Chronic Back Pain

X ray of thoracic spine Lateral view.This is update to previous case, Patient aged :24 gender:M C/o Back pain on right side only from 3 months,did a lot of heavy lifting i.e, shifting furniture,3 months ago he injured his back while lifting heavy a cupboard,he felt intense pain in his right side of back and experienced a spasm,he took Flexon MR tablet for 5 days after a month of this incident,before that he was tolerating the pain. After taking medicine for 5 days pain was gone for 2 days and since then from 2 months he has pain and soreness,pain is experienced while sitting and riding only and soreness also.Currently patient is not taking any medication.Suggest Rx and Dx. Patient Height 6'1". Weight 115Kg. Observations:Increased thoracic Kyphosis.

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X Ray image is not the mark.. BMI is more than 33...!. Certainly it creates the compressive pathology at thoratic and lumbar spines. First reduce the weight....change the life style.. exercises.. Pain is the reflection of spinal anatomy.

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This is lateral and not AP and blurred image nothing can be marked From history he looks to be c/o prolapse disc with paraspinal muscle spasm Or faceitis with stiff back Rx tab eterocoxib thiocholchicin8mg bd Cap indomethacin 25mg tds Hard bed rest Heat fomentation Adv MRI LS region

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Exaggerated kyphosis Look like Shuermans disease Rule out onset of ankylosing spondylitis Xray pelvis CT spine CBC esr RA factor Uric acid Crp

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NEED'S .. FURTHER EVALUATION WITH.. MRI STUDY .. HEMOGRAM.. CRP .. RAF .. URIC ACID .. MEANWHILE SYMPTOMATIC T/T..WITH CLINICAL CORRELATION.. ETEROCOXIB .. SPINE SURGEONS OPINION..

Tnx Dr Dinesh Gupta
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Mild massage should be given on back. In this case consitutional Homoeopathy Remedy is best Rhus tox 200 ch (tds) 8-10 drops in water 💦(tds) And Arnica injury gel (od) Before sleep. 1 month treatment. After 1 month follow up . If pain persist after 1 month then according to symptoms other line of treatment should given or continue same dosage .

To sit and sleep on ground... drumstick soup flaxseed oil for pain muscle manipulation techniques... alkaline diet no sugar no nonveg diet no eggs no mushrooms no fried foods no processed or fermented foods and@ beveragesno vyasan... cold pressed coconut oil massage and in naval lime juice lemongrass decoction carrots sprouts kalijeeri ginger figs apricots dates under strict supervision of Doctor

Xray clearity not good Mri lumbosacral Opinion of orthopedic

Please advise postural corrections and teach lifestyle modifications and ergonomics. Suggest's his reduce body weight..., He was suffered back muscles weakness.... Strengthen it..., lacking of mobility and flexibility...... please concentrate it..., Please do orthopaedic investigation's whether he ask....???!!! For his satisfaction......!!!!????.

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Xray is not having clear,but pts is over weight according to his age and height.. I think it's jst muscular spasm,. Pain will subsides gradually .... Firstly he has to decrease his weight It's almost 3 months he can take moist heat fomentation and stretching exercises...

Tens and ultrasound will helpful for pain relief. Static back and back extension exercises will help to strengthen the back muscles

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