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Pain in the middle chest - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Osteoporosis
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3175 Questions
Doctor :   Hi
Doctor :   How can I help ou
User :   Hello Doctor. Thanks for responding
User :   My mother is a patient of server Osteoporosis
Doctor :   ok
User :   Recently she incurred an injury on her back and there was a compression fracture
User :   As per the X-ray reports
Doctor :   ok
User :   She has been prescribed a few medicines for pain relief as well as those for fortifying the bones
User :   However, she has been getting some shooting pains in her chest - right in the centre
User :   There is no rib fracture
Doctor :   ok
User :   Can you tell me why these shooting pains ... and that too in the chest?
Doctor :   For Administrative and health purposes, Please provide these details -Age: Gender: Occupation: Location: Marital Status: Dependents: Yes/ No.
User :   62; Retired; India; Married; No dependents
Doctor :   Which bone is fractured?
Doctor :   on the back
User :   Its one of the lower bones
Doctor :   do you mean on the spine
User :   I do not have the number... The doctor mentioned K something and L something
User :   Yes, the spine
Doctor :   Lumbar
Doctor :   do you mean
User :   Must be. I dont have the report in my hand now. Does K-11 mean something to you? Also L-9 or something like that?
Doctor :   Kyphosis?
Doctor :   thre is nothing like K 11 or the L 9
Doctor :   T 9 is there
Doctor :   anyway
Doctor :   Thre are many vertebrae that form spine
Doctor :   and each verebre has two nerves arising from each side
Doctor :   which pass on the back under the rib and cause the pain sensations
Doctor :   if there is a # of vertebrae
Doctor :   then there is disturbance and injury to these nerves and cause severe shooting pain that starts around back and passes front in the chest region
User :   I see
Doctor :   so until the rest is proper and the pain medications to rrrelieve that
Doctor :   she is at unrest
Doctor :   the nerve would be swollen in that case
User :   Okay
Doctor :   it should come down
Doctor :   and it take really some time in older people
Doctor :   and since she has osteoporosis
Doctor :   the chances are very likely for a fracture that may not be noticed
Doctor :   sometimes
Doctor :   though the treatment of fracture is nothing specific
User :   What is your advice then?
Doctor :   even if it is visible
Doctor :   Pain management is important
Doctor :   so see a specialist in palliative management along with the treating ortho
Doctor :   however the treating physician should decide whether she requires
Doctor :   Please confirem the details
Doctor :   YYYY@YYYY
Mobile : 0000
User :   +0000
Doctor :   ok
Doctor :   anything else you would like to know
Doctor :   Please fill the feedback form say done when done
Doctor :   are you there
User :   Yes doctor
User :   So our ortho has confirmed compression fracture and my mother says that it is on the upper back
Doctor :   How many days it has been
Doctor :   since the fracture
User :   Some vertebra on the upper spine has got compressed
User :   It has now been 15 days
Doctor :   ok
Doctor :   I suggest you get referred by your orthopedician to a pain specialist
User :   Ok
Doctor :   because at that age
Doctor :   tolerance to pain is minimal
Doctor :   and sometimes they cant even take full breath
User :   Hmm.. you are right
User :   That is true
User :   All I hope is that these shooting pains are not worsening her condition
Doctor :   so next would be to see a palliative medicine specialist
Doctor :   What is she taking for Osteoporosis
Doctor :   what is the BMD
Doctor :   scan report say
User :   She is taking ShellCal tablets and has started with a Nasal Pray
Doctor :   do you mean calcitonin
User :   Sorry Nasal Spray
Doctor :   nasal spray
User :   Calcinase
Doctor :   yeah
Doctor :   tht is it
Doctor :   what is the T result in BMD
User :   We dont have the report yet
User :   Doctor, can I chat with you again, once I get the report
Doctor :   ok
User :   That will be tomorrow - and I would like to get your opinion
Doctor :   sure
Doctor :   you can chat
User :   I am glad about your advice on the Palliative Medicine Specialist
Doctor :   Get the report tommorow and come for chat
Doctor :   ok
Doctor :   Bye
Doctor :   Thanks for consulting Health care magic. Bye for now. Please refer your friends to our service
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