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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chronic Back Pain, Imbalance Issues And Difficulty Walking?

I have had chronic back pain for almost two years. I was hospitalized in December 2012 because the pain was so severe that I could not walk. When it first started I thought that I had kidney problems as it was mostly on the right side I was in the hospital for five days and no one could determine what the problem was so they called in my orthopedic doctor. He prescribed a high dose of prednisone and it worked wonders...for a while. The pain however radiated down my left leg past my knee and it is so sever that I have problems sleeping at night. I am up taking ibuprofen a couple of times a night because it hurts so bad. I went to Pain Management, had an updated MRI and received two injections. They did not work. I have gone to PT twice and getting ready to go again. However, it really doesn t help much. The next step was for me to see a Neurologist. His office told me that the appointment was for the doctor to determine if I needed surgery. I knew that I wasn t going to do that so I didn t make the appointment. I also have other issues such as not having any balance. I have also fallen (and I don t know the reason) and when I fall, I don t have the strength to get back up. It is like I am dead weight and it is almost impossible for someone to try and help me. This is very scary. I just don t know what to do next. Do you have any suggestions? Thank you so-o very much.
Mon, 27 Feb 2017
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Neurologist 's  Response
Hello...I may help u with ur problems..
From ur symptoms, I feel u may be suffering from a spinal cord issue..The first approach here is to undergo an MRI of spinal cord, deciding whether u have a compression pathology or a non-compression pathology...Further course of management is decided based on the MRI findings..
I would like to know ur age, MRI findings and other tests that have been done..
I advice you to avoid Ibuprofen, since long term ingestion of it might lead to kidney issues..On the contrary, medicines for neuropathic pain seem more suitable for ur symptoms...I prefer combination of Gabapentine 400mg and Nortryptiline 10mg once at night time...Add on Tab Flupirtine 100mg twice a day on that for added relief..
But still, these might not be ur final prescription..It is always advisable to visit a Neurologist in person and get a clinical examination done, so as to arrive to a specific diagnosis..

Hope I could resolve ur concern to some extent..Revert back if needed for further doubts..All the best!
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What Causes Chronic Back Pain, Imbalance Issues And Difficulty Walking?

Hello...I may help u with ur problems.. From ur symptoms, I feel u may be suffering from a spinal cord issue..The first approach here is to undergo an MRI of spinal cord, deciding whether u have a compression pathology or a non-compression pathology...Further course of management is decided based on the MRI findings.. I would like to know ur age, MRI findings and other tests that have been done.. I advice you to avoid Ibuprofen, since long term ingestion of it might lead to kidney issues..On the contrary, medicines for neuropathic pain seem more suitable for ur symptoms...I prefer combination of Gabapentine 400mg and Nortryptiline 10mg once at night time...Add on Tab Flupirtine 100mg twice a day on that for added relief.. But still, these might not be ur final prescription..It is always advisable to visit a Neurologist in person and get a clinical examination done, so as to arrive to a specific diagnosis.. Hope I could resolve ur concern to some extent..Revert back if needed for further doubts..All the best!