Ask A Doctor - Back pain - DesiMD Healthcare Services

   

I am a 21 year old female and am going on a year of horrible back pain in just the right side of my body. The pain is deep, so it's extremely difficult to pinpoint the exact spot. The area in which the pain occurs seems to be the middle of my back- right below the bra strap. When I take deep breaths, it hurts the worst, and almost feels like it's swelling into my ribs. The pain gets worse at night, and I have slight bladder control problems. I have been attending PT but it isn't seeming to work, and sleeping is painful! - Asked by B T on 17-Sep-2014 13:11:34

Answer Count: 4    

  • MBBS
    General Practice

    Answered by Dr. Dasari Navya Teja on 17-Sep-2014 14:23:38

    Hi

    Pain at middle of back may be due to overuse, mucle strain or injury to muscle/ligaments/discs that support spine. poor posture. pressure on spinal nerves due to herniated discs. myofascial pain that affects connective tissue of muscle/group of muscles. rare causes like gall bladder disease, lung infections, cancer may be cause. Rest, use of over the counter medications for pain relief, application of ice/heat, regular exercise. As your were having this pain since last 1yr you better see a specialist for exact cause of diagnosis and plan management accordingly.


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  • Answered by Dr. on 17-Sep-2014 14:43:06

    Hi,

    You are 21y old female with right sided back pain. It is deep seated, diffuse and located about middle of chest. Pain is exaggerated by taking deep breath. It is nocturnal. You have some bladder control problem. You need to get ultrascan abdomen to rule out Gall stones (Choledocholithiasis), chest x-ray or CT to rule out Herniated intervertebral disc prolapse, Mediastinal mass, Spinal cord compression. A blood test for raised Erythocyte sedimentation rate might show Pulmonary tuberculosis. Increased pain due to movement shows stretching of pleura or peritoneum and might be due to pathology in lung or upper right abdominal organs like liver, galls stone or kidney. Nocturnal pain suggests spinal or gall stone. Constant pain might be due to obstructed gall stone. Try avoid oily food and take ciprofloxacin 500mg twice daily 7 d for cholecystitis. If physiotherapy is not helping you can discontinue and consult your doctor for a diagnosis.


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Replied by B T on 17-Sep-2014 19:11:10

Thank you for the response! I had my gallbladder removed approximately 4 years ago, so I can rule out gallstone, and I have had an MRI to look for herniated discs, an XRay on my back, and both showed no results. I have been going to PT for going on 3-4 weeks now and have felt really no change whatsoever. Even describing my pain the physical therapist, he had so explanation- and truthfully doesn't even know if it's a muscle problem because of the awkward pain and severity of it. I have also been diagnosed with chostrochondritis- which I thought was supposed to last for a short time, but also has been active for an ongoing year now. My sternum makes a popping noise, and feels stuck occasionally, and causes severe pain(I have no idea if that's related). I have gone to my doctor about my back pain several times, but as soon as my tests came back negative he didn't know what else to suggest to me, and was more concerned about my incontinence more so than my back.. which is frustrating.

  • MD
    Internal Medicine

    Answered by Dr. Srividya Venigalla on 18-Sep-2014 09:49:47

    Pain that is worse at night - could be neurological. Though myofascial pain is still in differential.  Have you tried Chiropractor or Accupuncture? B12 deficiency is another differential. Amitriptyline might help nerve pain . If it helps , nerve block might be  permanent solution. 


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  • Answered by Dr. on 18-Sep-2014 11:11:05

    Hi,

    You have costochondritis and pain is radiating to back. Pain might be aggravated by exercise or physical therapy. Try pain killers and rest. Avoid use of arms excessively.


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