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Fever, lower back pain, inability to walk. On bed rest. What is wrong with the spine?

my name is navoj DIAGNOSIS IVDP L4 -5 / L5 - S1 HISTORY AND CLINICAL FINDINGS H/O CARRYING A 60 KG WEIGHT C/O FEVER PAIN LOW BACK AND INABILITY TO WALK O/E VITALS STABLE , GC FAIR PT UNABLE TO STANDard SLR - B/L 20 DEGREE NO DEFICIT X-RAY -L/S SPINE (N) MRI : L4-5/L5 S1 IVDP TREATMENT IN HOSPITAL ABSOLUTE BED REST/ ANALGESICS ADVICE ON DISCHARGE ABSOLUTE BED REST HAPPENTS ON 21 01 2013 KNOW I CAN WALK AND STAND BUT PAIN IS THERE IS IT OK
Asked On : Thu, 31 Jan 2013
Answers:  1 Views:  33
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General & Family Physician 's  Response
Hi,
remember the pain might not disappear completely at a go, because its a mechanical problem. Drugs might help but there are some behavioural patterns you got adapt to avoid instigating the pain. You need lie down on a hard surface when you rest at home, need not sleep on very had mattresses, avoid stooping to pick up stuff especially heavy loads and do not put on weight. Your weight if maintained could be good.
I would like to know if other tests like Erythrocyte sedimentation rate and C reactive protein were run, and if possibilities of spinal TB were discussed. Reason because you presented all of these symptoms in a febrile context. The is not a very common but common cause of lower back pain in a febrile context.
Thanks and hope it helps,
Luchuo, MD.
Answered: Fri, 1 Feb 2013
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