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What Can Be The Cause For The Severe Back Pain?
I am suffering from back pain and had consulted a MS ORTHO..
He gave me testing of MRI of DORSAL SPINE. Which has an impression as
"Altered marrow signal intensities of D7, D10, D12 and L5 vertebral
bodies with well defined lesions in these vertebra as well as in right
sacral promontory. Following possibilities are to be considered - ?
multiple myeloma ? metastasis."
And
MANTOUX TEST which gave an impression as
Induration - 20 mm
" Positive. Induration measuring 10mm or more indicates
hypersensitivity to tuberculoprotien and indicates past or present
infection with mycobacterium tuberculosis"
"Doubtful. Induration measuring between 5 and 9 mm indicates desirable
to rule out cross reactions from other mycobacterial infections"
"Negative. Induration of less than 5 mm indicates lack of
hypersensitivity to tuberculoprotien and tuberculous infection is
highly unlickely."
And
The ESR (Westergren Method) was 90 mm/ 1st hr.
Now am totally confused and the back pain is totally unbearable...
He gave me testing of MRI of DORSAL SPINE. Which has an impression as
"Altered marrow signal intensities of D7, D10, D12 and L5 vertebral
bodies with well defined lesions in these vertebra as well as in right
sacral promontory. Following possibilities are to be considered - ?
multiple myeloma ? metastasis."
And
MANTOUX TEST which gave an impression as
Induration - 20 mm
" Positive. Induration measuring 10mm or more indicates
hypersensitivity to tuberculoprotien and indicates past or present
infection with mycobacterium tuberculosis"
"Doubtful. Induration measuring between 5 and 9 mm indicates desirable
to rule out cross reactions from other mycobacterial infections"
"Negative. Induration of less than 5 mm indicates lack of
hypersensitivity to tuberculoprotien and tuberculous infection is
highly unlickely."
And
The ESR (Westergren Method) was 90 mm/ 1st hr.
Now am totally confused and the back pain is totally unbearable...
Tue, 9 Sep 2014
Hi,Welcome to healthcare magic.After going through your query, I think you are suffering from metastasis or multiple myeloma with rare possibility of tuberculosis. You can go for CT guided NEEDLE biopsy. Treatment consist of pain relief by strong analgesic(such as ultracet three times a day after meals) OMEPRAZOLE 20 MG before meals prevent acidity caused by analgesics . SPECIFIC TREATMENT WILL BE after biopsy report.I think your query answered.Welcome to any follow up query.
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