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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could Soreness In Lumbar Back Be Due To Vascular Occlusion?

i am having pain at my waist when i bend over,, mylumbar back is sore. MY Internest sent me to a chiropractor and he wants her to order a cat scan. I am new to both dr s, age 64, the chiropractor is concerned it could be vascular since my feet turn slightly blue and now are tingly at night. I have a strong fam history of vascular occlusion. I am diab and lost 80lbs 1yr ago with the RNY. SO DO I SEARCH FOR A NEW DR OR VASC MD?
Mon, 3 Aug 2020
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General & Family Physician,  's  Response
Hello,

You have a past family history of vascular occlusion. You are also diabetic. Now you have soreness in the lumber region. Diminished blood flow to the spine can cause chronic back pain and back problems. Atherosclerosis can obstruct the four paired lumbar arteries and the middle sacral artery that supply blood to the lumbar spine. The diminished blood flow could result in various back problems. Untreated gradually narrowing of the arteries may complicate to the formation of thrombus and thus medical emergency.

You are suggested to get clinically examined by a GP, get all diagnostic tests (BP and pulse assessment, tissue-oxygen measurements, etc) and imaging (Doppler USG, angiography, MRI/CT) and blood workouts done. To prevent the disease from worsening you are suggested to quit smoking, loose weight, stay physically active, control blood glucose level at all cost, control blood cholesterol and high BP. You will be treated (by medicine or surgery) according to the severity of the pathology detected and your symptoms.

For relief from pain you can take acetaminophen or Naproxen, one SOS when needed.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Nupur K., General & Family Physician
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Could Soreness In Lumbar Back Be Due To Vascular Occlusion?

Hello, You have a past family history of vascular occlusion. You are also diabetic. Now you have soreness in the lumber region. Diminished blood flow to the spine can cause chronic back pain and back problems. Atherosclerosis can obstruct the four paired lumbar arteries and the middle sacral artery that supply blood to the lumbar spine. The diminished blood flow could result in various back problems. Untreated gradually narrowing of the arteries may complicate to the formation of thrombus and thus medical emergency. You are suggested to get clinically examined by a GP, get all diagnostic tests (BP and pulse assessment, tissue-oxygen measurements, etc) and imaging (Doppler USG, angiography, MRI/CT) and blood workouts done. To prevent the disease from worsening you are suggested to quit smoking, loose weight, stay physically active, control blood glucose level at all cost, control blood cholesterol and high BP. You will be treated (by medicine or surgery) according to the severity of the pathology detected and your symptoms. For relief from pain you can take acetaminophen or Naproxen, one SOS when needed. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K., General & Family Physician