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Suggest Remedy For Pain In Back And Neck

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Posted on Fri, 20 May 2016
Question: Hi. I have back and neck pain. Please help.
doctor
Answered by Dr. Olsi Taka (42 minutes later)
Brief Answer:
More information might be helpful.

Detailed Answer:
I read your question and I would dearly like to help to the extent of my possibilities.

However you have to provide some more detail on your history as causes of back and neck pain can be many. Some information on the history of pain, its manner of onset and duration, fluctuations, any spreading of pain to the limbs, fever or bladder control issues, other medical conditions you may have, tests you have had to investigate the cause of the pain.
Also more precise information on treatments you had is needed as I wouldn't want to make suggestions already tried and failed hence of no use to you.

Otherwise with the limited information at my disposal I can for the moment suggest only over the counter anti-inflammatory painkillers like Ibuprofen and muscle relaxants like Flexeril.

I remain at your disposal ofr further questions but possibly providing the information I asked for which might make me add more helpful and specific suggestions.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Olsi Taka (8 minutes later)
Hi. I've had rhinoplasty many years ago and my back pain started afterwards. I believe there is a connection. Perhaps one of my nerves got damaged. Also my face, particularly my nose feels numb and it's been like this for years now. I've had this back and neck pain for years now. I also got lyme disease years ago. This could also be another reason for back and neck pain. I also did a spinal tap I think twice and perhaps the robotic arm damaged one of my nerves. Finally I went to a doctor and was told that I could have some arthritis in my back and I got a procedure done. But I think it was only performed on my lower back area and my upper back area and neck hurts really bad. I wish there was some kind of solution to this. I really feel like something got damaged during my rhinoplasty and my face feels numb after rhinoplasty. I'm looking for a solution for that as well.
doctor
Answered by Dr. Olsi Taka (57 minutes later)
Brief Answer:
Read below.

Detailed Answer:
Thank you for the additional information.

Regarding the numbness feeling after rhinoplasty, that is a possible complication due to damage to the sensory nerve endings on the skin. Unfortunately though there is not a medicine to solve that, there is no drug to make nerve regeneration possible, and I am afraid that even the natural regeneration process which is hoped in the first year has ended now, after several years not much can be done to reverse the process.

As for the back pain being related to the rhinoplasty I can assure you that there is no relation whatsoever, there is no anatomical relation to justify that. Lumbar puncture may at times damage a nerve root, however that would cause pain along the trajectory of that individual nerve, not whole back pain and certainly not neck pain. (I am not sure what do you mean by robotic arm by the way, or do you mean that the doctor performing the spinal tap wasn't very skilled?).

So in front of a combined back and neck pain, indicating not one isolated lesion but changes involving several spinal column levels I believe arthritis is the most likely culprit. At your young age arthritis should be investigated, it is not due to age related wear and tear, a rheumatological condition must be sought after. By rheumatological condition I mean a group of conditions involving the connective tissue such as ankylosing spondylitis, rheumatoid arthritis, lupus etc. To diagnose these conditions imaging of the spine (x-ray most simple while MRI would be the best test), blood tests to search for inflammation markers (ESR, CRP) and some circulating antibodies (rheumatoid factor, antinuclear antibodies etc) present in these conditions are necessary. Once the type of disorder is established therapy which modifies the course of the disease can be initiated by a rheumatologist, otherwise if no proper diagnosis is made therapy is limited to the painkillers I mentioned above.

I hope to have been of help.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Olsi Taka

Neurologist

Practicing since :2004

Answered : 3673 Questions

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Suggest Remedy For Pain In Back And Neck

Brief Answer: More information might be helpful. Detailed Answer: I read your question and I would dearly like to help to the extent of my possibilities. However you have to provide some more detail on your history as causes of back and neck pain can be many. Some information on the history of pain, its manner of onset and duration, fluctuations, any spreading of pain to the limbs, fever or bladder control issues, other medical conditions you may have, tests you have had to investigate the cause of the pain. Also more precise information on treatments you had is needed as I wouldn't want to make suggestions already tried and failed hence of no use to you. Otherwise with the limited information at my disposal I can for the moment suggest only over the counter anti-inflammatory painkillers like Ibuprofen and muscle relaxants like Flexeril. I remain at your disposal ofr further questions but possibly providing the information I asked for which might make me add more helpful and specific suggestions.