45yrs/F....no other complain..back pain mostly hip and neck region she done x ray before 6 months ago..she took some medication didn’t get any improvement plz diagonsed and give best line of treatment

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Hip pain Lumber spondylosis with radiculitis Greater trochanter bursitis. Sacro ilits Neck pain and hip pain should be assessed by clinical examination . X ray shows minimal degenerative changes not enough to cause radiculitis . Neck pain is not asseed by cervical spine xray. Vitamin D3 deficiency should be assessed . B12 deficiency causes muscular pains. Neck pain is due to many causes . Muscle imbalance faulty posture is also responsible for pain . TMJ arthritis also causes pain . Myalgia muscular rheumatism and fibromyositis are also other causes of muscular pain .polymyalgia rheumatica.

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Loss of lumbar lordosis, paraspinal muscle spasm Osteophytosis Degenerative spondylosis Suggest Rest, physiotherapy, NSAIDs, lumbar belt, extension exercises, vit D and calcium supplement Rule out RA

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Xray LS region are suggestive of spondylitic changes in L4L5 L5S1 Loss of lordosis RX NSAIDs Muscle relaxants Physiotherapy Like tab eterocoxib+thiocholchisone 8mg 1bd or tds Cap indomethacin 25mg 1tds Tab gabapentin 100mg+tab nortryptiline 10mg 1od at bedtime

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Likely to be degenerative disc disease Analgesics Muscle relaxants Gabapentin will help Lumbosacral corset Traction in physiotherapy may help MRI evaluation if symptoms persist

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Lumbar spondylosis with lordosis degenerative changes with osteophytes do hla27 r/0 ankylosing spondalytis

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The pain is at hip and neck and x-ray of lumbar spine shows little degenerative changes which are quite common in this age. D/D 1. Unilateral sacralization left side 2. Muscular spasm 3. Piriformis tightness causing piriformis syndrome responsible for hip pain 4. Gross neck muscle spasm due to poor posture. NEEDS CLINICAL EXAMINATION TO RULE OUT SOFT TISSUE INVOLVEMENT, X-RAY FINDING IS NOT ENOUGH TO CONCLUDE THE DIAGNOSIS.

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Xray shows early degenerative changes of lumbar spines with lumbar spondylosis. There is early fusion rt sacroliac joint Rest on hard bed Spinal extension exerscises Analgesic with muscle relaxant may help. Tab calcium to continue LS belt to use Cap Bit D3 60 k one cap wkly for 8 weeks

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IT'S A..CASE OF ? SPINE PATHOLOGY.. ? SPONDYLITIS.. DEGENERATIVE CHANGES..

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Dx Muscle spasm Rx Skelebenze 1-1-1 Dubinor 1 at 7 pm x 10 days

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रोगी वात व्याधि से ग्रस्त है। चिकित्सा,,,,, बृहत वात चिंतामणि रस स्वर्ण युक्त 1 रत्ती एकांग वीर रस 2 रत्ती सत गिलोय 4 रत्ती शहद में मिलाकर सुबह-शाम सेवन कराएं। महानारायण महामासादि तेल को मिलाकर सुबह-शाम मालिश करें। महारास्नादि क्वाथ 25 ग्राम सुबह-शाम खाने के बाद दें। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

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