question-icon

Suggest treatment for severe back pain in the upper back and the shoulder blades with continued spasms around the left shoulder with a clinical history of femoral neuropathy.

default
Posted on Fri, 28 Dec 2018
Question: I have had severe back pain beginning last Monday in upper back and shoulder blades. Now my neck and lower back have kicked in with continued spasms around the left shoulder blade along with my left hip. I am wearing a back braced that gets some support. I have had femoral neuropathy in my left leg since surgery gone wrong November 2, 2008 between the L2 & L4. The week before this I had intestinal flu for a week and dropped 11 #s. DH
doctor
Answered by Dr. Lekshmi Rita Venugopal (2 hours later)
Brief Answer:
Please follow up with additional details

Detailed Answer:
Hello,

I have gone through your question. However, Please follow up with additional details so that I can give you a definite answer.

- Please describe the quality of pain- dull aching or spams?
-Is the pain constant or intermittent?
-is the pain worsened by activities like walking or lifting weight?
-Have you noticed any weakness of legs or arms?
-Any history of trauma preceding the onset of pain?
- Did you lose weight following the stomach flu? If so, how much over how long?
-Do you have fever, headache, vomiting?
-Are you on any medications?
-Any other concerning symptoms other than pain?

Thanks and Regards
Dr. Lekshmi Rita Venugopal,
General & Family Physician
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
default
Follow up: Dr. Lekshmi Rita Venugopal (1 hour later)
Spasms and mobility is also nile.
Constant.
Can hardly walk and very minimal ability to lift any weight. Bowl movement cleaning is almost impossible.
No as to legs and arms. As noted above I have femoral neuropathy.
No trauma prior to pain.
As noted above 11# in less than a week (eleven pounds).
No just lots of diarrhea.
Yes mostly for hypertension.
The pain seems to be very concerning as it pretty much limits all activities.
XXXXXXX Hansing
Replied 16:24
default
Follow up: Dr. Lekshmi Rita Venugopal (1 hour later)
See above
doctor
Answered by Dr. Lekshmi Rita Venugopal (3 hours later)
Brief Answer:
Follow up answer.

Detailed Answer:

Hello,

Muscle pain and spasms following diarrhea are likely due to electrolyte loss. You need to replenish electrolytes by drinking electrolyte containing drinks like Gatorade.
You have mentioned loosing around 11 pounds in a very short period of time which is quite concerning. Rapid weight loss along with back pain warrants CT scanning of the spine.
For managing the pain you can take Advil 400 mg up to 4 times a day. Please discuss with your doctor regarding prescribing Tramadol. Tramadol is included in a class of opioids which is effective pain medication. You can schedule an appointment with a pain management clinic if more potent opioid than tramadol is required.

Hope I was able to help you.
Please let me know if you need further clarification

Regards
Dr. Lekshmi Rita Venugopal,
General & Family Physician
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
Dr.
Dr. Lekshmi Rita Venugopal

General & Family Physician

Practicing since :2012

Answered : 3664 Questions

premium_optimized

The User accepted the expert's answer

Share on
Suggest treatment for severe back pain in the upper back and the shoulder blades with continued spasms around the left shoulder with a clinical history of femoral neuropathy.

Brief Answer: Please follow up with additional details Detailed Answer: Hello, I have gone through your question. However, Please follow up with additional details so that I can give you a definite answer. - Please describe the quality of pain- dull aching or spams? -Is the pain constant or intermittent? -is the pain worsened by activities like walking or lifting weight? -Have you noticed any weakness of legs or arms? -Any history of trauma preceding the onset of pain? - Did you lose weight following the stomach flu? If so, how much over how long? -Do you have fever, headache, vomiting? -Are you on any medications? -Any other concerning symptoms other than pain? Thanks and Regards Dr. Lekshmi Rita Venugopal, General & Family Physician