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I'm Having Sharp And Shooting Pain In My Back. I

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Posted on Fri, 26 Apr 2019
Question: I'm having sharp and shooting pain in my back. I feel it both both sides, also pain in the lower back. Any suggestions on what be happening? Also, had a ct scan on my stomach, and it came back clear. does that mean no tumors were found?
                                                       
                                                       
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Follow up: Dr. Dariush Saghafi (0 minute later)
I'm having sharp and shooting pain in my back. I feel it both both sides, also pain in the lower back. Any suggestions on what be happening? Also, had a ct scan on my stomach, and it came back clear. does that mean no tumors were found?
                                                       
                                                       
doctor
Answered by Dr. Dariush Saghafi (3 hours later)
Brief Answer:
No tumor in the stomach is Highly Likely to be the correct interpretation

Detailed Answer:
Good afternoon and thank you for your question regarding shooting back pains on both sides.

Since you've not presented to me any real history on these "shooting" pains on both sides of the back it is very difficult for me to pin a specific cause down. It really depends on how acute or chronic the problem is, whether it travels downward into the legs, or is it something in the upper back that travels downwards.

Of course, it could be something that only occurs when you assume a certain position or make certain movements. You see, there are likely many different ways to interpret your symptoms. If they've only been present for days or less then, it could be a simple muscle strain or issue with your posture (almost like sleeping badly or on a bed that needs a new mattress). If the problem is going on for longer and it's reproducible in terms of the location of the pain, the quality of the pain, the intensity of the pain, etc. then, you could be suffering from a pinched set of nerves which could be from a herniated disk, arthritic disease of the spinal column, or a mass lesion that has been slowly developing which may now be irritating nerve roots.

You've also not really localized the problem to a specific level. The back is a big place...so it would help to give an idea of where the pain seems to be seated and how far up or down it seems to travel.

Another possible explanation of pains that shoot in the back could be excessive curvature of the spine called scoliosis.

Therefore, based upon very limited information I would say that the cause of your back pain is Probably Benign (just based on statistics in a 50-year-old), it is probably more likely due to some degenerative arthritic process (again, age 50 puts you in that category of risk...especially if you do anything of a manual type of labor job or anything where repetitive lifting may be involved), and is something that may very well respond to conservative approaches and treatments such as Physical Therapy, a TENS unit, aqua therapy, massotherapy, Ultrasound/Diathermy, and of course, the dreaded...BACK Exercises!! One of the most commonly overlooked causes of painful backs in the U.S......BAD Mattress that needs to be changed like 10 years ago!

As far as the CT-scan of the stomach, if the message you got from the doctor's office or the nurse was "Clear" then, it is a very good bet that the radiologist did not see anything that could be suspicious for tumors or mass lesions. Typically, radiologists have a protocol for evaluating each organ of the body that is being scanned.

That way they tend not to miss things....at least really important things....they would look at shape and contour of the stomach, how it sits next to or within the abdominal space in which it is anatomically placed...look at the possible displacement of other organs, look at things such as air/fluid levels within the peritoneal cavity that could suggest a breach in the lining of the stomach or perforation by some process which could then, be looked for using other imaging techniques, etc. I don't think a good radiologist would easily miss a tumor in the stomach that was at least 1 cm in diameter because that is the limit to which CT can also see things. If a lesion or tumor were any less than 1 cm. then, a CT scan may not catch that entity and one would have to move to an MRI study to see smaller objects.

Therefore, the "clear" sign to me says, "Good to go, no tumors....."

If I've provided useful or helpful information to your questions and you have no further inquiries or comments at this time then, could you do me the utmost of favors in closing the query along with a few positive words of feedback and maybe even a 5-star rating if you feel it is deserving? I am definitely interested in getting updated information on how things are going in the next few days or weeks if you'd care to drop me a line at www.bit.ly/drdariushsaghafi

You can always reach me at the above address for this and other questions. I wish you the best with everything and hope this conversation has helped you give you a little more direction as to what you may wish to do as well as things you can discuss with your doctors.

This query required 22 minutes of professional time to research, assimilate, and respond in complete form.

Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Dariush Saghafi (0 minute later)
Brief Answer:
No tumor in the stomach is Highly Likely to be the correct interpretation

Detailed Answer:
Good afternoon and thank you for your question regarding shooting back pains on both sides.

Since you've not presented to me any real history on these "shooting" pains on both sides of the back it is very difficult for me to pin a specific cause down. It really depends on how acute or chronic the problem is, whether it travels downward into the legs, or is it something in the upper back that travels downwards.

Of course, it could be something that only occurs when you assume a certain position or make certain movements. You see, there are likely many different ways to interpret your symptoms. If they've only been present for days or less then, it could be a simple muscle strain or issue with your posture (almost like sleeping badly or on a bed that needs a new mattress). If the problem is going on for longer and it's reproducible in terms of the location of the pain, the quality of the pain, the intensity of the pain, etc. then, you could be suffering from a pinched set of nerves which could be from a herniated disk, arthritic disease of the spinal column, or a mass lesion that has been slowly developing which may now be irritating nerve roots.

You've also not really localized the problem to a specific level. The back is a big place...so it would help to give an idea of where the pain seems to be seated and how far up or down it seems to travel.

Another possible explanation of pains that shoot in the back could be excessive curvature of the spine called scoliosis.

Therefore, based upon very limited information I would say that the cause of your back pain is Probably Benign (just based on statistics in a 50-year-old), it is probably more likely due to some degenerative arthritic process (again, age 50 puts you in that category of risk...especially if you do anything of a manual type of labor job or anything where repetitive lifting may be involved), and is something that may very well respond to conservative approaches and treatments such as Physical Therapy, a TENS unit, aqua therapy, massotherapy, Ultrasound/Diathermy, and of course, the dreaded...BACK Exercises!! One of the most commonly overlooked causes of painful backs in the U.S......BAD Mattress that needs to be changed like 10 years ago!

As far as the CT-scan of the stomach, if the message you got from the doctor's office or the nurse was "Clear" then, it is a very good bet that the radiologist did not see anything that could be suspicious for tumors or mass lesions. Typically, radiologists have a protocol for evaluating each organ of the body that is being scanned.

That way they tend not to miss things....at least really important things....they would look at shape and contour of the stomach, how it sits next to or within the abdominal space in which it is anatomically placed...look at the possible displacement of other organs, look at things such as air/fluid levels within the peritoneal cavity that could suggest a breach in the lining of the stomach or perforation by some process which could then, be looked for using other imaging techniques, etc. I don't think a good radiologist would easily miss a tumor in the stomach that was at least 1 cm in diameter because that is the limit to which CT can also see things. If a lesion or tumor were any less than 1 cm. then, a CT scan may not catch that entity and one would have to move to an MRI study to see smaller objects.

Therefore, the "clear" sign to me says, "Good to go, no tumors....."

If I've provided useful or helpful information to your questions and you have no further inquiries or comments at this time then, could you do me the utmost of favors in closing the query along with a few positive words of feedback and maybe even a 5-star rating if you feel it is deserving? I am definitely interested in getting updated information on how things are going in the next few days or weeks if you'd care to drop me a line at www.bit.ly/drdariushsaghafi

You can always reach me at the above address for this and other questions. I wish you the best with everything and hope this conversation has helped you give you a little more direction as to what you may wish to do as well as things you can discuss with your doctors.

This query required 22 minutes of professional time to research, assimilate, and respond in complete form.

Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Dariush Saghafi (43 hours later)
thanks for the information. The back pain is in the lower to middle back. It's on both sides, and end the middle. The pain shoots down into my hips. After the CT scan, they told me I have my L5-S1 is degenerative changes with building disc Super imposed formal canal stenosis. Not sure if that has anything to do with what I'm feeling. Please let me know your thoughts.
default
Follow up: Dr. Dariush Saghafi (0 minute later)
thanks for the information. The back pain is in the lower to middle back. It's on both sides, and end the middle. The pain shoots down into my hips. After the CT scan, they told me I have my L5-S1 is degenerative changes with building disc Super imposed formal canal stenosis. Not sure if that has anything to do with what I'm feeling. Please let me know your thoughts.
doctor
Answered by Dr. Dariush Saghafi (9 hours later)
Brief Answer:
Sounds like you have a BULGE at your L5/S1 disc

Detailed Answer:
Thank you for additional information from the CT scan.

Although CT scans can give the general idea as to what is going on, an MRI is typically much more reliable and detail oriented so that things such as NERVE ROOTS themselves can be seen. In all probability the CT scan results are accurate with respect to the ARTHRITIC CHANGES that they're detecting in the lumbosacral spine and basically that's all the rest of it comes down to in terms of the big fancy words that only people who speak Latin can understand! LOL....

The CT scan basically says that you've got several classic radiographic signs for bony abnormalities that can be seen as a part of the normal aging process as well as in people who have previously injured their backs, or in people who overwork and repetitively bend/lift or do heavy manual labor using their back. If your pain is shooting to the hips and no farther then, we might refer to your condition as "mechanical back pain" since it is derived from spinal column elements (disks, facet joints, spinal canal narrowing or stenosis, etc.). It does not sound as if nerve roots are being involved at this stage of the game.

An MRI of the lumbosacral spine may further elaborate the extent of this mechanical back pain and there may be a way of telling whether or not you are in an impending state to suffer from NERVE ROOT COMPRESSION which then, may take things to a whole different level of complication.

Your best bet in my opinion is to be sure you've been examined by a good neurologist who can determine whether or not clinically you have nerve root compression (PINCHED NERVES). He then, will be able to determine whether or not an MRI should be done to further support or look for any other pathology that may not have been detected by CT scan. He may also make a decision on whether or not it would be a good idea to order an ELECTRICAL STUDY on you known as an EMG/NCV study.

The CT SCAN does not seem to be providing a lot of compelling information that would lean toward needing any type of surgical procedure but again, there could be other mitigating circumstances at play so ultimately the examining doctor should be given first dibs to say what should happen with you from a surgical vs. rehab perspective.

Here is a nice little video clip that only takes a few minutes to watch and if you listen carefully they mention and THEY SHOW you some beautiful structural anatomy on a cartoon skeleton as to where your problems actually lie as well as what can be done. The video was produced by a company promoting and designing types of surgical procedures that are done so it's not a video entirely free of commercial bias...but if you NOT focus on the marketing portion of the video and just look at it for how it relates to your CT report you will get a lot of mileage from the report. Try it and see what you think:

https://www.youtube.com/watch?v=nyUD1ODN-aM


Once again, I hope I've provided helpful information to your questions and would be very grateful if would CLOSE THE QUERY along with writing a few positive words of feedback and maybe even a 5-star rating if you feel it is deserving? I am definitely interested in getting updated information on how things are going with you in the next few days so please drop me a line at www.bit.ly/drdariushsaghafi

You can always reach me at the above address for this and other questions. I wish you the best with everything and hope this discussion and animation of the spinal column has helped you understand what you need to do or the discussions you need to have with your treating physician for the best outcome to happen (hopefully WITHOUT surgery).

This query required 77 minutes of professional time to research, assimilate, and file a response.

Cheers!
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Dariush Saghafi (0 minute later)
Brief Answer:
Sounds like you have a BULGE at your L5/S1 disc

Detailed Answer:
Thank you for additional information from the CT scan.

Although CT scans can give the general idea as to what is going on, an MRI is typically much more reliable and detail oriented so that things such as NERVE ROOTS themselves can be seen. In all probability the CT scan results are accurate with respect to the ARTHRITIC CHANGES that they're detecting in the lumbosacral spine and basically that's all the rest of it comes down to in terms of the big fancy words that only people who speak Latin can understand! LOL....

The CT scan basically says that you've got several classic radiographic signs for bony abnormalities that can be seen as a part of the normal aging process as well as in people who have previously injured their backs, or in people who overwork and repetitively bend/lift or do heavy manual labor using their back. If your pain is shooting to the hips and no farther then, we might refer to your condition as "mechanical back pain" since it is derived from spinal column elements (disks, facet joints, spinal canal narrowing or stenosis, etc.). It does not sound as if nerve roots are being involved at this stage of the game.

An MRI of the lumbosacral spine may further elaborate the extent of this mechanical back pain and there may be a way of telling whether or not you are in an impending state to suffer from NERVE ROOT COMPRESSION which then, may take things to a whole different level of complication.

Your best bet in my opinion is to be sure you've been examined by a good neurologist who can determine whether or not clinically you have nerve root compression (PINCHED NERVES). He then, will be able to determine whether or not an MRI should be done to further support or look for any other pathology that may not have been detected by CT scan. He may also make a decision on whether or not it would be a good idea to order an ELECTRICAL STUDY on you known as an EMG/NCV study.

The CT SCAN does not seem to be providing a lot of compelling information that would lean toward needing any type of surgical procedure but again, there could be other mitigating circumstances at play so ultimately the examining doctor should be given first dibs to say what should happen with you from a surgical vs. rehab perspective.

Here is a nice little video clip that only takes a few minutes to watch and if you listen carefully they mention and THEY SHOW you some beautiful structural anatomy on a cartoon skeleton as to where your problems actually lie as well as what can be done. The video was produced by a company promoting and designing types of surgical procedures that are done so it's not a video entirely free of commercial bias...but if you NOT focus on the marketing portion of the video and just look at it for how it relates to your CT report you will get a lot of mileage from the report. Try it and see what you think:

https://www.youtube.com/watch?v=nyUD1ODN-aM


Once again, I hope I've provided helpful information to your questions and would be very grateful if would CLOSE THE QUERY along with writing a few positive words of feedback and maybe even a 5-star rating if you feel it is deserving? I am definitely interested in getting updated information on how things are going with you in the next few days so please drop me a line at www.bit.ly/drdariushsaghafi

You can always reach me at the above address for this and other questions. I wish you the best with everything and hope this discussion and animation of the spinal column has helped you understand what you need to do or the discussions you need to have with your treating physician for the best outcome to happen (hopefully WITHOUT surgery).

This query required 77 minutes of professional time to research, assimilate, and file a response.

Cheers!
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
Dr.
Dr. Dariush Saghafi

Neurologist

Practicing since :1988

Answered : 2473 Questions

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I'm Having Sharp And Shooting Pain In My Back. I

I'm having sharp and shooting pain in my back. I feel it both both sides, also pain in the lower back. Any suggestions on what be happening? Also, had a ct scan on my stomach, and it came back clear. does that mean no tumors were found?