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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Severe Lower Backache On The Right Side Indicate?

I had surgery one month ago as part of a treatment plan for primary peritoneal cancer. Yesterday I slept in a chair with a pillow in an odd position behind my back for a couple of hours. I woke up with severe pain on the right side of my lower back. I just started Lasix for abdominal and lower extremity swelling. I had weaned off Percocet for about a week but took one last night. I think the back pain is due to a muscle spasm. I have a prescription for prn metaxalone. I also have a prescription for tramadol and I took one of those after pain returned instead of another Percocet. Would it be ok to take 1/2 metaxalone along with other meds, just once to see if helps?
Thu, 24 May 2018
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Pathologist and Microbiologist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

It is very nice that you had given all information in a right way. You had also reacted spontaneously for your condition. I can understand your true concerns. Lower backache can occur due to different causes. As you mentioned you got sudden onset of backache, it could be due to muscle spasm, muscle strain or due to complication of general anesthesia given during your peritoneal cancer surgery. Coming to the diagnosis

1. muscle spasm may be probable reason. You can confirm it by changing your posture, if pain changes with postural change, it will be muscle strain.
2. Go for complete blood picture.
3. X-ray lower back.

Coming to treatment part -

1. You can use any non steroidal anti inflammatory drug.
2. Use hot water pack for pain.
3. Do not use odd positions.
4. Massage at site of pain
5. Use pain killer spray.

If problem persists go for blood tests and contact us at any time. Hoping for a speedy recovery.

Hope I have answered your query. Let me know if I can assist you further.
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What Does Severe Lower Backache On The Right Side Indicate?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It is very nice that you had given all information in a right way. You had also reacted spontaneously for your condition. I can understand your true concerns. Lower backache can occur due to different causes. As you mentioned you got sudden onset of backache, it could be due to muscle spasm, muscle strain or due to complication of general anesthesia given during your peritoneal cancer surgery. Coming to the diagnosis 1. muscle spasm may be probable reason. You can confirm it by changing your posture, if pain changes with postural change, it will be muscle strain. 2. Go for complete blood picture. 3. X-ray lower back. Coming to treatment part - 1. You can use any non steroidal anti inflammatory drug. 2. Use hot water pack for pain. 3. Do not use odd positions. 4. Massage at site of pain 5. Use pain killer spray. If problem persists go for blood tests and contact us at any time. Hoping for a speedy recovery. Hope I have answered your query. Let me know if I can assist you further.