Hi, welcome to our site. I am Dr Saumya Mittal, MD.
Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query
Yours is a condition known as myeloradiculopathy- that means the disorder (pathy) involves the
spinal cord (myelo-) and the nerves coming out of it (radiculo-).
Your spine is basically a column of bones separated by cartilages with spinal cord running inside this bony column. the nerves come out from the spinal cord and run out to the body through small gaps between the bones
These cartilages sometimes move from their place. This displacement can be in any direction, but is most prominently and commonly behind. Now when this disc (cartilage) slips behind, it manages to obstruct the gaps through which the nerve comes out. This causes damage to the nerve.
If the disc protrudes further, it may start to affect the coverings of the spinal cord (theca)at first, followed by the compression of the spinal cord itself.
I would usually suggest a prescription of
pregabalin and
methylcobalamin. This may be associated with
physiotherapy. A short course of steroid may afford some immediate relief.
If nothing works, surgery may be considered.
As for the rib pain, I think you will need an x ray of the chest. This may be a separate injury. There may have been a fracture of the rib that was not noted initially, and would not show in either of the tests you have reported so far.So yes, a visit to the ER is warranted. You may be seeing symptoms like pain on breathing or laughing.
However, let me warn you, there is nothing that can be done for a
rib fracture. Afterall we cant put a plaster on chest- there will be
difficulty breathing. There may be strapping yes. And some painkillers that you may take.
CT head is normal and there are no brain symptoms- so not to worry there
I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further.
I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you.
Please do understand that some details could be extracted from a detailed history and examination.
Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further.
(If the answer has helped you, please indicate this)
Best of luck.
Dr Mittal.
MBBS, MD (Internal Medicine), CC (
Diabetes Mellitus), DNB (Neurology)
Consultant Physician and Diabetologist
JS Hospital
Ex Apollo Hospital, Delhi
Ex Kailash Hospital, Noida