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Pain in the lower back, midline. Tests required to diagnose? - Online Doctor Chats

Date : 12-Jun-2013
User rating for this question
Very Good Posted in: Back Pain
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
Doctor:How can I help you?
User:Hi Doctor
Doctor:Proceed with your query.
User:I'm having back pain
User:would like to know which tests need to be done to know the reasons.
Doctor:May I know your age?
Doctor:Since when do you have this pain?
Doctor:Can you specify which part of the back aches - upper back / lower back ; mid line or by the sides?
Doctor:Are you there?\
Doctor:How long since you been suffering from this ache?
User:since 4-5 years
Doctor:Has the pain worsened with time or has it remained the same?
Doctor:Does the pain spread down to your legs?
User:it remained the same
User:no spread down to my legs
Doctor:Thanks for providing these details.
Doctor:It seems like a mechanical pain. There are various levels of test done to diagnose the specific cause.
Doctor:Blood tests - complete blood count, ESR, C-RP
Doctor:X-ray of lumbosacral spine
Doctor:CT scan and MRI scan of lumbosacral spine are the most common tests done.
Doctor:A detailed physical examination of the spine is done to help doctors to skip few tests and to choose the relevant tests.
Doctor:Therefore I suggest all my patients to consider physical examination of the spine before directly going into investigations.
User:To start with, what should I do? should I XXXXXXX a doctor?
Doctor:I suggest the same to you - consult an orthopedic first for detailed spine examination. The doctor can then be able to wisely choose relevant investigations.
Doctor:It is possible that you may not need any investigations at all. Therefore the right choice of test at this point is a detailed spine examination by an orthopedic.
Doctor:Hope that is clear to you.
Doctor:Do you have any questions?
User:Yes doctor. Thanks.
Doctor:Do you have any questions?
User:No more questions. Thanks doctor.
Doctor:You are welcome.
Doctor:Thanks for consulting me.
Doctor:Bye for now.
User:Thanks and Bye for now.
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