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Suffering from back pain for years
I’ve been experiencing back pain for quite a few years. The pain is located in middle back, right next to spine in the muscles on the exact right of spine. It feels like sharp pain, and the intensity is around 7, and improves when I lie down/rest for a while putting a pillow in the pain area. The doctors have consistently dismissed the issue as stress, generic pain that settles after a while.
Answers (24)
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Your description is quite typical of a mechanical, myofascial problem rather than something being missed - pain in the muscles just to the right of the mid-thoracic spine, sharp in character, relieved by lying down with pillow support, and present for years without progression. Long-hours sitting with a rounded upper back and a tight, overworked group of muscles beside the spine (rhomboid/erector spinae trigger points), often with mild scoliosis or a rib-joint sprain, gives exactly this pattern. It is not "just stress" - stress worsens muscle tone, but there is a real physical source that responds to targeted postural work. Since you have been treated for gall stones earlier, referred pain from the gall bladder region is worth keeping in mind too, though your relief on lying down and pillow pressure points to the muscles.
Next Steps
1) Ask for a proper examination of the thoracic spine and ribs with an X-ray of the dorsal spine (AP and lateral); if there is any tenderness over the bone or night pain, an MRI is the next step. 2) Basic blood tests to rule out treatable contributors: haemoglobin, ESR/CRP, vitamin D, calcium, and thyroid profile - vitamin D deficiency is very common in your age group and keeps muscle pain going. 3) The mainstay is 6-8 weeks of structured physiotherapy: thoracic extension and scapular retraction exercises, foam-roller/trigger-point release for the paraspinal muscles, and a workstation review so the screen is at eye level with lumbar support. 4) Short-term relief: hot fomentation twice a day, and a topical pain gel; take oral painkillers only occasionally and after food, as prescribed. 5) Avoid prolonged sitting beyond 45 minutes - stand and stretch. If there is no improvement in 6-8 weeks, a pain-medicine review for trigger-point injection is reasonable. You are welcome to consult me online on Practo with your X-ray and reports, or see me at Synergy Multispeciality Hospital, Miraj for an in-person spine examination.
Health Tips
Please see a doctor urgently if the pain becomes constant and wakes you at night, spreads around the chest like a band, or is accompanied by fever, unexplained weight loss, numbness or weakness in the legs, or difficulty in passing urine or stool - these need immediate spine imaging.
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Get MRI thoracic and LS spine.
Such a long duration pain shouldn't be neglected.
Your symptoms are in correlation with disc. Degeneration and nerve compression.
Next Steps
feel free to consult me on practo for further evaluation and management
Health Tips
avoid heavy weight lifting
rest on flat surfaces
hot water bag application
backward bending exercises
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Do XRay Lumbar spine PAView
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Orthopaedic opinion needed
X-RAY/MRI/Physiotherapy sessions required
Health Tips
Regular moderate intensity exercises as advised
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Consult me via Practo.
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You go for mri l spine and do morning excercise i will tell you and check for vitD profile and avoid weight lifiting excercise and connect me i will give you detailed treatment
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Do fresh xray DL spine ap lateral
Next Steps
local injection lignocaine 2%+ steroid
Health Tips
hot compression
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Better check with investigations
Kindly consult
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PHYSIOTHERAPY SESSION
HOT WATER BAG.
NO HEAVY OBJECT.
LOCALLY APPLY VOLINI SPRAY 2, 3 TIMES.
ETEROCOXIB MR TWO TIMES AFTER FOOD.
ADV
X RAY VERTEBRAE AT THE SITE OF PAIN AP LAT VIEW DIGITAL WITH REPORTING.
CONSULT SUPERSPECIALIST LIKE ORTHOPEDIC
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Kindly connect and share few details
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Please share details of your symptoms, i.e. any associated symptoms.
Get mri done to know any underlying problem and share results.
Till then keep back straight, well supported.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Orthopedic doctor
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To give you an accurate diagnosis and management, we would need to review your previous reports and conduct a thorough workup. I recommend scheduling an appointment.
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Have u done any imaging investigations for it
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Requires a proper assessment to understand the underlying cause and guide you.
Please book a consultation for a detailed evaluation, personalized treatment plan and further advice.
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Dr. Rohan Gumber
General Physician
1 yrs exp
Sri Ganganagar
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Please consult
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Reesha Varshney
General Physician
1 yrs exp
Bareilly
Kindly consult with orthopaedician
Get an xray/mri done
Better option would be to get some physiotherapy sessions
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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.