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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Deep Pain On The Left Lower Section Of My Back?

I don t know if all my symptoms are related. Started with tingling in 2 middle toes on my left foot. Then severe deep pain on the left lower section of my back with extreme skin sensitivity like a sunburn. After that a small rash on my lower left hip on the side that turned into blisters...slightly varied in size & somewhat running in lines but not quite...like 2 or 3 together in a line. The rash is extremely painful, not itchy and I am so sensitive there and elsewhere that I can t stand clothing touching me. I live in Ontario, Canada, and proceeding this rash I spent two days pulling river rocks out of a lawn and a wheel-barrow full of rocks fell over hitting me in the lower leg and possibly in the back, plus I was whiplashed in a car accident years ago...so the back pain could be related to both the rash and prior or recent injuries. There is a small black dot in the middle of the rash...could be a tiny freckle or an insect bit but I would think that a rash from a tick bit would be itchy and this one is not. I m 56 years old and considered myself in good health prior to this. Also feel exhausted, pain keeps me up at night and the first day of the rash I felt light headed but have not felt particularly feverish. I have no idea whether I had chicken pox as a child but if I did then I would guess I may have shingles. I would appreciate your ideas on what this may be. It is impossible to get a doctor s appointment here and I may be squeezed in with a doctor who barely speaks English later today for 10 minutes but since his communication with him in English is difficult I would like to walk in with an opinion to present. Thankyou, Deborah
Tue, 21 Apr 2015
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Spine Surgeon 's  Response
Hi, according to your symptoms, it is most likely Herpes Zoster infection. Virus of chicken pox remains dormant in ganglia of peripheral nerves, if body's immunity is lowered or in times of stress it gets reactivated and presents as Herpes Zoster, rashes and lesions follow a dermatomal distribution and are very painful. You will need antiviral drug like acyclovir with some strong analgesics. Thank you.
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What Causes Severe Deep Pain On The Left Lower Section Of My Back?

Hi, according to your symptoms, it is most likely Herpes Zoster infection. Virus of chicken pox remains dormant in ganglia of peripheral nerves, if body s immunity is lowered or in times of stress it gets reactivated and presents as Herpes Zoster, rashes and lesions follow a dermatomal distribution and are very painful. You will need antiviral drug like acyclovir with some strong analgesics. Thank you.