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What causes pain on pressing the lumbar area of spine?

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Posted on Sat, 12 Jul 2014
Question: Pain when i press on lumbar area of spine also pain when i press in SI joint area. Tingling in hands and feet
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Answered by Dr. Vaibhav Gandhi (1 hour later)
Brief Answer:
possibility of rheumatoid arthritis

Detailed Answer:
Hello,

I have studied your case with diligence.

As per your history and age there is possibility of rheumatoid arthritis or another possibility of spinal nerve compression in spine.

I will advise some important blood investigation like ASO titre, RA factor, ACCP, CRP, ESR, CBC.If you have done rest do ACCP which is more specific.

If on clinical examination disc compression is suspected then,
I will advise you to do MRI spine
For these symptoms analgesic and neurotropic medication can be started.
Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.
Physiotherapy like ultrasound and interferential therapy will give quick relief.
I will advise to check your vit B12 and vit D3 level.

You can continue your medication till reports arrive.

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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Follow up: Dr. Vaibhav Gandhi (13 hours later)
I have a sister with RA she was diagnosed at only 19. I have done an RA factor my levels were 2 points over range and with a nagative ANA. My vitamin D3 was really low it was at 12 about a year ago.
doctor
Answered by Dr. Vaibhav Gandhi (22 hours later)
Brief Answer:
Expalined below

Detailed Answer:
Hello again,

I will advise you to do ACCP which is more specific for rheumatoid arthritis.
As your sister has RA there is possibility of inheritance to you also.
Thats good that your ANA is negative.

For your low vit D you need to take vit D supplement weekly.

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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Answered by
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Dr. Vaibhav Gandhi

Orthopaedic Surgeon

Practicing since :1998

Answered : 5164 Questions

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What causes pain on pressing the lumbar area of spine?

Brief Answer: possibility of rheumatoid arthritis Detailed Answer: Hello, I have studied your case with diligence. As per your history and age there is possibility of rheumatoid arthritis or another possibility of spinal nerve compression in spine. I will advise some important blood investigation like ASO titre, RA factor, ACCP, CRP, ESR, CBC.If you have done rest do ACCP which is more specific. If on clinical examination disc compression is suspected then, I will advise you to do MRI spine For these symptoms analgesic and neurotropic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and interferential therapy will give quick relief. I will advise to check your vit B12 and vit D3 level. You can continue your medication till reports arrive. 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.