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Osteoarthitis and spinal stenosis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Arthritis
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   I have a stiff sore neck when I wake up and lately most days it contiues. I also have some lightheadedness when laying down and turn my head abruptly. I have osteoarthitis, spinal stenosis ( lower
back), sleep apnea, I'm 59 year old female. I am also significantly overweight and I am a cancer survivor for 10 years ( non hodgkins lymphoma).
Doctor :   hello
Doctor :   give m a min please let me go thru your query
Doctor :   since how long you have been having this problem ?
User :   about 2 weeks
Doctor :   can you tell me what all medications are you on ?
Doctor :   also when were the last tests done ?
Doctor :   do you any problems regarding your blood pressure ?
User :   Yes, celebrex, nexium, celexa, lipitor, baby aspirin, vitamin C andbuprprion. No tests recently, although I see an oncologist twice a year. Last summer I had various CT scans and xrays, but not for this issue.
User :   No, it is usally in the range of 130 over 80. I have a cuff at home and get lower numbers then. It does go up when I am very anxious, for example, I get a spinal epidural injection for back pain every 3 months.
Doctor :   now a stiff neck can be due to many reasons and most common being just a sprain, now you do have a history of osteoarthritis
Doctor :   so you do need to get an X ray done
Doctor :   your tests are due if you had them last summer
User :   Would arthritis cause the slight lightheadedness when getting up out of bed or turning my head when in bed??
Doctor :   thats what we call is postural hypotension and its the main cause for lightheartedness
Doctor :   its nothing serious
Doctor :   and i will advice that you should get from the bed slowly
Doctor :   and avoid turning your head abruptly
User :   I'll contact my primary care doc for an xray. Where did you go to medical school?
Doctor :   we are based in India Bangalore, and i am a qualified general physician
Doctor :   yes you should get an X ray and and also your vitals tested
Doctor :   it can be a underline condition causing the pain
Doctor :   the tests will pinpoint the cause
Doctor :   and you can be treated accordingly
User :   Thank you for your help. I had a feeling English was not your primary language, because you spelled "lightheartedness" in stead of "lightheadedness".
Doctor :   oh i am sorry
Doctor :   it was a typo
Doctor :   i apologize
User :   Perfectly problem.
Doctor :   you take care
User :   Thank you, Doctor
Doctor :   your welcome
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