Hi,I am Dr. Gopal Goel (Orthopaedic Surgeon). I will be looking into your question and guiding you through the process. Please write your question below.
What Does Lower Backache On The Right Side Indicate?
Pain in right side (#7.5) - feels like a pinched nerve or something spinal. Had spinal surgery 4 years ago in lower back but this is more thoracic area (near waist and over hip and down to lower right side area of ovary). Worse with movement especially stretching otherwise constant. Got up off couch a few minutes ago and had stabbing pain (#10) - almost passed out, broke out into a cold sweat. Can t find comfortable position even sitting (5). Take 30mg morphine daily, added aleve last night and this am and flexeril at 1pm. Still in pain. Stayed home today to rest. Need to work at least 1/2 day tomorrow. Should I be referred to spine clinic or come in or rest a few days and see? Right side has been uncomfortable for weeks but only started getting acute yesterday. Worse today. Had back surgery 4 years ago – laminectomy/fusion L3-5.
Dear patuent you need to attend spine clinic as soon as possible. Area for pain you described falls in lumbar spine , the area where surgery is done. pain has occurred after 4 years of surgery so there are many possibilities. first may be infection of the hardware if it's there. second is implant failure or breakage. third may be instability around fused area. And less likely is new disc herniation at the upper level. This needs to be investigated with xray of lumbo sacral spine anteroposterior and lateral views. Also Mri of lumbo sacral spine should be done to check for fusion status if possible. you are already taking enough dose of analgesics so I will not prescribe more analgesics.
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What Does Lower Backache On The Right Side Indicate?
Dear patuent you need to attend spine clinic as soon as possible. Area for pain you described falls in lumbar spine , the area where surgery is done. pain has occurred after 4 years of surgery so there are many possibilities. first may be infection of the hardware if it s there. second is implant failure or breakage. third may be instability around fused area. And less likely is new disc herniation at the upper level. This needs to be investigated with xray of lumbo sacral spine anteroposterior and lateral views. Also Mri of lumbo sacral spine should be done to check for fusion status if possible. you are already taking enough dose of analgesics so I will not prescribe more analgesics.