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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Back Pain, Stressful Fracture On Left Foot, Diabetic. Taking Tramadol Tablets. Suggestions?

hi i have suffered with a bad back for years,but since April this year ive had severe lower back pain,im takin tramadol tablets,which dont seem to work,if i take two pain is a little easier,i found out 3weeks ago i have a stressful fracture of my left foot which is also very painful,ive been given a boot and crutches to use,but my back is so bad i nearly passed out with pain whilst out shopping 2wks ago?can you suggest what i can do im waiting to hear of a neurologist ,i am also a diabetic type 1,for 52yrs thank you jan.
Mon, 29 Jul 2013
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Radiologist 's  Response
Hello
Thanks for writing to HCM

For your chronic backache ,X-ray of lumbar spine AP/Lateral view should be taken.
MRI lumbar spine should also be done as it can clearly depict nerve involvement.
Treatment depends upon the findings.
You can take Pregabalin capsules as it is helpful in neuropathic pain.
You should also seek opinion of neurologist.

Take Care
Dr.Indu Bhushan
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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Hello and Welcome to HCM,
Thanks for writing to us.
*I understand you have back pain . These symptoms are part of lumbar disc degeneration with PIVD where the nerves get compressed by the protruded disc.
There are several treatment modalities with medicines, physiotherapy and with injections in the back called epidural injections and root/facet blocks.
If you dont get better with these treatment ,I suggest you undergo surgery, by which the nerves are decompressed by removing the protruded disc (discectomy), which would significantly improve your symptoms
Hope this helps you.
Wishing you good health...
Regards.
Dr Saurabh Gupta.
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Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
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Severe Back Pain, Stressful Fracture On Left Foot, Diabetic. Taking Tramadol Tablets. Suggestions?

Hello Thanks for writing to HCM For your chronic backache ,X-ray of lumbar spine AP/Lateral view should be taken. MRI lumbar spine should also be done as it can clearly depict nerve involvement. Treatment depends upon the findings. You can take Pregabalin capsules as it is helpful in neuropathic pain. You should also seek opinion of neurologist. Take Care Dr.Indu Bhushan