mohsinaliasdfMemberJuly 28, 2012 at 8:54 amPost count: 11
Hi Dr corenman I have very bad back pain almost every wherevery bad in my lower back and mid and upper neck. My question is if I get a standard MRI done for the back is it going to be less effective in diagnosing difficult problems .because I heard the stand up MRI diagnoses it better and accurately .what do you think about which one I should get.secondly regarding my pain its ao bad i can’t even move from it because of weakness and I get muscle spasms when I stand for longer than 10 minutes. I don’t know of its injury or some other illness because besides back pain I have a lot other going on. most of the pain is in the back near the shoulder blade and I can literally feeltheres like a very tight rope muscle coming from the lower back all the way up and it looks like a very bad either strain or muscle rupture and its been there for 8months . Also in my right lower back there a couple of small sort of ballsthat move around when I touchthem and they give me pain a lot. Now one thing that drives my crazy iwith every single breath i feel my back getting tight by the rips and when pressure builds up I hear a big loud click or pop that in my middle back . So overall how effective is it going to be getting an MRI to get to know whats going on and which one I should go with . Please reply ill wait thank youDonald Corenman, MD, DCModeratorJuly 28, 2012 at 10:00 pmPost count: 8460
The stand-up MRI is distinctly poorer in image quality and information gathering. Yes, the image will demonstrate what effects gravity has on the spine but with poorer image resolution which significantly diminishes the information.
A good supine MRI (standard type) along with standing X-rays (including flexion and extension) will yield better information regarding pathology and the effects of gravity on the spine.
By your description, I am unclear if the pain originates from your lower back or your mid back (thoracic spine). Please see the section under “Conditions”; “How to describe low back pain” for a template to describe your symptoms.
Dr. CorenmanmohsinaliasdfMemberJuly 29, 2012 at 1:59 amPost count: 11
my pain in in the lower back with the bottom two joints which are i guess the sacroliac joints , in the mid upper back by the shoulder blade and spine and in the neck. this pain is radiating throughout my whole body mostly my right buttock and down the tigh to the legs. the quality is pain is so bad its ruined my life i can barely move from it. the pain constantly changes its form sometimes its sharp , stabbing , sometimes aching and other times when its really bad its almost everything. i cant even look down with my neck to touch the chest when i try this my whole back just feels like im ripping a muscle into two and pulling something very hard it starts to burn and stab. with it i also have very bad fatigue weakness and muscle pain with muscle spasms. in the mid upper back near the shoulder blade there is a very tight muscle that feels like a rope when touched that comes from the lower back joint to the neck . when i try to squeeze my shoulder blades together i hear very loud clicks and pops, besides this when i breath my mid back contracts and the pressure comes right in the middle of the spine and pops. the percentage of back pain is 80 percent with the legs and buttocks with 20 percent. i know i have something very serious going on . because it has disabled me and stiffened me as well. the intensity of pain is 10 all the time never comes down if there were a number to describe more than 10 i would. because of my pain i have been limping when i walk for 6 months now and daily it progresses more and more . the pain first started in the neck with just stiffness i was able to do everything but then later it started to move into to my lower and gradually increased everywhere. im wondering if it had anything to do with my other illness. i also have rheumatic fever and i think rheumatoid arthritis that im being checked for. my doctor put me on a cane to walk because my joints have been damaged and they don’t take anymore pressure. is there any blood test that i can o for my back to see whats really causing it. i haven’t been pain free for 9 months constantly and now im on anti depressants because of it. i even left school work and sports all because of this . ive had no treatment so far only painkillers. thank youDonald Corenman, MD, DCModeratorJuly 29, 2012 at 2:18 amPost count: 8460
Rheumatoid arthritis could cause some of your symptoms. You need a full work-up from a rheumatologist or experienced primary care doc to determine that diagnosis. Pain can also originate from lumbar spine disorders. You need a good work-up from a spine specialist to determine what disorders you have. The hip joint also needs to be checked.
Dr. CorenmanmohsinaliasdfMemberJuly 30, 2012 at 8:23 amPost count: 11
Okay thanks doctor now I know this may not have anything with your profession but I want to give a little history about everythingover a year ago I was very overweight and so I had went to a homeopath who gave me some herbal drops to lose weight .so i used those meds for barely 4 months and it had to lose 150 pounds . And from ever since then my body turned into a chaos machine and I developed so many problems to the point that I’m disabled nowthe doctors that I see can’t figure me out . And recently I read that homeopathic medicine can cause chaos in the body and eventually kill you ,I’m very concerned on what doctor I should see because I think it was poisounous and that’s why it had me lose soo much . I want to get rid of the bacteria and toxics it caused in my body. What is your suggestion please on what kind of testing I should do and what the main specialist should be for people who get sick from herbal medicines . Thanks allottDonald Corenman, MD, DCModeratorJuly 30, 2012 at 10:44 pmPost count: 8460
Do not worry about Homeopathy causing body disturbances. If this was true Homeopathy, the substances used are so diluted that there is little evidence that the diluted substance even exists in the solution that you were given.
Homeopathy is safe because of the significant dilution. Homeopathy is based upon the assumption that the more dilution of a substance, the “stronger” this remedy is. By this very assumption, the substances are very safe.
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