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How Should Severe Back Pain For Over Six Months Be Treated?
Question: Hi
My wife who is 30 years old has been having severe back pain since last 6 months. We have visited multiple orthopedecian and one recently
Please note i have attached the report from the xray done recently
My wife who is 30 years old has been having severe back pain since last 6 months. We have visited multiple orthopedecian and one recently
Please note i have attached the report from the xray done recently
Brief Answer:
Flat back syndrome
Detailed Answer:
Hi,
I have seen the report. There is loss of normal curvature of lower spine. Loss of lumbar lordosis is also called as Flat back syndrome.
Kindly ask specific query so that I am better able to help.
Dr Vaishalee
Flat back syndrome
Detailed Answer:
Hi,
I have seen the report. There is loss of normal curvature of lower spine. Loss of lumbar lordosis is also called as Flat back syndrome.
Kindly ask specific query so that I am better able to help.
Dr Vaishalee
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks Dr. Vaishalee. I need further advise on what should the next step be - should we continue with medications and also the doctor we are working with has recommended 2 more injections of architol 6l vitamin d ones. What would your advise be over next steps and treatment
Brief Answer:
Medicine better than surgery
Detailed Answer:
Hi again
In my experience, management with medicines is better than with surgery.
In medicines also, we need to be careful about prolonged use of medicines that may have side effects.
Cause of this condition must be treated. If the cause is vitamin D deficiency, then giving Architol will help. While taking Architol, we need to be aware of its toxicity symptoms. Its a fat soluble vitamin and may accumulate in body. Toxicity may include muscle pain, muscle spasms, kidney stones, confusion, thirst, urination etc. Since bone density is normal I am assuming that vitamin D is near normal or normal.
Best treatment of lumbar lordosis is its prevention. Cause has be found and its appropriate management to be done. If there is muscle spasm, then it needs to be identified and corrected. If there is a disc problem, it will show in MRI. I think surgery has not been there otherwise back surgery is a common cause of loss of lumbar lordosis. Ankylosing spondylitis is better dealt by a rheumatologist.
Dr Vaishalee
Medicine better than surgery
Detailed Answer:
Hi again
In my experience, management with medicines is better than with surgery.
In medicines also, we need to be careful about prolonged use of medicines that may have side effects.
Cause of this condition must be treated. If the cause is vitamin D deficiency, then giving Architol will help. While taking Architol, we need to be aware of its toxicity symptoms. Its a fat soluble vitamin and may accumulate in body. Toxicity may include muscle pain, muscle spasms, kidney stones, confusion, thirst, urination etc. Since bone density is normal I am assuming that vitamin D is near normal or normal.
Best treatment of lumbar lordosis is its prevention. Cause has be found and its appropriate management to be done. If there is muscle spasm, then it needs to be identified and corrected. If there is a disc problem, it will show in MRI. I think surgery has not been there otherwise back surgery is a common cause of loss of lumbar lordosis. Ankylosing spondylitis is better dealt by a rheumatologist.
Dr Vaishalee
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks DR Vaishalee for the prompt help and advise. Really appreciate it. Have a good day ahead.
Brief Answer:
Thanks
Detailed Answer:
Thanks for consulting me online.
Dr Vaishalee
Thanks
Detailed Answer:
Thanks for consulting me online.
Dr Vaishalee
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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