One should get an MRI (magnetic resonance imaging) for low back pain or neck pain when the pain is not relieved with rest, weakness in extremities, known osteoporosis patient, long-term steroid use, and difficulty in controlling urination. The MRI shows disc herniation, infections, tumors, nerve compression, and changes in the intervertebral disc.
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I have a history of popping when moving neck back and forth. Please advice.
Query: Hello doctor, I have the history of upper neck popping when moving neck back and forth. Numbness on the left side of the body. Back pain from the majority of back preventing me from sleeping. Popping occurs right at the base of the head and neck and can feel something moving. I had an MRI today. Read Full »
Answer: Hello,Welcome to icliniq.com.There is mild straightening of the cervical vertebrae and might suggest cervical muscle spasm. Vertebral bodies show regular marrow signal changes. No endplate degeneration. The spinal canal is normal. The spinal cord is normal in size and signal intensity. No evidence o... Read Full »
Is the irritation on the back of my neck due to poor posture?
Query: Hi doctor, I am suffering from irritation on the back of my neck. Sometimes, it extends up to the throat. But, I do not have any problem in speaking or swallowing. Please help. Read Full »
Answer: Hi,Welcome to icliniq.comI understand that you have some irritation at the back of your neck that extends to your throat sometimes. However, there is no difficulty in swallowing or speaking. The details provided by you are not sufficient enough to make a decisive diagnosis. Please get me the foll... Read Full »
Could you tell me the underlying cause for sciatica?
Query: Hi doctor, I have been recently diagnosed with sciatica. I have some difficulty in walking. I am having Tramadol and Paracetamol for pain relief but they are not helping much. Could you tell me the underlying cause? Will I require a walking aid? Read Full »
Answer: Hi,Welcome to icliniq.com. As you must be aware by now, sciatica is a term used when a person experiences radiating leg pain due to some pressure on the nerves. Assessment will include intensity of back pain, intensity of leg pain, the distance you walk without any requirement of analgesic and deta... Read Full »
Is ligament laxity a side effect of Sevoflurane?
Query: Hi doctor, I am a 36 year old female. My height is 164 cm and weight is 48 kg. I was healthy with fine ligaments. Two years back, I had spine surgery for a herniated disk at the level of L5/S1. Soon after the operation, I got something like sleep myoclonus. The neurologist said that as benign, but ... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read through your query in detail. Please find my observations below. Myoclonus or muscle twitching is a known side effect of Sevoflurane use, and it is not a serious concern. Sevoflurane does not cause laxity of ligaments. Very common side effects of Sevofluran... Read Full »
What is the reason for my severe back pain and pain in the hip, buttocks, and thigh?
Query: Hello doctor, I had lower back pain which was not bad at first. After a few weeks, it has gotten worse. I have a pain in the hip, buttocks, and thigh as well now. I recently joined work, and I cannot perform at work as the pain is unbearable. Read Full »
Answer: Hello, Welcome to icliniq.com. You have been suffering from a lower backache that is radiating to the buttocks and thigh. It seems to be due to a nerve compression which is the cause. You need to see an orthopedician for that. An X-ray of the lumbar spine should be done and an MRI lumbar spin... Read Full »
What is the best remedy for back pain?
Query: Hi doctor, I have been battling with back pain since a year. I associated this pain with a kidney stone which I had for a couple of years. I had a ureteroscopy, crushing and removal of the stone a month ago, but however the back pain still persists. An x-ray done today is attached. I had some back... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through the investigation reports (attachment removed to protect patient identity). Your blood investigation appears to be fine apart from high CRP (C-reactive protein), which could either be a manifestation of any inflammation or infection somewhere in the... Read Full »
I have had mild back pain for four years. Can you please interpret my MRI scan report?
Query: Hi doctor, I am 40 years old, having mild back pain for four years and no leg pain, but while traveling on sitting, I have mild lower back pain. So I got an MRI scanning as suggested by the doctor, and hence the results are: Straightening of lumbar curvature. Lumbar spondylosis is more marked at L4 ... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. Avoid lifting heavy weights. Avoid bending your back. Instead, bend your knees to pick up anything from the floor. Avoid sitting for long hours. Avoid motorcycle rides. Improve your posture while sitting. Try... Read Full »
Does the MRI of the neck show any sign of cancer?
Query: Hello doctor, My mother is suffering from severe neck pain for the past year. Her doctor believes it might be arthritis, but he is not sure. She even got several shots in her neck for pain by a physical therapist but nothing seems to be working. My mother got her first MRI scan done a week back with... Read Full »
Answer: Hi, Welcome to icliniq.com. I had a detailed look at the contrast images of your mother (attachment removed to protect patient identity). There appears to be light gray to black areas seen in the central portion of T1 and the left side of T2 vertebral bodies. These findings were not clearly seen ... Read Full »
Do I need surgery for my lower back pain?
Query: Hi doctor, I feel pain in my lower back. The pain is radiating to my left foot and left big toe. I have attached the result of my MRI. The doctor told me that I need an operation and medicines will not help me. But, I do not believe that my case is so bad. Can you check my report? I am working as a ... Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns (attachment removed to protect patient identity). Considering the MRI report and radiation of back pain till the point of big toe, I am of the opinion that surgery is the best modality of treatment. Your doctor is right in sa... Read Full »
I have been suffering from intermittent low back pain. Is it sciatica?
Query: Hi doctor, I am having severe pain in the lower back, more on the right side. I am not able to bend front and my right leg is aching continuously. I am suffering from back pain for last 6 to 7 years and sometimes, it is severe. I had to take bed rest for a week, but I had never taken any medicine. ... Read Full »
Answer: Hello, Welcome to icliniq.com. Since you have pain restricted to your lower back with no radiation to lower limb the pain is not sciatica. In sciatica, the pain radiates from lower back to legs. You could have mechanical backache or disc prolapse without any impingement on the neurological structure... Read Full »