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What Does My MRI Scan Report Indicate?
Question: I have major back pain along with foot, ankle, and shin pain. I was originally told I had Pagets disease but the blood work is not consistent with the disease. I have had a bone scan that only shows issues with my spine. An MRI shows "
a Tiny subchondral cyst of the lateral cuneiform and no fracture". I don't know what to think?
a Tiny subchondral cyst of the lateral cuneiform and no fracture". I don't know what to think?
Brief Answer:
Mechanical back pain
Detailed Answer:
good evening.
thank. you for writing on health care magic
Well back pain can be really troublesome.. We need to rule. out If it is due to inflammation or other causes. Your MRI doesn't explain the cause of it as these cysts are benign usually and don't cause much of trouble..i would like to know a few queries here to understand your disease
1. When is your pain more.. on activity or at rest
2. do you experience night pains , difficulty in turning position
3. any early morning stiffness
4. does the pain radiate to your legs
5. is your sleep pattern OK or is it disturbed
6.What all medications hVe you tried for back pain
7. Did they do other blood test like ESR or CRP
Do let me know these queries. would try to guide you further from here
regards
Dr naval
Mechanical back pain
Detailed Answer:
good evening.
thank. you for writing on health care magic
Well back pain can be really troublesome.. We need to rule. out If it is due to inflammation or other causes. Your MRI doesn't explain the cause of it as these cysts are benign usually and don't cause much of trouble..i would like to know a few queries here to understand your disease
1. When is your pain more.. on activity or at rest
2. do you experience night pains , difficulty in turning position
3. any early morning stiffness
4. does the pain radiate to your legs
5. is your sleep pattern OK or is it disturbed
6.What all medications hVe you tried for back pain
7. Did they do other blood test like ESR or CRP
Do let me know these queries. would try to guide you further from here
regards
Dr naval
Above answer was peer-reviewed by :
Dr. Nagamani Ng
The pain is worse after activity and after long periods of rest. I will say that I have to stop activities sometimes because of the pain. I do have night pain that makes it difficult to change positions or find the right position. I have early morning stiffness in my feet, my hands, my hip and my back. My feet are the worse. My legs often feel like I have restless leg syndrome. However the pain in my legs is constant in my shins and the muscles around them. I have taken Naprosyn and Lidocaine patches and for my feet they gave me Diclofenac.
Brief Answer:
Chronic Pain Syndrome
Detailed Answer:
good evening
Sorry for the late reply. had a long duty
Well, as per your history is suggestive, it doesnt look like inflammation going on. It is more of mechanical pain which is spreading all over your body. I would give you a site to read about the disease and see if your symptoms match...We need to change the medications, as Naprosyn and Diclofenac are not going to be too useful in the long run. They may cause more side effects than relief
www.rheumatology.org--> patient information--> Chronic Pain syndrome/Fibromyalgia
Do let me know once you read it. Will try to manage things accordingly
Regards
Dr Naval
Chronic Pain Syndrome
Detailed Answer:
good evening
Sorry for the late reply. had a long duty
Well, as per your history is suggestive, it doesnt look like inflammation going on. It is more of mechanical pain which is spreading all over your body. I would give you a site to read about the disease and see if your symptoms match...We need to change the medications, as Naprosyn and Diclofenac are not going to be too useful in the long run. They may cause more side effects than relief
www.rheumatology.org--> patient information--> Chronic Pain syndrome/Fibromyalgia
Do let me know once you read it. Will try to manage things accordingly
Regards
Dr Naval
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
My primary care said I may have Fibromyalgia the Rheumatologist is giving me the run around and won't even test me for Rheumatoud arthritis... I have all the signs and symptoms for Fibromyalgia.
Brief Answer:
Fibromyalgia
Detailed Answer:
Good evening
Well yes, even I feel the same...All your lab results are normal which rules out the inflammation or infection...So, I feel your pain did originate from one place and has now moved on to affect the other parts as well....
Fibromyalgia is a diagnosis of exclusion. So I think your rheumatologist is being over cautious in labeling you with this disease..SO he is ruling all out the possible etiology...
Meanwhile, I would suggest give a try with Ultracet for pain and you can read on which drug you had like to choose. We normally start with Duloxetine/Amitryptilline
DO let me know for more queries
Regards
Dr Naval
Fibromyalgia
Detailed Answer:
Good evening
Well yes, even I feel the same...All your lab results are normal which rules out the inflammation or infection...So, I feel your pain did originate from one place and has now moved on to affect the other parts as well....
Fibromyalgia is a diagnosis of exclusion. So I think your rheumatologist is being over cautious in labeling you with this disease..SO he is ruling all out the possible etiology...
Meanwhile, I would suggest give a try with Ultracet for pain and you can read on which drug you had like to choose. We normally start with Duloxetine/Amitryptilline
DO let me know for more queries
Regards
Dr Naval
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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