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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What To Do For Severe Back Pain?

I have a severe back ache problem, started with a neck pain 2 years back.

I got an MRI done and it did not show anything much, slight compression in C4-C5, which my doc says wasnt a worrisome problem.

I went for physio and then managed with the problem somehow.

8 months back, I had a sudden pain in my lower back also, when I saw the doc, he advised bed rest and asked me to take an X ray. The Xray was normal, infact he told me the curvature showed a healthy spine.

he then advised blood tests, and that showed my Vitamin D was almost zero. He then put me on Vit D medicine and shots and I did get a lot of relief. The pain was more or less under control with some intermittent spurts once in 2-3 months.

Now, the pain has come back and both upper and lower back. My vitamin d is normal now and Myoril has stopped acting on my system now.

Also, there is pain in hands and legs sometime.

pls advice
Fri, 24 Apr 2015
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General & Family Physician 's  Response
Hello
As per description of your clinical symptoms it seems that you have Radiculopathy due to nerve compression ( Presently at the cervical region ,c4-c5). symptoms for this are same as described by you, but may worsen if not taken care of.
If I were your treating doctor I would have suggested you the following:
1. please take necessary precautions to maintain a good posture for your spine. you may even use cervical coller.
2. Get a MRI screening of your whole spine with brief descriptions of cervical and lumbo-sacral spine, to rule out any disc compression or worsening of the cervical compression.
3. Also get a report of vitamin D levels in your blood.

Depending on the investigation reports it could be decided whether you need a conservative management with exercises and supportive medications or a definitive management by surgery ( decompression/discectomy/root block etc).

For now, please avoid bending forward, lifting heavy weight, sitting or sleeping on the floor, squatting. Instead I would suggest you to use a firm bed and flat pillow to sleep, and always sit with back rest.

Thank you.
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What To Do For Severe Back Pain?

Hello As per description of your clinical symptoms it seems that you have Radiculopathy due to nerve compression ( Presently at the cervical region ,c4-c5). symptoms for this are same as described by you, but may worsen if not taken care of. If I were your treating doctor I would have suggested you the following: 1. please take necessary precautions to maintain a good posture for your spine. you may even use cervical coller. 2. Get a MRI screening of your whole spine with brief descriptions of cervical and lumbo-sacral spine, to rule out any disc compression or worsening of the cervical compression. 3. Also get a report of vitamin D levels in your blood. Depending on the investigation reports it could be decided whether you need a conservative management with exercises and supportive medications or a definitive management by surgery ( decompression/discectomy/root block etc). For now, please avoid bending forward, lifting heavy weight, sitting or sleeping on the floor, squatting. Instead I would suggest you to use a firm bed and flat pillow to sleep, and always sit with back rest. Thank you.