Tagged: discal infection
jayd10033ParticipantMay 1, 2021 at 6:50 amPost count: 69
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 then I did the previous day while taking antibiotics. I assume at the antibiotics were not working my levels would not be dropping.
Any insight from your prior experience would be appreciated. Thank you!Donald Corenman, MD, DCModeratorMay 3, 2021 at 6:06 amPost count: 8465
The indication of infection eradication are ESR and CRP dropping at least 50% from their highest range and the patient feeling much better (no fevers, chills, spasms, lethargy) with the back pain abated. Imaging will lag behind symptom improvement. Feeling better is a saw-toothed pattern with some days better than others but the general trend improving.
Dr. Corenmanjayd10033ParticipantMay 3, 2021 at 5:27 pmPost count: 69
Thanks, my numbers are down a lot, but my pain is not really changing. It’s still pretty severe. It’s 9 days in on antibiotics.
Hoping for an upturn soon.Donald Corenman, MD, DCModeratorMay 4, 2021 at 6:54 amPost count: 8465
Takes at least 6 weeks to eradicate an infection on the correct antibiotics.
Dr. Corenmanjayd10033ParticipantMay 4, 2021 at 3:04 pmPost count: 69
Got yesterday’s blood work. CRP down to 7 from 11.
ESR *UP* from 21 to 42 (which is about where it was 2 weeks ago)
Why would they be going in different directions?Donald Corenman, MD, DCModeratorMay 5, 2021 at 9:59 amPost count: 8465
The CRP is generally more reliable but your initial ESR dropped substantially at first which is quite unusual. Since these results are variable, I would not think too much of an elevated ESR but more in terms of the second ESR being an aberrantly lower value.
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