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What Causes Severe Back Pain?
Question: I have a severe back pain from last 11 months... the pain has come to my legs and due to which am not able to walk properly... have got following tests done:
MRI LS Spine & Whole Spine Screening - as per doctors its fine...
HLA B27 - Negative
Ultrasound - Mild Fatty liver
Elisa - TB Gold - Negative
Mauntox - Negative
Vitamin D 22.59 ng/ml
HB - 12.5
TLC - 7000
MCV - 79.5
MCH - 26.2
Blood Sugar Random - 91
RFT - Normal
Platelet - Normal
RBC - Normal
MRI LS Spine & Whole Spine Screening - as per doctors its fine...
HLA B27 - Negative
Ultrasound - Mild Fatty liver
Elisa - TB Gold - Negative
Mauntox - Negative
Vitamin D 22.59 ng/ml
HB - 12.5
TLC - 7000
MCV - 79.5
MCH - 26.2
Blood Sugar Random - 91
RFT - Normal
Platelet - Normal
RBC - Normal
Brief Answer:
Rest, analgesics ,mecobalamin and Vitamin D3 should help
Detailed Answer:
Hi,
Thanks for your query.
I'm Dr. Sudhir Kumar,
After going through your query I concluded that your nearly all reports are normal except insufficiency of vitamin D3 and mild disc prolapse in MRI.
I treat my such patients by following regime with good results.
1.Vitamin D3 60000IU weekly for 10weeks with a glassful of milk.
2.Rest till pain subsides and then back exercises.
3.Analgesic such as ibuprofen three times a day after meals for pain relief. If pain is severe one then tramadol can be taken three times a day after meals.
4.Mecobalamin 1500 mg daily for 1 month.
You can discuss with your treating Doctor about it.
Hope I have answered your query.
If you have any further questions I will be happy to help.
Wishing you good health.
Take care.
Rest, analgesics ,mecobalamin and Vitamin D3 should help
Detailed Answer:
Hi,
Thanks for your query.
I'm Dr. Sudhir Kumar,
After going through your query I concluded that your nearly all reports are normal except insufficiency of vitamin D3 and mild disc prolapse in MRI.
I treat my such patients by following regime with good results.
1.Vitamin D3 60000IU weekly for 10weeks with a glassful of milk.
2.Rest till pain subsides and then back exercises.
3.Analgesic such as ibuprofen three times a day after meals for pain relief. If pain is severe one then tramadol can be taken three times a day after meals.
4.Mecobalamin 1500 mg daily for 1 month.
You can discuss with your treating Doctor about it.
Hope I have answered your query.
If you have any further questions I will be happy to help.
Wishing you good health.
Take care.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Thanks for your revert !!
This means I should discontinue my existing medication (from doctor 2) and continue the one prescribed by you?
This means I should discontinue my existing medication (from doctor 2) and continue the one prescribed by you?
Brief Answer:
oral vitamin D3 is better.
Detailed Answer:
Hi,
Welcome back
After going through your query and follow up query I concluded that you may continue with doctor second but I think injectable vitaminD3 is not needed. if you have already taken Architol 6 lac IM( vitamin D3) injection then one injection is sufficient. It should be repeated only if repeat vitamin D3 test shows low levels.If you have already taking doctor 2 prescription then you can continue with him .Please let me know how far you have taken (started or not). Also please let me know how far you have taken doctor 1 prescription .You can discuss with your treating Doctor about it.
Hope I have answered your query.
If you have any clarification then I will be happy to help you.
If you have no clarification then you can close the query and rate the answer.
Wishing you good health.
Take care.
oral vitamin D3 is better.
Detailed Answer:
Hi,
Welcome back
After going through your query and follow up query I concluded that you may continue with doctor second but I think injectable vitaminD3 is not needed. if you have already taken Architol 6 lac IM( vitamin D3) injection then one injection is sufficient. It should be repeated only if repeat vitamin D3 test shows low levels.If you have already taking doctor 2 prescription then you can continue with him .Please let me know how far you have taken (started or not). Also please let me know how far you have taken doctor 1 prescription .You can discuss with your treating Doctor about it.
Hope I have answered your query.
If you have any clarification then I will be happy to help you.
If you have no clarification then you can close the query and rate the answer.
Wishing you good health.
Take care.
Above answer was peer-reviewed by :
Dr. Yogesh D
Hi,
I visited 1st doctor on 11th nov and started his medications then I visited doctor 2 on someone's recommendation on 15th Nov night and started his medications from that night.
Have not taken any injections as yet...
Yesterday night I visited doctor 1 and showed him the medication given by doxtor 2 and he suggested not to go with these medication since these are very heavy dosses and may affect my organs..,
So am in a big dilemma, request your 3rd opinion on this, Pls advise
Thanks...
I visited 1st doctor on 11th nov and started his medications then I visited doctor 2 on someone's recommendation on 15th Nov night and started his medications from that night.
Have not taken any injections as yet...
Yesterday night I visited doctor 1 and showed him the medication given by doxtor 2 and he suggested not to go with these medication since these are very heavy dosses and may affect my organs..,
So am in a big dilemma, request your 3rd opinion on this, Pls advise
Thanks...
Brief Answer:
Avoid injections.
Detailed Answer:
Hi,
Welcome back
After going through your query and follow up queries I concluded that prescription of first doctor is more logical. I think there is no need of injection. You can follow doctor first or can follow as advised in our discussion.You can discuss with your treating Doctor about it.
Hope I have answered your query.
If you have any clarification then I will be happy to help you.
If you have no clarification then you can close the query and rate the answer.
Wishing you good health.
Take care.
Avoid injections.
Detailed Answer:
Hi,
Welcome back
After going through your query and follow up queries I concluded that prescription of first doctor is more logical. I think there is no need of injection. You can follow doctor first or can follow as advised in our discussion.You can discuss with your treating Doctor about it.
Hope I have answered your query.
If you have any clarification then I will be happy to help you.
If you have no clarification then you can close the query and rate the answer.
Wishing you good health.
Take care.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Thank you so much, will get in touch with you as and when required...
Brief Answer:
It is Okay
Detailed Answer:
Hi
Welcome back
After going through your query and follow up queries I am happy to know that you are satisfied. You are welcome to contact anytime. I want to clarify that dose of Mecobalamin is 1500 micrograms as I have mentioned in short form as1500 mg.
Hope I have answered your query. If you have any clarification then I will be happy to help you. If you have no clarification then you can close the query and rate the answer.
Wishing you a good health.
Take care.
It is Okay
Detailed Answer:
Hi
Welcome back
After going through your query and follow up queries I am happy to know that you are satisfied. You are welcome to contact anytime. I want to clarify that dose of Mecobalamin is 1500 micrograms as I have mentioned in short form as1500 mg.
Hope I have answered your query. If you have any clarification then I will be happy to help you. If you have no clarification then you can close the query and rate the answer.
Wishing you a good health.
Take care.
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
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