#MedicalCase

Pain in the lower back (Internal Medicine)

Dr. Farzana Roshan., BAMS

 

Medical Case Details:

27-year-old male suffering from pain in the lower back(left) for 1 year. Now it's intense and spreading to the spine. Pain worsens after walking and sleeping. Lipoma present in the same region (left lower back). No other complaints. Diagnosis?

 


    Discussions


    Dr. Rahul Ramakrishnan
    General Practitioner

    Get a spine MRI done to see if lipoma is not pinching on anything.
    any history of numbness of legs and truma to the back should be ruled out.
    thanks.

    ▲ 1
    18.May, 04:49pm

    Dr. C Elanchezhian

    Good evening.
    Sometimes Lipoma can cause neuropathy,
    Spinal Lipoma condition cause neuritis.
    As Dr. Rahul sugested we have to go for MRI

    ▲ 2
    18.May, 06:46pm

    Dr. Karanrajsinh H. Raol

    Lipoma can have neural involvement.
    Especially when it is present on the lower back, it may compress on the lumbar spinal cord which seems to be the reason behind the low back pain of the patient.
    Plus the characteristic of pain , that it increases after walking or lying down is suggestive of neural involvement.

    ▲ 1
    21.May, 06:08pm

    Dr. Farzana Roshan

    Thanks for the response doctors.

    23.May, 04:25am

    Dr. Santosh-kumar Bashyal

    Hi Dr.Frazana ,
    Does patient has radiating pain from lumbar spine to thigh ,calf muscle and pain.
    Is there claudication that mean pts feel pain on walking .How is the finding of straight leg raising test which is done for compressive pathology of spine nerve .
    You haven't started the location of lipoma and it's size.Its good to do Ultrasounogram of it's swelling and rule out any compression done by lipoma .Most of the time lipoma are incidentally diagosis during other kind of problem patient seek for !
    If the numbness is severe then it would be best for request for MRI lumbosacral done!

    ▲ 1
    23.May, 11:05am

    Dr. Naval Mendiratta
    Rheumatologist

    Rule out Ankylosing Spondylitis. Lipoma wont be causing such severe pain

    ▲ 1
    27.May, 11:27am



Are you a doctor?

Please Login to comment or ask a question.

New to icliniq? Sign Up Now

 

 

 


Disclaimer: All medical case discussions published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.