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I have upper right back pain while twisting the torso

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Posted on Mon, 25 Feb 2019
Question: I have upper right back pain while twisting the torso at a certain angle for around 3 weeks. I have tried resting, heat therapy (not too much) and pain medications for around a week now. I have a tiny intermittent pins and needles feeling in the back and feet. No fever, no bowel or bladder issue and no abdominal issue. Temperature is fine too. Breathing is fine. Back does not hurt while breathing, coughing or sneezing. I had a chest X Ray around a month back, which was normal.
I feel better when I get up in the morning but the pain increases in the night while going to sleep. Pain is confined to an area in the upper right back, I cannot sense any apparent swelling and/or tenderness. I want to rule out any serious issue, I do not currently have any other problem with abdomen or kidney related functions. I am, however, 2 days late for my period, which is leading to a bit of a discomfort and bloating in the stomach and chest.
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Answered by Dr. Praveen Tayal (2 hours later)
Brief Answer:
Oral muscle relaxants will help.

Detailed Answer:
Hello,
Thanks for posting your query.
The pain in the upper back that you are having is likely to be due to a muscle spasm that can cause mild disc compression resulting in pins and needles sensation. Lifting a heavy object, twisting, or a sudden movement can cause muscles or ligaments stretch or develop microscopic tears.

Some other underlying causes like Sciatica, Spondylitis, Lumbar herniated disc, Degenerative disc disease, Isthmic spondylolisthesis etc should be ruled out through clinical examination and radiological investigation (like X- ray, CT scan, Myelogram, MRI etc). Kindly, consult with Orthopedic surgeon regarding this for proper management of the case.

TREATMENT: Some general guidelines can help you to reduce lower back pain. These are as follows:

1) Take adequate bed REST with maintaining posture. Individuals who do not regularly exercise to build strength and flexibility are more likely to experience recurrent or prolonged lower back pain.

2) Alternate Hot water bottle or Ice pack can help to relieve most types of low back pain by reducing inflammation.

3) Oral muscle relaxants are quite useful to reduce inflammation and back pain. You need proper prescription from your doctor.

4) Exercise for Lower Back Pain : It is a key element of almost any lower back pain treatment plan. You may contact with Physiotherapist regarding this.

I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Wishing you good health.
Regards.
Dr. Praveen Tayal.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12083 Questions

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I have upper right back pain while twisting the torso

Brief Answer: Oral muscle relaxants will help. Detailed Answer: Hello, Thanks for posting your query. The pain in the upper back that you are having is likely to be due to a muscle spasm that can cause mild disc compression resulting in pins and needles sensation. Lifting a heavy object, twisting, or a sudden movement can cause muscles or ligaments stretch or develop microscopic tears. Some other underlying causes like Sciatica, Spondylitis, Lumbar herniated disc, Degenerative disc disease, Isthmic spondylolisthesis etc should be ruled out through clinical examination and radiological investigation (like X- ray, CT scan, Myelogram, MRI etc). Kindly, consult with Orthopedic surgeon regarding this for proper management of the case. TREATMENT: Some general guidelines can help you to reduce lower back pain. These are as follows: 1) Take adequate bed REST with maintaining posture. Individuals who do not regularly exercise to build strength and flexibility are more likely to experience recurrent or prolonged lower back pain. 2) Alternate Hot water bottle or Ice pack can help to relieve most types of low back pain by reducing inflammation. 3) Oral muscle relaxants are quite useful to reduce inflammation and back pain. You need proper prescription from your doctor. 4) Exercise for Lower Back Pain : It is a key element of almost any lower back pain treatment plan. You may contact with Physiotherapist regarding this. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal Wishing you good health. Regards. Dr. Praveen Tayal.