction of the bone. I do not think that it can be ignored.
I hope this answer will be helpful for you. Let me know if there is any other followup questions. I will try my best to help you.
Thanks.
it is good that cyst is not harmfull
Detailed Answer:
Hello,
It is good that your neurosurgeon found that this cyst is not harmful though I feel that this is the cause of your back pain. I would suggest you to show it to some higher centers if possible in XXXXXXX It is not common to have a cyst causing compression and destruction of the bone. I do not think that it can be ignored.
I hope this answer will be helpful for you. Let me know if there is any other followup questions. I will try my best to help you.
Thanks.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Respected Sir
Thanks for you kind suggestion. Is there any way of showing the MRI films (5 Nos.) to you. Can you suggest the name of higher centres in XXXXXXX / Hyderabad? What would be the treatment of permanent remedy of the cyst and the approximate cost involved? Can I come to you for treatment?
Thanks and regards
XXXX XXXXXXX
Thanks for you kind suggestion. Is there any way of showing the MRI films (5 Nos.) to you. Can you suggest the name of higher centres in XXXXXXX / Hyderabad? What would be the treatment of permanent remedy of the cyst and the approximate cost involved? Can I come to you for treatment?
Thanks and regards
XXXX XXXXXXX
Brief Answer:
You can go to KDA hospital XXXXXXX
Detailed Answer:
Hello sir,
There is no need to send those MRI to me as I have already studied your reports. I think you need to show it to a spine surgeon. I have few known doctors in XXXXXXX One of them is Dr. XXXXXXX Bapat in Kokilanben Dhirubhai Ambani Hospital,Andheri West.
You can tell him my name and he will guide you properly.
I think at least we should get biopsy of that cyst. Cost is not too much for it, But you need to ask to doctor who is doing it.
I do not operate such cases at my center. But if you want you can share any other information with me if you want to know any other thing.
In last I want to say that may be this cyst is not dangerous, still I think it is need further investigation.
Thanks
You can go to KDA hospital XXXXXXX
Detailed Answer:
Hello sir,
There is no need to send those MRI to me as I have already studied your reports. I think you need to show it to a spine surgeon. I have few known doctors in XXXXXXX One of them is Dr. XXXXXXX Bapat in Kokilanben Dhirubhai Ambani Hospital,Andheri West.
You can tell him my name and he will guide you properly.
I think at least we should get biopsy of that cyst. Cost is not too much for it, But you need to ask to doctor who is doing it.
I do not operate such cases at my center. But if you want you can share any other information with me if you want to know any other thing.
In last I want to say that may be this cyst is not dangerous, still I think it is need further investigation.
Thanks
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Respected Sir,
Thanks for your concern regarding the cyst and related advice. Right now i am taking complete bed rest. As mentioned earlier my problem is chronic. The stiffness is in whole of the body joints in general. I must clear specifically that i am not suffering from any kind of PAIN. It is only stiffness, spams, jerks which occur while bending down and the lower back area gets sort of jammed. My uric acid is within the normal range, i don't have arthritis either. Can you suggest some higher center in Hyderabad? Being on medication i am feeling very nice but not sure what happens after treatment is stopped.
With regards,
XXXX XXXXXXX
Thanks for your concern regarding the cyst and related advice. Right now i am taking complete bed rest. As mentioned earlier my problem is chronic. The stiffness is in whole of the body joints in general. I must clear specifically that i am not suffering from any kind of PAIN. It is only stiffness, spams, jerks which occur while bending down and the lower back area gets sort of jammed. My uric acid is within the normal range, i don't have arthritis either. Can you suggest some higher center in Hyderabad? Being on medication i am feeling very nice but not sure what happens after treatment is stopped.
With regards,
XXXX XXXXXXX
Brief Answer:
Stiffness can be due to muscle weakness
Detailed Answer:
Hello Mr. XXXXXXX
I have studied your case and I understand that you are having stiffness of the back since long time. I also understand that cyst was found because you got x ray and CT scan. But now our first priority is to find out what type of cyst is this? I do not aware of any doctor from XXXXXXX but you can show in Nizam Institute.
For stiffness I have few suggestion which you may have tried in past,I would recommend you to continue with them.
1. Hot water fomentaion
2. Muscle relaxant like Myoril or Myospaz
3. Tablet Voveron whenever there is also any pain.
4. Avoid sleeping in very cold temperature.
5. Back muscle stretching exercises.
I hope these measures will help you. Let me know if there is any other query.
Thanks.
Stiffness can be due to muscle weakness
Detailed Answer:
Hello Mr. XXXXXXX
I have studied your case and I understand that you are having stiffness of the back since long time. I also understand that cyst was found because you got x ray and CT scan. But now our first priority is to find out what type of cyst is this? I do not aware of any doctor from XXXXXXX but you can show in Nizam Institute.
For stiffness I have few suggestion which you may have tried in past,I would recommend you to continue with them.
1. Hot water fomentaion
2. Muscle relaxant like Myoril or Myospaz
3. Tablet Voveron whenever there is also any pain.
4. Avoid sleeping in very cold temperature.
5. Back muscle stretching exercises.
I hope these measures will help you. Let me know if there is any other query.
Thanks.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Hi, I have provided some attachments. Please review them.
Brief Answer:
HLA B 27 is normal
Detailed Answer:
Hello,
I do not think think that this test was needed in your case. But this is normal in you. So do not need to be worried about this aspect. HLA b 27 is positive in young person in back pain and it is suggestive of ankylosing spondylitis.
Thanks.
HLA B 27 is normal
Detailed Answer:
Hello,
I do not think think that this test was needed in your case. But this is normal in you. So do not need to be worried about this aspect. HLA b 27 is positive in young person in back pain and it is suggestive of ankylosing spondylitis.
Thanks.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Answered by
Dr. Dr. Naveen Kumar Sharma
Orthopaedic Surgeon, Joint Replacement
Practicing since :2002
Answered : 4486 Questions
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