Hello doctor – Through some of my other posts you have the background. I am now one week on IV antibiotics. My first post antibiotic blood test showed SED and CRP both down from pre-antibiotic levels.
My questions are on your experience with the pain associated with this condition.
While the absolutely excruciating pain with movement is now gone-I am still left with aches and mobility limiting pain generally across my low back and flanks.
The pain maybe worse one day than another day- Is your expectation that I would have fluctuations of higher pain on some days even on antibiotics? Or should I be steadily getting better- meaning diminished pain day after day.
It makes me a little nervous to feel more pain than I did the previous day while taking antibiotics. I assume that if the antibiotics were not working my levels would not be dropping.
Any insight from your prior experience would be appreciated. Thank you!
Healing after a discitis is non-typical. Some individuals will improve immediately and other will have lingering symptoms. If your disc space was truly involved and the infecting organism was virulent (produced many destructive enzymes-say Staph Aureus), you could go on to an auto-fusion of that segment over months. If the organism was not virulent (say P. Acnes), then you will heal faster with less problems.