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Dr. Frank
Dr. Frank, Board Certified Physician
Category: Neurology
Satisfied Customers: 7201
Experience:  Board certified general Adult Neurologist, with experience in experimental neuroimaging and neurodiagnostics.
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My back is hurting me so bad it feeling like someone is pushing

Resolved Question:

My back is hurting me so bad it feeling like someone is pushing into my spine really bad my thoractic spine to be specific.
Submitted: 2 years ago.
Category: Neurology
Expert:  Dr. Frank replied 2 years ago.

neuromd2012 :

Hi


 

neuromd2012 :

hello


 

neuromd2012 :

can you see my type?


 

Customer:

hi


 

neuromd2012 :

hello


 

neuromd2012 :

so you have back spasms?


 

Customer:

yes I can see you type


 

neuromd2012 :

how old are you?

Customer:

It's pain and it feels like someone is pushing into my spine. I am26 yrs old female


 

neuromd2012 :

ok so you have back spasms, do you feel it going to the front of your body?


 

Customer:

no


 

neuromd2012 :

good at what level in your back, between your shoulder blades, lower ?


 

Customer:

kind of and a couple of inches down.

neuromd2012 :

so do you have any palpable nodules in your muscles, we call them tender points or trigger points?


 

Customer:

Can you be more specific? my upper arms do hurt to but thats beside the point but right in the mid section.


 

neuromd2012 :

ok well I am looking for something that you probably do not have. there is this condition called fibromyalgia where you have


pain and spasm in your axial muscles, the muscles in your back it can be your neck, your thoracic area like your trapezius muscle which is what you have now or your lumbar area

neuromd2012 :

in this condition you have hard palpable knots that you can feel, well you can't because you cannot reach back there, but a doctor can feel them


 

neuromd2012 :

they are called tender points. women get this condition, it comes from bad sleep habits, a tendency not to turn much when in bed sleeping, is that you?


 

Customer:

I kind of sleep on my stomach and just wake up like that too in a weird position.


 

neuromd2012 :

well do you get these spasms a lot, and do you feel tired all the time?


 

Customer:

I get them a few times a month but I feel tired all of the time but I thought it was due to my work overload.


 

neuromd2012 :

well maybe it is, how much work do you do, how many hours do you sleep, what kind of work do you do?


 

Customer:

I do alot of work like lifting heaving microfilm jackets but I get atleast nine hours of sleep, I am mainly a receptionists and a fileclerk.


 

neuromd2012 :

do you have health insurance? can you go see a neurologist?


 

Customer:

Yes I have health insurance. So mainly it's just spasms with palpable knots?


 

Customer:

Any I have a neurologists already becasue of the dystonia


 

neuromd2012 :

coupled to pain, tiredness, and diffuse pain in limbs occasionally


 

neuromd2012 :

whoa, dystonia, what is that about?


 

Customer:

I have knee spasms well used too


 

neuromd2012 :

you have tardive dysonia


 

neuromd2012 :

familial?


 

Customer:

yep


 

neuromd2012 :

dystonia


 

neuromd2012 :

step back sorry forget about fibromyalgia, although there is actually an association between the two


 

Customer:

yeah dystonia.


 

neuromd2012 :

but is this a dystonia in your back? like a retrocollis or just spasm?


 

neuromd2012 :

maybe you need some botox?


 

Customer:

The dystonia is in my knee


 

Customer:

Just a spasm


 

neuromd2012 :

ok and that is it


 

Customer:

thats it.


 

neuromd2012 :

well you can ask your neurologist about fibromyalgia


 

neuromd2012 :

he may want to put you on something as a trial like lyrica or cymbalta


 

neuromd2012 :

there is something I do called trigger point injections


 

neuromd2012 :

if you have those tender points I was writing about


 

Customer:

How long does that relieve the pain?


 

neuromd2012 :

a couple of weeks if you are lucky, I do them monthly if people are really suffering


 

Customer:

What can I do in the meantime to relieve the pain becasue the neurologist is pretty booked?


 

neuromd2012 :

do you have any more questions I can answer?


 

Customer:

What can I do in the meantime to relieve the pain?


 

neuromd2012 :

well if you can get some tizanidine or cyclobenzaprine from your gp that would help


 

neuromd2012 :

you can use pain meds like hydrocodone with the meds I listed above, they are muscle relaxants


 

Customer:

okay, thanks. Thank you for answering my questions, it really helped.

Customer:
Dr. Frank, Board Certified Physician
Category: Neurology
Satisfied Customers: 7201
Experience: Board certified general Adult Neurologist, with experience in experimental neuroimaging and neurodiagnostics.
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