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Backbone pain. Is treatment possible?

Sir, I have randomly arising pain just near left side of Spinal Cord in the middle part of back bone. But sir I Have a problem, that my body behavior is not easily observable by Human hand , Only High resolution electronic machines can justify me. Sir is my treatment possible, please suggest me. SHRI MANI Er. BSNL Muzaffarpur
Asked On : Sun, 23 Dec 2012
Answers:  1 Views:  56
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General & Family Physician 's  Response
Dear Sir.,
Thanks for writing to us.
The history indicates that your backache location must be in the thoraco lumbar/upper lumbar region.
There is no mention regarding the type of pain/radiation/history of evening rise of temperature/history of longstanding caugh/family history of Kochs/history of Trauma/any h/o bowel and bladder disturbances. all these are relevant to pin point a diagnosis.
The investigations include baseline Blood Counts/Chemistry/Urinalysis/Chest XRay PA View/lateral/Lumbosacral Spinal X-xays/MRI at the higher end of investigations.
the differential diagnosis could be due to compression of spinal nerve roots Radiculopathy due to (A)PIVD-Prolapse of Intervertebral Disc(B)Spondylosis(C)Ankylosing Spondylosis(D)Koch's spine.
Treatment;-(1)Rest to the affected Part,(2)Treating the cause(3)Physiotherapy by SWD and Traction(4)Temporary Immobilisation Using Lumbosacral Belts(5)Pharmacotherapy by using opioid analgesics such as Tramadol //Skelital Muscle relaxants such as chlorzaxazone//
(5)Spinal Minimally invasive endoscopic surgery.
Avoid abruptly bending/lifting of weights/squatting/use a Hard Bed Rest.
Wishing you a speedy recovery.,

Best Regards.,
Dr Lt Cdr ASN Bhushan,

Answered: Mon, 24 Dec 2012
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