Answered by Dr. Manav Gupta

Answered by Dr. Manav Gupta

Is there an absolute necessity to do surgery for a protrusion in my lower back?

Hi doctor,

I have a protrusion in my lower back, and my local doctor suggests surgery. I am a sports person, and I have previously recovered from such issues with physiotherapy and exercise. Is there an absolute necessity to go for surgery? When I stand upright, I have pain in the left hamstring, like something is radiating.

16 Apr 2024 - 1 min read

Can tight neck cause jaw tightness and fatigue?

Hello doctor,

I have been going through some stressful events for the last three weeks. I worked a lot on repairing smartphones, where I sometimes needed to bend my neck forward. Also, I have used smartphones quite more than usual. I feel fatigued, and I have tight neck without pain for the last three weeks. I also think that my jaw is getting more tired when chewing without pain. I am little afraid of my jaw. Can tight neck cause jaw tightness and fatigue? Can this be related? Does fixing the neck resolve jaw tightness and fatigue? I have never had this before.

16 Apr 2024 - 1 min read

Even after taking medications and massages, I have severe pain in my right hip. What to do?

Hi doctor,

I am a 64-year-old woman. I had severe pain in my right hip near the vertebrae when I was getting out of bed. I tried applying icy hot, Lidocaine, mineral ice, heating pads, and ice packs. I also took Tylenol, Ibuprofen, and Aleve (none over the daily recommended dose). I got a massage last night that provided some relief, but the pain is back this morning. What can I do?

09 Apr 2024 - 1 min read

Cortisone injection for tendinitis is hurting more. Why?

Hello doctor,

I am a 24-year-old female. I received a second round of a cortisone shot in my wrist on 18th May for wrist tendinitis. During the injection, it hurt much worse than the first shot. I have been told to keep my wrist in a splint at all times. My wrist is still bruised where the injection was given. There is now a bump as well where I have injected hurts when touched. Before the first shot, I had a ganglion on my wrist that popped. I cannot say for certain if the bump is from the injection or the ganglion is back because of the shot. I need to know if this is normal or if I should go to a clinic over the weekend? I am currently on Autumn Wills, Seroquel 400 mg, Lithium 300 mg, and Ativan 1 mg when needed and not often.

21 Feb 2024 - 1 min read

My lower back hurts on touch and bending forward. Please interpret my x-ray findings.

Hello doctor,

Since May, I have been suffering from pain on my spine in my lower back. It is located around the T11 vertebrae of the thoracic spine, and it feels sore and tender to touch. It is painful and tender when I bend forward or sit back. I visited a GP and she said that she thinks it is a muscle insertion that causes the pain but she is not sure. She did a neurological examination and all was normal. Two weeks ago, I visited the GP again who ordered x-ray of the thoracic spine and I also did some blood tests FBS, CRP, ESR, RH factor, anti-CCP antibodies and all came back normal.

The radiology report of the X-ray shows:

There are minor irregularity and a limbus vertebra at the anterior superior endplate of the T10 (most likely) vertebra body.Further minor sclerosis and iregularity of the anterosuperior corner of the T9, T10, and T11 vertebral bodies. This might indicate some developmental apophysitis and minor degenerative changes.

No acute body injury.

If pain continues MRI of the thoracic spine might be useful.

I am worried a lot as I also suffer from anxiety and panic attacks. I think of the worst and I am scared in case it is something very serious like cancer. (worth to mention that a rheumatologist six months ago told me that there is a possibility I have fibromyalgia as all my investigations were normal but had muscular pains). At the follow up with the GP he told me not to panic and that it may be linked to my fibromyalgia and to wait for a few weeks to see if pain settles. He said that if it was to worry it would have shown in the x-rays and blood tests. I would like you to advice me as an expert what you think of the above please. I decided to do an MRI scan. I was told that I could wait until next month to have it done.

22 Dec 2023 - 1 min read

Dr. Manav Gupta
Orthopedician And Traumatology
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