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Medical Forum / General / General / January 2004

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Any idea on severe pain?

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Jenn - 19 Jan 2004 15:22 GMT
Hi all,
This past Thursday I awoke with very severe left lower back pain that
extended around to my left leg.  I ended up going to the ER, my gallbladder
enzymes were a little high, but only by a few points.  They ran tests for
kidney stones, nothing came up.  When I take Darvocet or muscle relaxers it
eases off, but only for a couple of hours.  Any ideas?  I see my regular
doctor today.

Jenn
Robert A. Fink, M. D. - 19 Jan 2004 21:40 GMT
>Hi all,
>This past Thursday I awoke with very severe left lower back pain that
[quoted text clipped - 5 lines]
>
>Jenn

You may have a herniated disc.  After your regular doctor sees you, he
may want to refer you to a neurologist or neurosurgeon for a
consultation.

Best,

Bob

Robert A. Fink, M.D., FACS, P. C.
2500 Milvia Street   Suite 222
Berkeley, California  94704-2636  USA


Telephone:  510-849-2555
FAX:  510-849-2557
<http://www.rafink.com>

"Ex Tristitia Virtus"

--------------------------------------
NOTE:  The above message is not to be considered as
"medical advice".  Medical advice can be given only  
after a "hands-on" examination of the patient by a
physician.

========================================
Kent H. - 20 Jan 2004 04:38 GMT
Sending someone to a neuro or a neurosurgeon for first time radicular
pain is pretty ridiculous. He/she needs to lie in bed and do flexion
exercises for a bit. The patient would have been better off seeing the
correct primary care doctor.

> >Hi all,
> >This past Thursday I awoke with very severe left lower back pain that
[quoted text clipped - 31 lines]
>
> ========================================
Jenn - 20 Jan 2004 21:21 GMT
> Sending someone to a neuro or a neurosurgeon for first time radicular
> pain is pretty ridiculous. He/she needs to lie in bed and do flexion
[quoted text clipped - 36 lines]
> >
> > ========================================

Thank you both for your answers.  Ends up it's my colon spasming, I'm not
getting enough fiber and my diet is awful.  I think it's time to possibly
see a gastro...
Robert A. Fink, M. D. - 20 Jan 2004 22:48 GMT
>Sending someone to a neuro or a neurosurgeon for first time radicular
>pain is pretty ridiculous. He/she needs to lie in bed and do flexion
>exercises for a bit. The patient would have been better off seeing the
>correct primary care doctor.

Wrong.  Somebody has to do a proper neurological examination to make
sure that there is no significant neurological deficit.  Most
non-neurology-types don't know how to do that properly.

If there is deficit, delaying treatment can lead to irreversible
problems, such as paralysis, loss of bladder function, and sexual
dysfunction.

Best,

Bob

Robert A. Fink, M.D., FACS, P. C.
2500 Milvia Street   Suite 222
Berkeley, California  94704-2636  USA


Telephone:  510-849-2555
FAX:  510-849-2557
<http://www.rafink.com>

"Ex Tristitia Virtus"

--------------------------------------
NOTE:  The above message is not to be considered as
"medical advice".  Medical advice can be given only  
after a "hands-on" examination of the patient by a
physician.

========================================
Jenn - 20 Jan 2004 23:59 GMT
> >Sending someone to a neuro or a neurosurgeon for first time radicular
> >pain is pretty ridiculous. He/she needs to lie in bed and do flexion
[quoted text clipped - 12 lines]
>
> Bob

Bob,
There is no back injury here...

> Robert A. Fink, M.D., FACS, P. C.
> 2500 Milvia Street   Suite 222
[quoted text clipped - 13 lines]
>
> ========================================
Robert A. Fink, M. D. - 21 Jan 2004 23:15 GMT
>Bob,
>There is no back injury here...

If there is radicular pain, there is injury to a nerve root.

Best,

Bob

Robert A. Fink, M.D., FACS, P. C.
2500 Milvia Street   Suite 222
Berkeley, California  94704-2636  USA


Telephone:  510-849-2555
FAX:  510-849-2557
<http://www.rafink.com>

"Ex Tristitia Virtus"

--------------------------------------
NOTE:  The above message is not to be considered as
"medical advice".  Medical advice can be given only  
after a "hands-on" examination of the patient by a
physician.

========================================
 
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