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Back ache after heat stroke, no migraine, taken Excedrin. Had rotator cuff surgery. What could this be?

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54 year old male, back muscles ache constantly get worse as day progress's. Pain get's extreme without migraine strength excedrin. 3 years ago had heat stroke, this started shortly thereafter. Has progressed to getting severe. Last year had rotator cuff surgery, seemed to help that side slightly.Have tried massage therapy and chiropractic seems to help short term. what could this be?
Posted Thu, 6 Sep 2012 in Bones, Muscles and Joints
Answered by Dr. Sudhir 47 minutes later

Since this has been a chronic issue with no much relief with massage therapy and chiropractic, I think it's time to rule out pinched nerve.

Common cause of pinched nerves is bulging intervertebral discs in the vertebral column that compress on the nerves as they come out of the spinal cord.

Conservative treatment include anti-inflammatory medications, physical therapy or chiropractic treatment, and avoiding activity that strains the neck or back. The majority of radiculopathy patients respond well to this conservative treatment, and symptoms often improve within six weeks to three months.

If patients do not improve with the treatments listed above they may benefit from an epidural steroid injection. With the help of an X-ray machine, a physician injects steroid medication between the bones of the spine adjacent to the involved nerves. This can help to rapidly reduce the inflammation and irritation of the nerve and help reduce the symptoms of radiculopathy.

But in your case I would recommend getting a MRI of back done.Then see a spine specialist who will take into account severity of your symptoms and MRI findings to guide about the treatment.

Hope this answers your question.

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