Getting an Accurate Back Pain Diagnosis USA

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Getting an Accurate Back Pain Diagnosis USA

Post by BLUE » Fri Jul 24, 2015 4:29 am

Please note this is an AMERICAN HEALTH CARE LINK AND ADVICE MAY OR MAY NOT BE RELEVANT IN THE UK (GREAT GENERAL ADVICE) Because the causes of back pain can be very complex, it is often more difficult to get an accurate diagnosis for back pain than for other medical conditions. While some spinal diagnoses are relatively straightforward (such as tumors, infections, or fractures), for many conditions there is little agreement among spine specialists about a diagnosis.

However, getting an accurate diagnosis of the cause of back pain is critical, because different diagnoses will require very different treatment approaches. And the sooner an accurate diagnosis is made, the sooner the patient can find an appropriate treatment for pain relief and to improve his or her ability to enjoy everyday activities.

Please read full and interesting Article Link here. which contains Diagnostic Tests Topics and further Related Topic links Please rate this post thanks ;-)
http://www.spine-health.com/treatment/d ... -diagnosis ............................................................................................................................................................



UPDATED 21/08/2015 ALSO PERSONALLY FOUND THIS VIDEO LINK ENLIGHTENING
Last edited by BLUE on Fri Aug 21, 2015 9:31 am, edited 2 times in total.
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Re: Getting an Accurate Back Pain Diagnosis USA

Post by Tobias » Fri Jul 24, 2015 10:53 am

I think this is worth holding on to Blue, very informative indeed and it will certainly come in handy when trying to explain a back problem in words or writing,
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Re: Getting an Accurate Back Pain Diagnosis USA

Post by BLUE » Fri Jul 24, 2015 1:35 pm

This post/link would have been so useful to me 5yrs ago. Understanding that a diagnosis of your condition can be important to yourself and also your loved ones that are helping you, but it is important not to hang onto the notion that a diagnosis is the be all and end all. I have personally learned that a diagnosis is an ongoing thing as it is possible for everything to change in just a matter of months.Unlike the USA our doctors are reluctant to use surgery unless some strict criteria is met. This used to frustrate me but now I understand a little more I appreciate their caution. Surgery can be the answer for some people but not in my case where many multiple factors have to be taken into account. The upside is that surgery did not make things any worse (always a consideration) but the downside is left untreated (because apart from short term conservative treatment there is little else to do) continued untreated nerve entrapment can lead to permanent problems. Please dont be alarmed as I am in the 10% of those badly affected and most people go on to make quite a good recovery. Sorry if I went on couldn't help it. :)

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Re: Getting an Accurate Back Pain Diagnosis USA

Post by Tobias » Fri Jul 24, 2015 3:11 pm

You are not alone Blue. 5 years ago I didn't know I had a bulging disc or reduced curvature of the spine, all I knew was that I have degenerative lumbar discs.
Now I know why I used to dance like a donkey with a broken hip when I was younger lol

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Re: Getting an Accurate Back Pain Diagnosis USA

Post by Librarian » Fri Jul 24, 2015 3:30 pm

The same as me Tobias, 15yrs ago I had a prolapsed disc which caused major root nerve and spinal cord damage, curvature and disc degeneration, which is working it's way upwards.

I certainly could have done with a lot more information then and if it wasn't for the ease of information access on the internet, I would certainly be classed as "fit to work".

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Re: Getting an Accurate Back Pain Diagnosis USA

Post by SmokeyBandit » Fri Jul 24, 2015 3:59 pm

In my own view on this subject I have had back problems since I had an accident in work, whilst over the years there has been no significant change in the pain levels I endure. It seems that people in our position are often ignored even though the pain is real to us. I have read many items on this issue of DDD. Sciatica. And now most recently it has affected my Achilles tendons. Along with the symptoms it brings to us sufferers in trying to get people to understand the feeling of pain we go through each day. "http://www.spine-health.com/conditions/ ... still-hurt" All I ask of people is to have an understanding on how it affects different people in different ways. More understanding from our GP's There is not a day I go without the pain, some days are good, but not as good as a healthy person. Just good enough to bare and do more than usual. Only a small majority continue to have this issue in pain, and it's even lower than 10% as Blue mentions. If memory serves it is as low as 4%. Don't quote me on that though. But I do know that it is rare.
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Re: Getting an Accurate Back Pain Diagnosis USA

Post by dabitch » Fri Jul 24, 2015 5:19 pm

Until my own GP 'slipped' a disc, he regarded my back pain as being 'all in the head' ... The MRI scan showed up 3 healed vertebrae fractures ... plus calcified T7-T8 disc ....

Amazing what happens after the GP experiences back pain! One, you get treated so much better, and two, your pain is investigated!

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Re: Getting an Accurate Back Pain Diagnosis USA

Post by Welshy » Fri Jul 24, 2015 7:35 pm

All i can add to this post is regarding my husband, he was super fit and I mean very fit played rugby, football and he did martial arts, oh and I must forget the very physical Fly Fishing :-D , but in 2003 he was involved in a car accident (not his fault), he world, well both of our was turned upside down, he was taken to the A&E where they said there was nothing wrong, they gave him some pain killers and sent him home with a follow up appointment with his GP a week later.
my husband was in constant pain after the accident, and his mood changed he was no longer the husband I knew, he wasn't sleeping, he was losing his temper very easily, and snapped at us all. A week later we went to see our GP who was also a good friend of ours. he knew something was wrong as he could see the way my husband was walking/standing, he made an appointment for him to see a Spinal Specialist, we were lucky at the time as we had private medical insurance.
Two weeks later we attended the private hospital and was seen by a very popular Spinal Surgeon, he examined my husband for about an hour, he then sent him for MRI SCans, CT scans and xrays, the results came through in about an hour and he called us back into his office and hit us with a bombshell, My Husband had blown 3 discs in his lower back and two were pressing and damaging the spinal cord, the only answer was surgery, we asked the question "what if he didn't have the surgery" he replied "a month at the most and he would be in a Wheelchair".
The operation went ahead, and the insurance agreed to pay the costs, it was a strange operation as they went in through the stomach, apparently it was a pioneering operation, but it seemed to go well, he was kept in hospital for three weeks, after weeks of physio we went back to see the consultant, he examined my hubby again and he said he should be ok for approx. ten years, as these artificial discs they fit are guaranteed for ten years, we were a little worried at the time as he didn't want to go through that again.
My husband could not bend fully, he could not walk far, couldn't touch his knees, and he was not pain free, but was in less pain than before the operation, We went back to see our GP who told my Husband he cannot work, and he didn't think he would work again, so we started on the DLA trail and he was examined and put on DLA Full rates, and IB, that was in 2004/2005.
Through out the years we were back and fore the hospital having nerve root blocks, pain killing injections and nerve end freezing, but they did return my husband to what he was hoping for.
2005 he started to drive again, and one night we were travelling home where another vehicle hit us head on, I was ok , but my husband had problems with his neck and was losing feeling in his fingers, so we went through it all again, We went to see the same consultant who did all the tests ETC, and came up with the diagnosis that one of the discs in his neck was impinging on his spinal cord :-(( , needless to say my husband was back in the dumps, the operation was planned for early 2006, but things took a turn for the worse, as my husbands father who came out of retirement to run my husbands business (my husband was hoping to get to some reasonable condition to prove the GP wrong and work again) was actually killed in a tragic accident in my husbands business, so my husband went into a downward spiral and was also put on a corporate manslaughter charge, he went into his shell, would not speak to anybody, wouldn't go out, and he was still in pain.
The operation on his neck was cancelled, 18months later the Manslaughter charge was dropped to accidental death, it took a bit of the weight of my husbands shoulders but not a lot as he still feels guilty to this day. he seen a few councillors but to no avail.
We had to attend a hearing as we put an insurance claim against the two drivers who were at fault for both accidents, they were both mobility drivers believe it or not, so they had a barrister representing them for Royal Sun Alliance, I had a solicitor that our insurance supplied, he told us My husband would be fine, well he wasn't they would only pay a nominal sum, in fact it was 11K, our solicitor was expecting to get way more than that, as these two accidents ruined my Husband life. the reason for the 11k was that back in 1987 my husband had a bump playing rugby and hurt his back, but after 5 physio sessions he was fine, and he never missed a days work, So the Barrister brought that up in the hearing and the judge accepted their offer and told my husband that he would not be able to get any more as he did not disclose this previous bump.
A few weeks later we had a letter from the Private hospital to say that our insurance would not fully pay the bill from the operation in 2004/05 as the operation was a pioneering one and they did not cover that, we argued and got a solicitor to help us and we had to pay 10.5K towards the operation, the consultant even dropped his fees as he felt guilty.
so life carried on and my husband was having all sorts of problems, lower back pain, loss of sensation in fingers, couldn't walk far, we all had to muck in to help him.
2012 my husband was suffering with a headache, he routine had not changed and he never suffered from headaches before, even when he was playing his sports and used to have a drink with the lads, he never had a hangover, but he was suffering with this headache and being stubborn he would not let me phone the GP, he had this headache for 4 days and it was on a Friday morning I thought well he's late in getting up so I went into his room to see if he was ok, I woke him and asked if he was ok, and he said open the curtains as he couldn't see, but they were open, and I had the fright of my life, he had lost is sight, he was dizzy and didn't know who I was, I phoned 999 and they came and took him into hospital he had a brain haemorrhage, and after numerous tests he had viral meningitis and encephalitis, which caused the haemorrhage, he was kept in hospital for 4 weeks where his sight gradually came back but not fully, this meningitis affected his eyesight and his hearing in one ear and has left him with problems with his balance and speech.
2014 we attended for a ESA face to face and my husband was put in wrag group, after fighting and with help from Daenerys he was put into SG, later on in 2014 my husband was having problem with his bowels and bladder so we went to see a consultant who informed us that we need to see a spinal surgeon, so we went back to the original spinal surgeon who operated on my hubby in 04/05, and he did all the tests etc and found that three discs in my husbands neck had worn away and were pressing against his spinal cord and he needed an operation ASAP, actually it was done within 2 weeks of the diagnosis. needless to say we had the transfer from DLA to PIP, which we had no end of problems with, but after a long fight and help again from Daenerys we had a home visit about a month after my husbands operation. he was given the highest pip award for 18months, we had to force my hubby to go through all this as he just wanted to give up, as he is a very proud man, but I think he is just stubborn lol, his spine has further problems and will need to be operated on next year, he has just undergone pain injections into lower neck and lower back, but there are only temporary relief, we now have a rubbish GP, but a good consultant, we have only just managed to keep his medical insurance going, that is now our only luxury and it now only covers my husband, no amount of physio or injections, can cure his back problems, his operations give some relief. but they are not cures, it looks like he is in it for the long haul, I cant believe some of these back sites with experts keep saying for people to keep active with a painful back, I wish they had a back problem as they would know what happens and what goes on, my husband cannot dress himself, cannot walk more than a few metres, have hearing, sight and speech difficulties, ok I admit some of these are brought on by the meningitis, but these experts really need a dose of the back pain to wake up!!!!!, my husband cannot get an accurate diagnosis of his back/neck problems at all, as nobody will put their neck on the line for him any way my rant is over, sorry all :-((

Welshy

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Re: Getting an Accurate Back Pain Diagnosis USA

Post by dabitch » Fri Jul 24, 2015 9:18 pm

Aw Welshy, mega hugs to you and hubby... you really have been through the mill!!!

Whilst gentle exercise is possibly good to keep the back muscles active, as you say, unless these experts experience the pain, they can shove their advice where the sun don't shine!

Daenery is a godsend to so many people ... and more power to Daenery!

Suffering is one thing, but the stress of caring for someone in so much pain can and does take it's toll, Welshy. I do hope YOU are getting help with your caring responsibilities - even if it's just a break to get your hair done! Mega mega hugs x

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Re: Getting an Accurate Back Pain Diagnosis USA

Post by BLUE » Fri Jul 24, 2015 9:44 pm

@Welshy Wow!! you have both been tested to the limit and my thoughts are with you as you both plough on in the face of adversity xx I to was told to exercise but that was a few years ago now and I still cant manage to. I have learned that the back muscles are very important in helping to support a damaged back and I find that if my lower back is given a very light gentle massage and I also flex my lower back muscles whilst leaning on a worktop it does help a little. Also I brought myself a body pillow which I use when things are quite bad http://www.soakandsleep.com/luxury-body ... tAod_28BIg Cuddled up to this enables me to raise my leg around it thus helping the nerve entrapment in my back (OK in the winter but blooming hot otherwise)I am not a great lover of memory mattresses or pillows as they make me to hot so recently I purchased a very inexpensive mattress topper http://www.kaleidoscope.co.uk/products/ ... 4P&entry=3 It does not look much when first opened but my god my wife and I both swear by it. Anyway I have gone on long enough. Wishing all fellow pain sufferers the very best. Remember you are not alone. :-s

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Re: Getting an Accurate Back Pain Diagnosis USA

Post by Welshy » Mon Jul 27, 2015 9:59 am

Thanks both, but could not have gone through the last lot of aggro from DWP without help from the "Dragonlady" lol, and we are expected to go through it again very soon, but husband has FINALLY accepted he is not going to get better and will have to live with his problems, that has been the biggest battle for me I think, as he is too bloody stubborn, but like I said he is also a proud man, and will not ask for any help. I have finally got him to read the posts I read, and post to, so he can see he is not alone. we have other battles which we are currently fighting but we hold our heads high as we have done nothing wrong so hopefully they will soon be sorted. I Will add that we did go and see a pain specialist and all he did was tell us to buy a certain book to read, and altered my husbands medication, and by mean altered, all he did was add paracetamol to his tablets, so Paracetamol is the base of the pain relief, he takes two every four hours before he takes his main medication.
oh and my husband has to have another operation to fuse the lower 5 discs of the spine, but so far he has refused this operation as he is still recovering from his neck operation that was done last November, so the poor sod has been through it lately.
Thank you for your hugs, my husband read the posts and gave me a good old welsh Cwtch :)

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Re: Getting an Accurate Back Pain Diagnosis USA

Post by Daenerys » Mon Jul 27, 2015 10:49 am

Thank you for the kind words, Welshy. You should be all right for ESA and PIP from now on, though, so don't worry about that. Once you established the correct decision it is nigh on impossible for them to overrule it.

I am a firm believer in exercise helping back problems - SOME back problems. But you really need a VERY good physio in the cases where exercise can help.

When my back problems began (minor compared Welshy's husband's, of course) I tried to exercise through it. Unfortunately, this made it worse. I actually had to do as little as possible for 6 months before the pain began to ease off.

So, exercise can help in certain cases (my ex would have been in a wheelchair if her hadn't already been extremely strong when he had the accident, and then worked to build up the muscles around the damaged discs - he also had the most amazing chiropractor), but it can also cause further damage.

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Re: Getting an Accurate Back Pain Diagnosis USA

Post by dabitch » Mon Jul 27, 2015 12:11 pm

Welshy, paracetamol actually gives a boost to other pain relief meds ... especially opiates... I really do feel for you ... What is it with these men and their pride, eh??? Pleased your hubby is now accepting his situation ... mine never did!

Do remember to look after yourself ... carers are so vital ... ((((((Welshy))))))

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Re: Getting an Accurate Back Pain Diagnosis USA

Post by Daenerys » Mon Jul 27, 2015 4:46 pm

I've now moved the posts about the benefits of CBD Oil to its own thread, as it's a very important topic in its own right. Also, the information about backpain on this thread is so good it's best to keep this thread focused just on that.

You can find the CBD Oil posts on: viewtopic.php?f=3&t=510

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Re: Getting an Accurate Back Pain Diagnosis USA

Post by dabitch » Tue Jul 28, 2015 1:06 pm

BLUE wrote:Please note this is an AMERICAN HEALTH CARE LINK AND ADVICE MAY OR MAY NOT BE RELEVANT IN THE UK (GREAT GENERAL ADVICE) Because the causes of back pain can be very complex, it is often more difficult to get an accurate diagnosis for back pain than for other medical conditions. While some spinal diagnoses are relatively straightforward (such as tumors, infections, or fractures), for many conditions there is little agreement among spine specialists about a diagnosis.

However, getting an accurate diagnosis of the cause of back pain is critical, because different diagnoses will require very different treatment approaches. And the sooner an accurate diagnosis is made, the sooner the patient can find an appropriate treatment for pain relief and to improve his or her ability to enjoy everyday activities.

Please read full and interesting Article Link here. which contains Diagnostic Tests Topics and further Related Topic links Please rate this post thanks ;-)
http://www.spine-health.com/treatment/d ... -diagnosis
Getting back on topic (erm) Blue has given us a great piece, and should prove helpful in the future for many with back pain ...

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Re: Getting an Accurate Back Pain Diagnosis USA

Post by Tobias » Tue Jul 28, 2015 1:24 pm

I have to admit that USA site is the best I've seen for straight forward information. Top find :thumbup:

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Re: Getting an Accurate Back Pain Diagnosis USA

Post by SmokeyBandit » Mon Sep 07, 2015 7:33 pm

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