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Dr. Thomas, MD
Dr. Thomas, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 55817
Experience:  Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
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what causes hot spot across middle of back I had before my

Customer Question

what causes hot spot across middle of back I had before my 2nd surgery. I JUST HAD ANOTHER SURGERY 3 WEEKS AGO on L5- S1 now I have nerve damage from my waste down to feet. I do have nerve damage in feet from back surgery I had five years ago
Submitted: 3 years ago.
Category: Medical
Expert:  DR MED MD replied 3 years ago.
-Could you explain your situation a little more?
What information are you exactly looking for?

Thanks
Customer: replied 3 years ago.
5 years ago I had back surgery from L5-S1 I got nerve damages i n my feet from that surgery. So I have been taking Gabapentin 800 mg. 3 times a day it was controlling the nerve damages. I had fallen couple of times during Dec. now I am getting hot spots agross my middle back. What is causing that?
Expert:  DR MED MD replied 3 years ago.
Is there any pain associated with this burning sensation?

Thanks
Customer: replied 3 years ago.
no
Expert:  DR MED MD replied 3 years ago.
Is this burning sensation constant or intermittent?

Is there any tingling numbness?
Customer: replied 3 years ago.
no it just gets hot
Expert:  DR MED MD replied 3 years ago.
Is there any skin color change or skin irregularity etc?

How big area is effected?

Customer: replied 3 years ago.
no, below my shoulders
Expert:  DR MED MD replied 3 years ago.
Is this sensation same on both side of body or effects one side?
Customer: replied 3 years ago.

all across my back

 

Expert:  DR MED MD replied 3 years ago.
Thanks for all the information.

Common causes of such burning sensation over back are actual burns, including chemical, thermal or electrical burns, neurological problems, including pinched nerves; infectious conditions such as shingles (herpes zoster); and muscle sprains, strains or spasms. Since you have history degenerative disc disease there is possibility you have disc degeneration and nerve compression in back region also. Get yourself examined by your doctor and if possible get an MRI of upper spine done.

Thanks
Customer: replied 3 years ago.
Relist: Inaccurate answer.
Expert:  Dr. Thomas, MD replied 3 years ago.
Hello
I am a board certified internist and integrative specialist and deal a lost with pain
Question
Have you had an MRI of the upper spine?
Customer: replied 3 years ago.

no, not since Feb. of this year

 

 

 

 

 

Expert:  Dr. Thomas, MD replied 3 years ago.
OK
The burning is typical of neruopathic [nerve ] pain.
When there are disc problems in the lower spine this is never isolated and there are at least minor problems elsewhere and this is what is one possibility for your pain.
In addition, postural abnormalities because of the lower spine problems can cause constant stress on the upper musculature in the deep paraspinals and cause the same type of pain.

This can be remedied with the assistance of a physical medicine and rehabilitation MD this is a type of specialist and you do not need a referral, but this doc will do a whole body integration analysis and correct this problem with physical therapy...the right type which is often not done....appropriate electronic or traction therapies etc.

This should be your next step
good luck

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