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Neck and upper back pain. Detected cervical rib. Advice - Online Doctor Chats

Date : 31-May-2013
User rating for this question
Very Good Posted in: Back Pain
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
User:Hello Sir
Doctor:Please go ahead with your query
Doctor:Yes how can I help you today?
User:I have been having neck & upper back pain since last 1 week
User:had a similar pain few months back also
User:saw a Doctor here
User:he said it is because i have a Cervical Rib
User:and it might be causing this pain
Doctor:Ok, when was the first time you had this?
User:i was also having pain in my left heel
Doctor:Cervical Rib does not cause back pain
Doctor:Cervical rib has different symptoms than what your main concern is today
User:it happens once or twice a year since last 3-4 years
Doctor:Neck and back pain simulataneously each time?
User:starts from neck till back
Doctor:What is your age, gender and occupation?
User:i can feel a nerve in neck causing oain sometimes
User:Age 32 yrs, Male,
User:he also did a Blood test
Doctor:What is it?
Doctor:Do you have the results?
User:in which they found that there was Vitamin D Deficiency
User:other things were OK
User:infact it was around 5-6
Doctor:Vitamin D deficiency is found in most people
Doctor:Do you sit and work for longer hours?
User:doctor said that it is also reason for the pain
User:he gave me an injection for Vitamin D
User:Vitamin D readin was 5.65 ng/mL
User:ESR reading & Uric Acid test readings were normal
User:i am told that Vitamin D normal range is from 20-30
Doctor:Vitamin D deficiency can cause some non specific symptoms as you complain
User:and this also is causing the pain
Doctor:30 to 70 ng/ml is normal
Doctor:You can take Vitamin D supplements
User:he has suggested physiotherapy sessions for the pain (cerviccal rib)
Doctor:yes that is right
User:but is it curable or it will be recurring
Doctor:It is curable
Doctor:I will tell you ways
Doctor:how to come out of the vit D deficiency
User:yes please
Doctor:Brisk walk every morning from 7AM to 7.30AM
Doctor:Best and cost effective way
Doctor:Eat foods XXXXXXX in Vitamin D such as milk, cereal, curd, fish, cod liver oil, fruits and leafy vegetables
Doctor:Vitamin D plus Calcium supplements upto 1500 IU per day
Doctor:Calcium 500mg per day
User:what are the options for a veggie
Doctor:Apart from the fish everything is veggie
User:Dr has given me a Calcium, Magnesium, Zinc Supplementary tablets
User:does cervical rib creates further problems?
Doctor:Ok Vitamin D tablets can be taken
Doctor:Few people have cervical rib but they do not cause any problem
Doctor:It is very uncommon to produce symptoms
Doctor:If someone has symptoms there are treatments
Doctor:I think you should focus more on physiotherapy and vit D deficinecy
Doctor:If you have a sitting job, take breaks once every 15 minutes
Doctor:get up for a two minutes and
Doctor:walk around
Doctor:You should do physical exercise daily to avoid frquent problems
User:but can Vitamin D deficiency be overcome and be restored to normal levels again?
Doctor:Take NUTRILITE CAL MAG -D tablets, two tablets a day with meal
User:and back pain?
Doctor:Use Relaxyl Spray for time being symptom therapy
User:can physiotherapy cure it?
User:thanks doctor
Doctor:In summary,
Doctor:Exercise daily
Doctor:VitD plus Calcium supplements, 1500 IU and 500mg respectively
Doctor:Vit D XXXXXXX foods
Doctor:Do you have any more queries
Doctor:Thanks for consulting me.
Doctor:Bye for now
User:thanks doctor
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