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
Dear Sir., Thanks for writing to us. The history indicates that your backache location must be in the Horace lumbar/upper lumbar region. There is no mention regarding the type of pain/radiation/history of evening rise of temperature/history of longstanding caught/family history of Koch's/history of Trauma/any h/o bowel and bladder disturbances. All these are relevant to pinpoint a diagnosis. The investigations include baseline Blood Counts/Chemistry/Urinalysis/Chest X-ray PA View/lateral/Lumbosacral Spinal X-rays/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 Immobilization Using Lumbosacral Belts(5)Pharmacotherapy by using opioid analgesics such as Tramadol //Skeletal 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., Chat Doctor. 