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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Severe Backache Be Treated?

I have a compression fracture at L3 along with other reasons for back pain (osteoporosis, degenerative disk disease, arthritis, etc.) but I am in SEVERE EXCRUCIATING PAIN even while on oxycodone. I cannot rise from a prone position to sitting up, or from sitting positio to standing without burning, stabbing, knifelike , screaming pain, and vice versa. When I get to a certain angle the above happens. What can be done for me?
Fri, 24 Nov 2017
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Orthopaedic Surgeon,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Is your compression fracture fresh or old? What tratment was taken for the l3 compression fracture? If it is fresh then strict bed rest for one month is required.

All the factors you mentioned such as arthritis, osteoporosis, compression fracture are the reasons for back pain. Detailed examination and investigation is required to know the exact pathology.

I would like to advise x-ray of lumbo sacral spine anteroposterior and lateral views. This will help in knowing current status of l3 vertebra.

Also, MRI of lumbo sacral spine with screening of whole spine will be required to know exact source of pain. Treatment options are many like Vertebroplasty for compression fracture, calcium and vitamin D supplements for osteoporosis and facetal blocks for facet joint arthritis.

So first go for both investigation to confirm diagnosis so that appropriate treatment can be initiated.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Jayesh Vaza
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How Can Severe Backache Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Is your compression fracture fresh or old? What tratment was taken for the l3 compression fracture? If it is fresh then strict bed rest for one month is required. All the factors you mentioned such as arthritis, osteoporosis, compression fracture are the reasons for back pain. Detailed examination and investigation is required to know the exact pathology. I would like to advise x-ray of lumbo sacral spine anteroposterior and lateral views. This will help in knowing current status of l3 vertebra. Also, MRI of lumbo sacral spine with screening of whole spine will be required to know exact source of pain. Treatment options are many like Vertebroplasty for compression fracture, calcium and vitamin D supplements for osteoporosis and facetal blocks for facet joint arthritis. So first go for both investigation to confirm diagnosis so that appropriate treatment can be initiated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jayesh Vaza