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What causes lower back pain, itchy neck and tenderness between shoulder blades?

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Posted on Wed, 27 Jul 2016
Question: I have had a number of issues lately. I have been experiencing pains in my lower back in the middle. I have tenderness between my shoulder blades and my neck is itchy. I also get pains around my right hip. Most recently I have had painful calfs and feet when resting (mainly my right leg/outside of my left front near my toes and both heels and up to toes). I sometimes wake up in the night and I can not feel my arm or hands at all.(this is painful) I also have a pea sized lump inside my naval which I can literally push back in with my finger. My feet have little white raised pimples on the top of them and can be very itchy at night. Also I have noticed my skin is grey at times over my elbow and my hands look old and red. I seem to be getting lots of angry red spots around my chest area. I am a smoker and I drink alcohol. I am not alcohol dependant and I will go for days without smoking or drinking, however I do binge. My urine seems a normal colour however I rarely have solid stools. I am 6ft 2 and approx. 19 stone. I seem to be hungry all of the time. I am 33 years old. My lifestyle has not been great over the last 2 years and I would say I do less than 1 day / week exercising for any more than an hour. I am very stressed with my job and I struggle to sleep a great deal meaning I am tired most of the day but I seem to get a second wind just before bed.
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Answered by Dr. Suresh Heijebu (10 hours later)
Brief Answer:
Further tests are needed.

Detailed Answer:
Hello, Sir

I can certainly understand your concern.

I have worked through your query in detail.

First and foremost each of your clinical issue need to be addressed.

Pain in the lower back and in between shoulder blades should be carefully evaluated.

I advise you to get an ultrasound abdomen initially as my disorders of pancreases or liver or gall bladder ( particularly in those who consume alcohol) can present as back pain.Hence it's important to rule out the first.

Secondly with regards to itching, I advise you get a complete blood picture test and Liver function tests.

Thirdly with regards to itchy pimples on chest and feet, I request you to kindly upload the pictures so that I can get a better view of them and guide you appropriately.

Post your further queries if any.
Thank you.


Above answer was peer-reviewed by : Dr. Yogesh D
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Follow up: Dr. Suresh Heijebu (57 minutes later)
what about the pain in my legs and feet. and the lump in my belly button
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Answered by Dr. Suresh Heijebu (17 minutes later)
Brief Answer:
Color Doppler ultrasound is needed.

Detailed Answer:
Hello, Sir.

I apologise for not making a mention of these issues in my earlier response.

The lump on your belly button will revealed in the ultrasound.

The pain the legs and calf warrant blood tests. like Serum Electrolytes study and Duplex Ultrasound Doppler of both legs.

Further management is based largely on the tests results .

Post your further queries if any.
Thank you.


Above answer was peer-reviewed by : Dr. Priyanka G Raj
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Answered by
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Dr. Suresh Heijebu

General & Family Physician

Practicing since :2010

Answered : 3659 Questions

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What causes lower back pain, itchy neck and tenderness between shoulder blades?

Brief Answer: Further tests are needed. Detailed Answer: Hello, Sir I can certainly understand your concern. I have worked through your query in detail. First and foremost each of your clinical issue need to be addressed. Pain in the lower back and in between shoulder blades should be carefully evaluated. I advise you to get an ultrasound abdomen initially as my disorders of pancreases or liver or gall bladder ( particularly in those who consume alcohol) can present as back pain.Hence it's important to rule out the first. Secondly with regards to itching, I advise you get a complete blood picture test and Liver function tests. Thirdly with regards to itchy pimples on chest and feet, I request you to kindly upload the pictures so that I can get a better view of them and guide you appropriately. Post your further queries if any. Thank you.