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Dull pain in upper back and lower back
I feel tightness in upper back including shoulders and upper chest and left side of the chest and feel pain in legs. My ECG is normal. I have cervical spondalysis . I have done some tests. Kindly guide
Answers (26)
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U meed to get an MRI done of whole spine screening ..
And according to report the further management will be done and it will also depend on whether u want to get operated or u want conservative management ..
Next Steps
MRI whole spine
Health Tips
Avoid working for long hours while sitting or avoid bending forward
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Avoid neck bending and turning, use thin and hard, head pillow for sleeping. Keep your work at such level that you do not have to bend or stretch neck unduly.
For pain you can take tab paracetamol 500mg one every 8hours for 3 to 4 days.
Get serum calcium, vit. D3 and b12 tested, if deficit exists, take supplements.
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You need cervical collar of proper size made specially for spondylitis .
If you have already been to ortho yet there is pain I would suggest physiotherapy better than going for surgeon/surgery right now. just try physiotherapy it may give you long term relief.
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May I know do u have any tingling sensation?
If it is due to cervical spondylosis.
Avoid weight lifting
Go for physiotherapy
& Use cervical spondylosis pillow
For further diagnosis we need some history
Kindly contact me on Practo @ Dr Madhushree
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These tests are normal...
If u r previously diagnosed as cervical spondylitis....then u should consult ORTHOPEDIC SURGEON and treated accordingly...
U might need help of PHYSIOTHERAPIST as well...
Next Steps
act accordingly as soon as possible
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Hello sir
As you mentioned your symptoms they can highly be related to cervical spondylosis .
Some suggestions-
1) use hot bag compression 15-20 min 3-4 times a day
2)use a soft cervical collar whenever pain increases
3)physiotherepy- gentle neck stretches ,shoulder and upper back excersise , keep your posture correct while using phone and laptop.
4)if the pain flareups u can consult for the medical treatment
5)vitamin B12 and D supplements on regular interval
6) use orthopedic pillow for better neck alignment
Consult immedietly
If u feel numbness or weakness in the hands or legs , loss of balance while walking
Thank you
Hope it helped you
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Hello Sir,
Your symptoms of upper back and chest tightness with leg pain are likely linked to cervical spondylosis and nerve involvement, especially since your ECG is normal. With proper physiotherapy, posture care, and follow-up, this condition can be managed well and you can get relief.
For free consultation, save my number and you can contact me on WhatsApp at nine one one nine two five five six nine nine.
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Given the normal ECG and typical musculoskeletal distribution of symptoms, especially radiating pain to legs and upper body, the current complaints likely represent neuropathic pain secondary to cervical spondylosis. Myocardial ischemia is less likely with a normal ECG and atypical presentation, but assessment must always rule out other causes in persistent cases
Next Steps
Neurology or orthopedic review for detailed assessment of cervical spine, considering MRI if not already done.
Physical therapy: Neck and upper back physiotherapy, posture correction, and ergonomic advice.
Pain management: NSAIDs, neuropathic pain agents (e.g., pregabalin, gabapentin) under guidance.
Red flags for immediate cardiac or neurological evaluation: Presence of severe chest pain, breathlessness, weakness, or neurological deficits.
Health Tips
Avoid heavy lifting and sudden neck movements to prevent exacerbation.
Persistent or worsening chest pain, new neurological symptoms, or leg weakness should prompt urgent hospital evaluation.
Regular follow-up to monitor symptoms and response to therapy is recommended
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Hello,
For Medical Diagnosis and Treatment please pay and consult at practo or pay and consult at WhatsApp.
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Take a glass of milk daily.
Thanks.
Dr☆MPB ,
Dr Praful Mahamuni,
Family Doctor,
MBBS , DM .
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