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Dr. Andrew Rynne
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Dr. Andrew Rynne

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What causes fatigue and muscle spasm in spine?

Answered by
Dr.
Dr. Vaibhav Gandhi

Orthopaedic Surgeon

Practicing since :1998

Answered : 5164 Questions

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Posted on Mon, 16 Jun 2014 in Back Pain
Question: I am 60 years old and have had dozens of diseases and surgeries in my life, starting with cancer of the thyroid (papillary carcinoma). At the present time my GP is trying desperately to find a cause for my current problems: I've been to 3 neurosurgeons who have all examined MRI's of my LUMBAR, Thoracic, and Cervical spine. I can hardly walk, and when I do - using a cane, I walk looking at the floor (my spine hurts if I try to straighten my back and after about 15 steps or so, I MUST sit down (which relieves the pressure and hence the pain). The surgeons have ALL just shook their heads and said "this is just horrible"-" I'm sorry but I can't do the surgery that would be needed - it would be a 12-hr surgery and I'm not certain it would even help you that much". I lie down in bed most of the time to relieve my pain. I take 10 mg oxycodone up to 5xday and 40 mg long release morphine 3xday for pain. I also take diazepam, 5 mg up to 5xday. Still, that combination only makes me have less pain in general. When I go out (to a dr's apt), it takes me about 3 hours to get washed up, dressed walk out to my car, and then the 20 -minute drive is all painful and tiring. By the time I see the doctor and get home, I have great difficulty getting up the stairs. My helper has to actually push on my butt sometimes, and get me right to bed. (I need 24-hour care). And I haven't even mentioned my left shoulder/left arm. Images of both shoulders indicate severe problems - which is mostly manifested in an inability--due to a level 8 consistent pain. I cannot do anything with my left arm.
NOW MY DOCTOR HAS STARTED ME ON METAXALONE 800MG 3TIMES DAILY IN HOPES THAT IT WILL HELP MY OVERALL PROBLEMS. I WILL BE STARTING WITH IN-HOME PT SOON AS WELL.
MY QUESTION IS: COULD ALL OF MY PROBLEMS BE EITHER IMBALANCE OF HORMONES -OR- ]
AUTO-IMMUNE. My doctor and I are trying to connect the symptoms, so to speak, to try to understand why I get one thing after another.
(Note: I worked for 32 years for a Michigan Court of Appeals Judge, which was stressful, and volunteered for earth day events, bat education, frog counting for the DNR, etc.) I was forced onto disability by my boss in 2004 and went on Social Security Disability in 2007.
Any thoughts? XXXXXXX
doctor
Answered by Dr. Vaibhav Gandhi 1 hour later
Brief Answer:
Waiting for your MRI reports.

Detailed Answer:

Hello

I can understand the severity of your problem

I would like to know what report of MRI spine is so that I can help you better.

Metaxolone is for your muscle spasm in your spine.

Physiotherapy like USG and IFT may help you.
You can use supportive braces and canes for mobility.

Your entire problem can be hormonal as you are hypothyroid, there is early degeneration of your spine.

Many of my patients get relief from fatigue by yoga pranayama and XXXXXXX XXXXXXX so you can also due that.

Waiting for your MRI reports.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care.

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