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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How can backache with imbalance be treated?

Answered by
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Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2260 Questions

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Posted on Mon, 23 Jul 2018 in Headache and Migraines
Question: Lower back pain and balancing problems, get tired after short walk (1KM) and DM type2
doctor
Answered by Dr. Neeraj Kumar 27 minutes later
Brief Answer:
Get examined and evaluated by a neurologist

Detailed Answer:
Hello,
I have gone through your question and understand your concern.
There may be possibility of disc prolapse at lumbar spine region with compression and canal stenosis leading to such symptoms.
Diabetes mat also lead to such symptoms.
You should get examined by a neurologist and get a MRI lumbar spine done.
Pain killers with muscle relaxants can be taken for short duration.
Pain modulator drugs like pregabalin or gabapentin can be added too.
Hope you found the answer helpful.
Do get back to me for further information.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Neeraj Kumar 11 hours later
I have attached my reports that includes MRI reports. Please check. Also, Can you suggest a good neurologist in XXXXXXX
doctor
Answered by Dr. Neeraj Kumar 12 hours later
Brief Answer:
Take treatment as advised

Detailed Answer:
Hello,
As per attached reports and prescription, your balancing problem is due to spinocerebellar ataxia.
The back pain seems to be disc related and improvement is likely with medications and physiotherapy.
Drugs like pregabalin or gabapentin can be used.
Pain killers with muscle relaxants can be taken for short duration.
Hope you found the answer helpful.
Do get back to me for further information.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Neeraj Kumar 10 hours later
Presently I am taking dulot 30 which gives some relief in Diabetic nerve previously I was taking Pregabalin but it could not have some relief please advice the painkiller which I should take and the name of medicine Pregabalin and or gabapentin
Please suggest me the name and address of the doctor to be consulted in the matter. In and XXXXXXX or XXXXXXX along with phone number, if there is some government hospital where I can take the comprehensive treatment for all my disease Thanks XXXXXXX Aggarwal phone number 999 1113 0210 mail ID m 9111 30210@ gmail.com
doctor
Answered by Dr. Neeraj Kumar 13 hours later
Brief Answer:
Take treatment as advised

Detailed Answer:
Hello ,
You can increase the dose of duloxetine.
Gabapentin can be added if required.The dosage needs to be increased gradually for adequate response.
You can take tramadol or tapentadol for pain relief.
You can contact a neurologist in XXXXXXX GB pant or IBHAS hospitals in new XXXXXXX
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Prasad
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