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Suggest Treatment For Lower Right Back Pain
Question: I am having intense back pain in my lower right whenever I move just right. This started a few days ago perhaps by raking leaves and/or my matress but was once in a while and now is constant. I am having difficulty typing this without getting a sharp shooting pain that comes on with any way I move. The pain is centered on my lower right back and doesn't seem to be spinal in nature. But tonight I woke up about 2:30AM (eastern) to go to the bathroom and had no problem with walking up there. The intense pain started when I went to walk back to my bed, which is downstairs. I got paralyzing pain every step of the way and wouldn't stop when I went to lay down. It sort of comes and goes, but comes on whenever I move, shift positions. It is now 4:00AM and I am getting pain sitting in this chair, whenever I move such as reach for something or shift my legs.
Brief Answer:
as explained in details.
Detailed Answer:
Hi.
Thanks for your query and an elucidate history.
Read and re-read the history and understood your concerns.
My thoughts:
The pain is acute and sudden and at right lower side, aggravated even by slightest of movement and as described you.
The commonest causes I can think of are:
Acute sacroiliitis with muscle spasm.
Tenosynovitis of para-spinal muscles attached to sacrum and ilium bones.
I would advise you the following:
Strict rest - I hope, you have someone with your.
Hot fomentation by water bag or warmer pillows or whatever you have, locally.
Take an anti-inflammatory with painkiller property like Ibuprofen in full dosages if it suits you.
Let the inflammation subside a bit.
Go to ER to have clinical evaluation, examination and necessary investigations, preferably an MRI/ CT - combo study if they do to get the correct diagnosis and to get additional treatment in the form of painkillers, muscles relaxers and as needed - these medicines need a valid prescription.
I hope this answer helps in an early and proper diagnosis an proper treatment.
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.
as explained in details.
Detailed Answer:
Hi.
Thanks for your query and an elucidate history.
Read and re-read the history and understood your concerns.
My thoughts:
The pain is acute and sudden and at right lower side, aggravated even by slightest of movement and as described you.
The commonest causes I can think of are:
Acute sacroiliitis with muscle spasm.
Tenosynovitis of para-spinal muscles attached to sacrum and ilium bones.
I would advise you the following:
Strict rest - I hope, you have someone with your.
Hot fomentation by water bag or warmer pillows or whatever you have, locally.
Take an anti-inflammatory with painkiller property like Ibuprofen in full dosages if it suits you.
Let the inflammation subside a bit.
Go to ER to have clinical evaluation, examination and necessary investigations, preferably an MRI/ CT - combo study if they do to get the correct diagnosis and to get additional treatment in the form of painkillers, muscles relaxers and as needed - these medicines need a valid prescription.
I hope this answer helps in an early and proper diagnosis an proper treatment.
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Above answer was peer-reviewed by :
Dr. Raju A.T
Thank you for replying to my initial submittal, I was in so much pain at that time, I didn't think to formulate that into a question. It has been 20 hours since the initial onset of sudden pain and the severity of the pain has decreased considerably, but not gone completely. I've since been to the ER and had a CT scan done along with blood and urine samples taken and ruled out kidney stones and internal bleeding. I was told it could be a muscle strain and to rest for the next couple days. Could you please explain what "acute sacroiliitis with muscle spasm" and "tenosynovitis of para-spinal muscles attached to sacrum and ilium bones" mean? I'm wondering if one of those describe what my condition is. Again, thank you for taking the time and replying.
Brief Answer:
As discussed in details below.
Detailed Answer:
Hi.
It is good to know that your pain has been reduced.
To answer your queries:
Sacroiliitis:The is a joint between sacrum bone and Ilium bone to complete the pelvic girdle and this joint is usually immobile. If there is mobility for whatsoever reasons like infection or accidental trauma there is development of inflammation of the joint and may be small mobility giving severe pain. This in turn can give rise to inflammation and resultant protective spasm in nearby tissues.
Paraspinal muscles that get attached to the pelvic bones, mainly erector spinae. They get inserted by tendinous part.
These can get into inflammation, protective spasms secondary to any inflammation and can cause the type of pains that you have.
I hope this answers your queries.
As discussed in details below.
Detailed Answer:
Hi.
It is good to know that your pain has been reduced.
To answer your queries:
Sacroiliitis:The is a joint between sacrum bone and Ilium bone to complete the pelvic girdle and this joint is usually immobile. If there is mobility for whatsoever reasons like infection or accidental trauma there is development of inflammation of the joint and may be small mobility giving severe pain. This in turn can give rise to inflammation and resultant protective spasm in nearby tissues.
Paraspinal muscles that get attached to the pelvic bones, mainly erector spinae. They get inserted by tendinous part.
These can get into inflammation, protective spasms secondary to any inflammation and can cause the type of pains that you have.
I hope this answers your queries.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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