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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain At The Lower End Of Spine. Have RA And Fibromyalgia. Are These Related?

This is embarrassing...but the end of my spine to the top of my butt crack is really red and hurting I can t stand, sit, or lay down it hurts so bad...also like a knot there also..I m used to lot of pain cause I have RA and fibromyalgia ..any answers would be appreciated....it s not on spine more the top 3 or 4 inches of my butt
Thu, 21 Nov 2013
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Anesthesiologist 's  Response
Rheumatoid arthritis and fibromyalgias are two different entities the present complaint pain in the lower spine from top of the buttock to the lower end of spine with redness over that area probably suggests some infectious/ inflamatory lesions. Do you have any drug allergies? Did you have any history of painfull vesicles over the buttock area which probably suggest herpes infection. Do you history of weight loss fever and increase in the pain during the nights which probably suggests tuberculous involvement. Any history of trauma? Kindly take an x-ray lumbosacral AP and lateral views to check for any lumbar spondylosis and consult a neurologist for opinion and he may ask you if needed an MRI.
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Pain At The Lower End Of Spine. Have RA And Fibromyalgia. Are These Related?

Rheumatoid arthritis and fibromyalgias are two different entities the present complaint pain in the lower spine from top of the buttock to the lower end of spine with redness over that area probably suggests some infectious/ inflamatory lesions. Do you have any drug allergies? Did you have any history of painfull vesicles over the buttock area which probably suggest herpes infection. Do you history of weight loss fever and increase in the pain during the nights which probably suggests tuberculous involvement. Any history of trauma? Kindly take an x-ray lumbosacral AP and lateral views to check for any lumbar spondylosis and consult a neurologist for opinion and he may ask you if needed an MRI.