Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
154 Doctors are Online

Severe low back pain - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2581 Questions
User :   Hi
Doctor :   Hi
Doctor :   Good afternoon.
Doctor :   This is Dr XXXXXXXX here.
Doctor :   How can I help you?
User : too
User :   Since long time i am having severe lower back pain...
User :   just above the tale bone...
Doctor :   Ok
User :   i feel like i am having a swelling in that area..
Doctor :   Ok
User :   and when the pain get more, immediately the after i get fever, feel exhausted, my joints start paining..
Doctor :   Ok
User :   this is happening now for long time..i even consulted general physian for this..but they give some medicines for fever..and after two day my routine is back...
User :   again after a month or so my back pain starts
Doctor :   May I know since when is this happening?
User :   once i had tested my blood and all..the Doc said about rheumatism...but in the next report there was nothing..
User :   for more than a year now..
Doctor :   Ok
Doctor :   When was these blood test done (latest)?
User :   may be 6-8 months back..
Doctor :   Ok
Doctor :   Did you undergo Xray's or scans?
User :   Xrays yes..but no scanning...
Doctor :   Were the X ray's normal?
User :   yes..
Doctor :   Ok
User :   sometime the pain so much that i cannot even sleep clamly..
Doctor :   Do you have pain in any where else in the body?
User :   today again i am feeling the same...and i feel like exhausted, my full body started paining, and i am feeling like i will be getting fever tmrw..
User :   no..
Doctor :   You mentioned that you see a swelling at the region of pain?
Doctor :   Can you confirm it?
User :   yes...
Doctor :   If yes, can you describe how big the swelling appears?
Doctor :   Do you find any discharge from the swelling?
User :   if you touch that particular part than i cannot resist the pain..
Doctor :   can you describe how big the swelling appears?
User :   the swelling is slight and theres no discharge from it..
Doctor :   Ok
Doctor :   Ok
Doctor :   Did you see a doctor, when you had this extreme pain?
User :   yes..
Doctor :   Did the doctor confirm the presence of swelling?
Doctor :   Do you have any other medical illness such as diabetes, high blood pressure?
Doctor :   Do you get on and off fever?
User :   when i reached the doc..i got fever..and i think the doc didnt releazed the swelling...this is what i now noticed..
Doctor :   Do you have any other medical illness such as diabetes, high blood pressure?
User :   i do not have any other mediacl illness, but yes bcoz of this back pain i often get on and off of fever..
Doctor :   Ok
Doctor :   Before explaining to you, let me confirm your complaints.
User :   also sometimes, when i get up from my bed in the morning and turn my neck downwards, i get severe pain in my spine..even that pain is sometimes non-torreable..
Doctor :   1. You get on and off severe pain located at just above the tail bone since 6- 8 months.
User :   this back pain is for more than a year now..
Doctor :   2. You find the swelling in the same area of the pain.
Doctor :   If you agree, I shall continue with explaining to you.
User :   yes..
Doctor :   Ok
Doctor :   Pain in the spine region can occur due to multiple reasons.
User :   ok
Doctor :   Without a proper physical examination, I cannot specify the exact cause of the pain.
Doctor :   But based on your description I can think of the following possibilties
User :   ok
Doctor :   1. It is a muscular pain secondary to posture and sitting on a chair for long duration - such as while working on a computer
User :   ok
Doctor :   2. Spine deformities
Doctor :   3. Soft tissue pathology - such as an infection, pilonidal cyst and so on.
User :   ok
Doctor :   4. Chronic inflammation/degenerative changes of the spine bones.
Doctor :   These 4 are the possible causes.
User :   ok
Doctor :   A visible swelling with tenderness can indicate the 3rd possibilty, which needs appropriate treatment, in the form of antibiotics or minor procedure.
User :   ok
Doctor :   The rest can only be diagnosed based on blood tests and scans.
Doctor :   Hence my suggestions to you are
Doctor :   1. When in severe pain, avoid sitting on a chair for long duration, bed rest(lying on the side) is advisable
User :   ok
Doctor :   2. Use local heat therapy in the form of heat fomentation at the region of pain
User :   ok
Doctor :   3. Use oral antiinflammatory drugs such as Ibuprofen 400mg twice a day after food for 2- 3 days.
Doctor :   4. Watch out for the appearance of swelling, redness over the region of pain.
User :   ok
Doctor :   If you notice them, you need to report to a doctor.
Doctor :   A physical examination of the affected site will rule out possible soft tissue pathologies such as infection/pilonidal cysts
Doctor :   5. Involve in back strengthening exercises, early morning physical exercise
User :   ok
User :   one thing which doc should i go for...i mean general physian or ortho or neuro..?
Doctor :   6. If symptoms are very frequent, then you may need blood tests and scans to look for spine pathologies
Doctor :   7. Lastly avoid severe physical activities such as lifting heavy weights.
User :   ok
Doctor :   You can consult a general physician when ever you get such symptoms again.
User :   ok
Doctor :   Before I conclude, If you are a hairy individual who have excess hair around the affected region,
Doctor :   you can use depilation techniques to remove those hairs.
Doctor :   They can help in preventing cyst or infective follicles.
Doctor :   Hope I am clear to you.
User :   yes..
Doctor :   Do you have any other query?
User :   no, but justed wanted an doc appointment..
User :   also what is this Spine diff from a regular path lab
Doctor :   By spine pathology, I mean a vertebral column (spine problem) such as disc prolapse, inflammation, osteoarthritis and so on.
Doctor :   The can be diagnosed based on physical examination and scans.
Doctor :   And with regards to the appointment, it is best to see the doctor when you have the symptoms of pain with or without swelling.
Doctor :   If you are in terrible pain now, I suggest that you use bed rest, and we shall help you in fixing an appointment with a doctor.
User :   i am having the pain its better for me to get it diagonosed today evening or can you please advise me such doc name/hospital
Doctor :   If you need an appointment, then please confirm your phone number and locality?
User :   yes..i stay in Srinagar Colony and my cell no. is 0000
Doctor :   Do you mean Hyderabad?
User :   Oh sorry..yes..
Doctor :   Ok
Doctor :   One of our customer support team will get back to you shortly after this chat and will guide you as well as fix an appointment with a specialist.
Doctor :   Do you have any other medical query?
User :   yes...but for now i need this to be diagonosed first..:)
Doctor :   Ok
Doctor :   One of our customer support team will call you back to you and guide you with the appointment.
User :   thanks doc for all your help here..i really appreciate this...
Doctor :   Thanks for consulting.
Doctor :   Wish you faster recovery
Doctor :   Bye for now.
User :   Many thanks..hv a gr8 day
User :   bye
Question is related to
Diseases and Conditions
Lab Tests
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor