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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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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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Tests are normal. For rest kindly consult with me on 94 two six eight six 78 nine six for better diagnosis and treatment.
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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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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.
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Dr Praful Mahamuni,
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MBBS , DM .
Jai hind. 🇮🇳
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Dr. P Madhushree
Consult Now
Ayurvedic Endocrinologist & Internal Medicine Specialist
3 yrs exp
Bangalore
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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Nothing specific about your blood report.
Please get your complete health package done from a reputed Laboratory and consult a General Physician with the report.
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Your symptoms might be due to your history of cervical spondylosis as your ecg is normal
Next Steps
consult orthopedician and start treatment as soon as possible
Health Tips
physiotherapy helps along with cervical collar
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Consult orthopedic surgeon in person if you are already a diagnosed case of cervical spondylosis
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Please get mri cervical spine done to rule out any dusc prolapse abd consult me thereafter
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You can consult me directly on Practo, or reach out via WhatsApp:
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Need few more details
Kindly consult
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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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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Most probably due to cervical spondylosis
But also need to do a chest xray to rule out other causes
Can contact after a chest x ray if required
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You need more detailes examination and blood test to make diagnose of the cause of pain .so consult Dr pradeep singh
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Report normal. Consult a orthopedic.
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Serial ECG is recommended. And If that is abnormal then refer to cardiologist and if it’s normal then reach out me for further assistance.
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Consult neurosurgeon
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Dr. Vipul Damkondwar
General Physician
3 yrs exp
Nanded
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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Dr. Jaswanth Sowmya Thalathoti
General Physician
8 yrs exp
Guntur
These symptoms can also be because of gastric issues
Next Steps
Avoid spicy food
Drink plenty of water
Do walking regularly
Health Tips
Also as you have cervical spondylosis try to get physiotherapy done
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Dr. Sohan Kulria
General Physician
5 yrs exp
Firozabad
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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Dr. Marini Vanitha
General Physician
12 yrs exp
Kakinada
Report is fine.
It's due to cervical spondylosis.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.