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Headache, back pain, diagnosed with spondylitis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3374 Questions
User :   hi
Doctor :   Hi
Doctor :   How can I help you?
User :   dr i have a problem of spondylitis last 8 month
Doctor :   Ok
User :   so reguraly i m facing problem of back pain in upper & my family dr told me that i have a prolem in 2 & 5 bones(neck)
Doctor :   Ok
User :   i m facing head headache problem last 2-3 years some times my full head is pain continously & sonmetime i m facing right side headache,some time i m felt so can you please suggest your strong opinion what can i do?
Doctor :   For how long do these headache last each time/
User :   i think last 2 years
User :   it's for half and hrs
Doctor :   Ok
Doctor :   Can you describe the type of pain that you get - is it like a dull ache or is it like pulsatile/throbbing type of pain?
User :   when my my neck is pain alongwith my right hand also paining & same time my headache also pain
User :   can you please describe the words like dull,ache,pulsatile,throbbing
Doctor :   I mean do you feel the headache is jut like when you get hurt or do you feel the headache is like heart beating - a pulsatile pain?
Doctor :   Are you there?
User :   yes
User :   some times it is heart beating
Doctor :   Ok
User :   otherwise it is a normal
Doctor :   Do you feel like vomiting or have you vomited, when you had this headache?
Doctor :   Hi
Doctor :   Welcome back.
User :   sorry doctor i have some urgent work so i m not reply your mail but now i m freee
User :   i just feel like vometing some time only
Doctor :   How frequently do you get these headaches?
User :   i mean you asked time
Doctor :   I mean
Doctor :   In a month, how many times do you get these headache?
User :   3-4 times
Doctor :   Ok
User :   i have sinus problem also that's time also headache aries
Doctor :   Ok
Doctor :   Do you have any body else in your family having similar headaches?
User :   last 3 years i have one problem also i.e i have pain my right side kidney or bones when i m walking seating
User :   no one
Doctor :   Ok
User :   yes sometimes my mom facing this headaches problem
Doctor :   Have you seen a doctor for the headache problem?
User :   no
Doctor :   Ok
User :   but can you ellaborate what exactly this problem
Doctor :   I'l explain to you.
Doctor :   Chronic headache is a term used for those headache that appear recurrently and are similar in nature.
Doctor :   You are probably suffering from this chronic headache.
Doctor :   This headache is probably caused by multiple factors
User :   chronic means
User :   i mean it is normal headache or anything serious problem
Doctor :   Chronic is any term used for a long standing problem.
Doctor :   It is not serious
Doctor :   but in some people these headaches become more severe and more frequent affecting their daily work and life.
Doctor :   Hence it is important that you treat it when it is early.
Doctor :   Are you following?
User :   yes
User :   but what about my spondylitis problem
Doctor :   The factors that could be contributing to these headaches are
Doctor :   1. Cervical spondylitis.
Doctor :   2. SInusitis
Doctor :   3. Stress, tension and anxiety.
Doctor :   4. Possibly migraine too.
Doctor :   Controlling these condition will control your headaches.
Doctor :   As far as spondylitis is concerned
Doctor :   The treatment are as follows
Doctor :   1. Pain management using painkillers such as
Doctor :   a. Oral Ibuprofen 400mg twice a day whenever the pain is severe
Doctor :   b. Local heat therapy
Doctor :   c. Rest
Doctor :   d. Physiotherapy techniques such as ultrasound therapy/infrared therapy.
Doctor :   2. Preventing worsening of the condition/degeneration are
Doctor :   a. back strengthening exercise
Doctor :   b. Course of antiinflammatory medications such as NSAID's or Steroid medications
Doctor :   c. Physiotherapy
Doctor :   d. Weight reducing exercises.
User :   what is slnusitis & anxiety & migraine
Doctor :   e. Posture correction
User :   my weight is 42 kg only my age is 24
Doctor :   f. Use of spine supports such as neck collar or lumbar belts.
Doctor :   3. The most severe cases of spondylitis will need surgical treatment.
Doctor :   Hope this is clear as far as spondylitis is concerned.
Doctor :   Hi
User :   thank you dr
Doctor :   Have you followed what I have suggested?
User :   yes doctor
Doctor :   now siting from this far
Doctor :   without physical examination
Doctor :   and analyzing your Xray or scans
Doctor :   I cannot predict which all treatment is applicable to you.
Doctor :   You can discuss with your doctor
Doctor :   who will explain the treatment that are applicable to you.
User :   ok
Doctor :   Follow those treatment strictly
Doctor :   you will be able to have a normal llfe
Doctor :   inspite of spondylitis.
User :   can i fixed or call any physiotherapy doctor
Doctor :   Have you undergone Xray or scans?
User :   can you help me with the doctor
User :   yes i have x-ray
Doctor :   If I may know, which specialist did you consult?
Doctor :   Was the doctor an orthopedician?
User :   yes
Doctor :   Ok
Doctor :   And what treatment did the doctor suggest?
User :   he give some medicine coure for 3 month & couse is done but still i m facing this problem
User :   some doctor told me you have gap in all 6 bone & some doctors told me you have gap in neck only 2 & 5 bone
Doctor :   Can you name the medication that was suggested to you?
User :   now i m in office so i dont know medicine name
Doctor :   Ok
Doctor :   may I know your location at Mumbai?
User :   yes mumbai
User :   r u there?
Doctor :   Usually the medications given for spondylitis
Doctor :   are pain killers that are effective in controlling the symptoms of pain.
Doctor :   if the pills are not effective then you need to report back to your doctor.
Doctor :   In the mean time, a visit to physiotherapist for ultrasound/infrared therapy can help you.
User :   ok becoz medicine not effective for controlling this pain
Doctor :   Can you confirm your number, so that I can call you and guide you?
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
Doctor :   Hi
User :   bye
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