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Suggest treatment for severe back pain

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Posted on Tue, 14 Feb 2017
Question: I have had pain for 3 days without relief right back ribcage . a deep breath is extremely painful and is making me panicky. I got an adj by a chiropractor as a first remedy . it gave me slight relief for a few hours but now its still the same maybe a tad worse . I am in excellent health, almost 60 , not overweight, active, lots of energy, do NOT workout to everyones XXXXXXX and have had no recent injuries , accidents , illness, etc .trying to avoid an x-ray but think I need one. please help. only alive is helping take the edge off but I don't want to take that for long, please help. need relief today
doctor
Answered by Dr. Gopal Goel (35 minutes later)
Brief Answer:
Muscular spasm due to bad posture or dorsal spondylosis.

Detailed Answer:
Hi
I am Dr Gopal Goel Orthopedic Surgeon

You have severe pain posteriorly in your rib cage on right side which increases on taking deep breath.

Since you have no history of injury and are normal and active otherwise I would think about the pain due to a muscular spasm may be due to a bad posture while sleeping or it could be due to dorsal spine spondylosis.

Other possibility is lung infection, but lack of fever goes against it.

I suggest take pain killers, muscle relaxants and hot fomentation for few days and if there is no relief then get an X ray of the area.

Thanks for the question. Please feel free to ask any further question.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Follow up: Dr. Gopal Goel (1 hour later)
I don't have bad posture, have a good mattress and what is spine spondylosis? is that a chronic condition or does it go away/

I don't have poor posture and have good mattress, and what is spine spondylosis? is it chronic?

also, chiropractor said a rib was out of place. I know they have a different approach and philosophy but is that possible without an injury?
also , the chiropractor said a rib was out of place. how is that possible without an injury?
doctor
Answered by Dr. Gopal Goel (43 minutes later)
Brief Answer:
Could be due to muscular spasm.

Detailed Answer:
Hi I am Dr Gopal Goel Orthopedic Surgeon
Bad posture does not mean that you have bad posture habitually, It means that while sleeping or other activities , you have been in a different position evoking muscular spasm in back.
Dorsal spine spondylosis is a degenerative process in the spine same as you have in the neck and lower back.
In medical terms rib out of place is either due to fracture of ribs or severe muscular spasm . Muscular spasm will bring the ribs together and they may appear to be out of place.
I hope I have answered your question. Please feel free to ask any further question.
Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Gopal Goel (31 minutes later)
ok thank you, that was very clarifying,now, is the spondylosis same as arthritis? and the sleep posture situation is entirely possible, even probable. so how do I get muscle relaxers or pain medication ? I paid for this service to not have to go to the dr. or is that beyond your realm, also, again is the spondylosis chronic or does it just flare up occasionally?
doctor
Answered by Dr. Gopal Goel (0 minute later)
Brief Answer:
Spondylosis is equivalent tp spinal arthritis

Detailed Answer:
Hi
Spondylosis is equivalent to spinal arthritis which is chronic in nature .
I cannot ge you any meicines on this platform, I can only suggest the medicines you may take .
Nothing can equal a doctor's examination and then arriving at a diagnosis- only symptoms are never adequate to arrive at a diagnosis.
Thans for the questions
Above answer was peer-reviewed by : Dr. Raju A.T
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Dr. Gopal Goel

Orthopaedic Surgeon

Practicing since :1983

Answered : 1477 Questions

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Suggest treatment for severe back pain

Brief Answer: Muscular spasm due to bad posture or dorsal spondylosis. Detailed Answer: Hi I am Dr Gopal Goel Orthopedic Surgeon You have severe pain posteriorly in your rib cage on right side which increases on taking deep breath. Since you have no history of injury and are normal and active otherwise I would think about the pain due to a muscular spasm may be due to a bad posture while sleeping or it could be due to dorsal spine spondylosis. Other possibility is lung infection, but lack of fever goes against it. I suggest take pain killers, muscle relaxants and hot fomentation for few days and if there is no relief then get an X ray of the area. Thanks for the question. Please feel free to ask any further question.