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Suffering from pain in back, arm and forearm. Diagnosed as spondylosis. Required treatment?

Jan 2013
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Internal Medicine Specialist
Practicing since : 2003
Answered : 1658 Questions
hello sir,my father is suffering frm back pain,arm ,forearm pain since last few days,he s 65 yrs old,as fr as reprt cncern he s random serum glucose 110 mg,dl,uric acid 5.2 mg,dl,qt high,dr term as spondylosis ,may i knw the causes of back pain and al,reqd treatment fr it
Posted Mon, 15 Oct 2012 in Bones, Muscles and Joints
Answered by Dr. Mayank Bhargava 49 minutes later
Thanks for posting your query.
Although your father's blood reports are absolutely normal, its very essential to rule out whether pain is from joints/ from muscles in origin or neuropathic (because of nerve involvement).
Joint pain is associated with restriction in joint movement with swollen joints with fever.
Muscle pains are associated with tender muscles and restricted movements with normal joints.
Neuropathic pain are due to pressure on nerves as in cervical spondylitis.
Exact cause can be defined only after examination.
You should consult with physician/ neurologist and should go for cervical x XXXXXX Antero-posterior view & lateral view.
Your father should also go for thorough neurological check up with status of reflexes in upper limb.
Cervical spondylitis is associated with restricted neck movements and loss of reflexes in upper limbs.
He should take muscle relaxants with medicines for neuropathic pain such as pregabalin/ gabapentin/ oxcarbazepine/ dosulepin.
Put your views also if any.
Best regards,
Dr. Mayank Bhargava
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