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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Back pain, taken pain relievers. X-ray showed muscle spasm. Bone tuberculosis?

Hello Doctor Siegel, I think i have Bone Tuberculosis , i started having a back pain last quarter of 2011, i consulted a lot of doctors, they prescribed me pain relievers oral and external pain relieving creams. But the pain is not stopping so i decided to consult orthopedic surgeon, he ask me to undergo x-ray for the lumbar etc. after the result, he said i have muscle spasm so he advice me to undergo series of physical therapy rehabilitation. The pain was relieve but after awhile again comes back again. I need your help doctor , I don t like to suffer for long, My family depends on me because i m the only one helping them. I cannot afford to lost my job because of this. Please Doc help me!!! I feel hopeless because i dont have enough money to continue my query in order to hear your answers. Anyway thank you very much. Faithfully Yours, Zef
Thu, 3 Jul 2014
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Emergency Medicine Specialist 's  Response
Chronic back pain should be evaluated properly and causes for chronic back pain are millions.
with respect to you a long standing back pain not relieved with pain killers and physiotherapy should be further investigated before conforming the diagnosis.
If it is Spinal tuberculosis you should also have loss of weight, loss of appetite with low grade fever and spinal TB most commonly affects the thoracic( chest level) vertebra.
It is advisable to do a MRI scan of the vertebra before conforming the diagnosis and treat accordingly. In mean time continue physiotherapy , pain killer and life style modification like avoid lifting weights, avoid sitting in improper posture.
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