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What Causes Pain In Upper Right Back After A Back Injury?

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Posted on Sat, 20 Jun 2015
Question: Had back injury Lower right side. Pain now in upper right back.
Now when I walk or reach I get intense pain.
In the past I was diagnosed wit Ostiopina.
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (46 minutes later)
Brief Answer:
You may have a fracture, or may be referred pain.

Detailed Answer:
Without being able to examine you, it is hard to say, but any time pain is intense, I recommend you go in to be seen and likely will need to have an Xray.

It is possible, given the history of lower right side back injury that it has affected the upper right as well, due to compensation, or actual damage to the upper right musculoskeletal area.

It may be muscle strain, spasm, or a bone fracture.

The only way to know is to go in and be examined.

Sometimes with osteopenia or osteoporosis, an X-ray may not be able to show a fracture for a couple of weeks, but is worth getting anyway if any of the bones are tender.

Depending on what is going on, you may need physical therapy.

You can try some hot (not too hot that it will burn your skin) compresses on your upper back if there is muscle cramping.

But please do go in and see a doctor for evaluation in person for this.

Please let me know if there is anything further I can help with.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Bonnie Berger-Durnbaugh (4 hours later)
Don't forget my back only paines while I am moving......i.e.
sitting down, getting up from a sitting position, reaching with my right hand, walking, in other words movement of body.
What does it sound like to you?
Just an opinion not a diagnoses.
Aleve has almost eliminated the problem, took it for the first time
yesterday, only took it once, 2tablets, same for today.
Tylenol 500mg two tablets every 4hrs effective at all.
The same with 4 tablets two times day of Ibuprofen.
XXXX


doctor
Answered by Dr. Bonnie Berger-Durnbaugh (22 minutes later)
Brief Answer:
Likely either sprain/strain or degenerative disc or vertebral joint problem

Detailed Answer:
Hello Mr. Logue,

Without examining you, my list includes:

muscle strain and spasm
sprain or tear of ligaments that support the spine
vertebral or rib fracture
ruptured/herniated disc
intervertebral joint or disc degeneration

Since this followed an injury, It is more likely one of the first 3 I mentioned - a strain, tear, or fracture.

If your kidney function is good and you don't have problems with your stomach, Aleve is fine to take. It is best taken after eating so that it doesn't irritate your stomach.

If the pain continues, please do go see a doctor to evaluate it.

If there is anything further I can clarify, please let me know.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Bonnie Berger-Durnbaugh (22 minutes later)
I forgot to tell you, I use a walker thus I am bent over when using and have a
Tendency to lean forward when sitting.
In fact my posture is not good, I lean forward.
Could This add to the pain causes you mentioned?
XXXX
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (2 hours later)
Brief Answer:
Yes, bent or leaning forward posture can add to muscle strain.

Detailed Answer:
Hello Mr. Logue,

Yes, forward leaning or bent posture can cause tension on the muscles and ligaments and joints and add to the discomfort you are having.

If the Aleve is helping adequately and the pain is diminishing over time, it may just be a sprain or strain, but if you find you continue to need the Aleve after a few days, or the pain is getting worse, then it is definitely time to get checked.

I hope you are feeling better soon!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Bonnie Berger-Durnbaugh (11 hours later)
Aleve is the only med that releaves my back pain.
However I am retaing water in my legs.
I have a history of Warner retention in my legs.
Again, aleve works. Woke up this morning with no pain, I did take aleve again.
Should I stop the aleve?

doctor
Answered by Dr. Bonnie Berger-Durnbaugh (1 hour later)
Brief Answer:
If there is much more fluid in legs than usual, decrease or stop Aleve.

Detailed Answer:
Aleve (Naproxen) can cause swelling in the feet and legs in some people. It is not a common side effect, but does happen in some people.

You might want to put your feet up or rest more today to see if the swelling goes down. If it is a significant increase in water retention in you legs, then you should decrease the amount or discontinue the Aleve.

I hope the pain is starting to get better overall on it's own. If it is not, please do go get checked by a doctor.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Bonnie Berger-Durnbaugh (1 hour later)
Would walking indoors help to decrease the swelling from the water retention?
I live in a retirement facility therefore I can walk indoors.
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (1 hour later)
Brief Answer:
Walking is better than sitting for prolonged time.

Detailed Answer:
Walking briefly might help the swelling a bit, as long as you don't overdo it and wear yourself out.

Here are some other things to consider:

Restrict the amount of salt and salty foods, but don't limit water intake.

Elevate your legs when resting.

Pump your feet up and down when sitting.

Massage your legs or have someone else massage them, stroking from the feet towards your body.

Put on compression stockings in the morning before your legs have a chance to get swollen.

Again, if there is a significant increase in leg swelling, go in to see the doc please!


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Bonnie Berger-Durnbaugh (4 hours later)
Dr. Thank you for detailed and very quick responses.
XXXX
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (9 minutes later)
Brief Answer:
Your welcome! I hope the problem has resolved.

Detailed Answer:
Your welcome Mr. Logue, and I hope you are feeling much better soon!
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
doctor
Answered by
Dr.
Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3133 Questions

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What Causes Pain In Upper Right Back After A Back Injury?

Brief Answer: You may have a fracture, or may be referred pain. Detailed Answer: Without being able to examine you, it is hard to say, but any time pain is intense, I recommend you go in to be seen and likely will need to have an Xray. It is possible, given the history of lower right side back injury that it has affected the upper right as well, due to compensation, or actual damage to the upper right musculoskeletal area. It may be muscle strain, spasm, or a bone fracture. The only way to know is to go in and be examined. Sometimes with osteopenia or osteoporosis, an X-ray may not be able to show a fracture for a couple of weeks, but is worth getting anyway if any of the bones are tender. Depending on what is going on, you may need physical therapy. You can try some hot (not too hot that it will burn your skin) compresses on your upper back if there is muscle cramping. But please do go in and see a doctor for evaluation in person for this. Please let me know if there is anything further I can help with.