Q. Is surgery mandatory in a patient with spinal TB despite normal diagnostic reports and improvements in symptoms?
Hi doctor,
I was diagnosed with spinal TB five years ago in the middle of the year. The pain began at the end of the year, and I have been under medication for the past seven months. Initially, my pain was so severe that I could not get out of bed, but my pain is subsiding now. My weight was 53 kgs a few months ago, and now I weigh 59 kgs. I am able to perform all activities, but the doctors say there is no improvement in my condition, and they suggested that I undergo surgery. Please, tell me what to do. I am scared of surgery. And if I am not recovering, why was the pain subsiding? In addition, I underwent a biopsy, blood culture test, and fungal test, and all the reports were normal. Also, I am planning to join my office soon. So, should I undergo surgery or not?
Kindly give me your suggestions.
Hi,
Welcome to icliniq.com.
I went through your query and understood your concern.
I am glad to know that your condition has improved, and I assume you are still on Anti-TB (tuberculosis) treatment drugs.
1. Your X-rays and scan reports show your TB is healing (attachment removed to protect the patient's identity).
2. Your ESR (erythrocyte sedimentation rate) test is decreased, which denotes healing.
3. Your last MRI (magnetic resonance imaging), which was taken five years ago, shows changes in TB but does not mention anything about the abscess that was reported in the earlier results.
4. Was a biopsy and culture, TB-PCR (tuberculosis polymerase chain reaction) sample taken from the involved area? And is the treatment based on drug sensitivity?
5. If your weight has increased, you need to consult an infectious disease physician regarding the adjustment of the tablets, as the dosage is calculated based on the weight.
6. I suggest you to undergo an anterior-posterior and lateral X-ray view of the lumbar spine.
7. I also suggest you take bed rest, perform ambulation within pain limits, and use lumbar sacral corsets.
8. I would suggest that X-rays and clinical improvement are a better way of following the healing process in cases like TB spine. However, I believe you are progressing and suggest you to continue taking the medications for 15 to 18 months. Also, kindly send me all the X-ray reports.
Kindly consult a specialist, talk with them and take the medications with their consent.
I hope this was helpful.
Take care.
Was this answer helpful?
|Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
Related Questions:
Inhaled a substantial amount of sanded grout. Feeling shortness of breath,throat irritation. Can you help?
Hello doctor, About a month ago, I purchased a set of four top and bottom retainers (eight total) that I wear to keep my teeth in place after braces. Earlier this week, I had to get a root canal done, but I have not yet had a crown made for the molar. Read full
Latent Tuberculosis - Risk Factors, Symptoms, Diagnosis, and TreatmentThey usually have a normal (negative) chest X-ray ... Read full
Orofacial tuberculosis - Symptoms, Diagnosis and Treatments Medical History- The clinician asks for symptoms like cough, chest pain, fever, chills, loss of appetite, exposure to HIV, etc ... Imaging Techniques- A chest X- Read full
Also Read Answers From:
Comprehensive Medical Second Opinion.Submit your Case
iCliniq's FREE Newsletters
Expert-backed health and wellness information, delivered to your email.
Thank you for subscribing to our Newsletters!
Also Read
PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions. Read more»
Inferior Alveolar Nerve Lateralization Technique
The inferior alveolar nerve lateralization technique is a surgical lateralization technique to reposition the nerve. Read the article to know more about this. Read more»
COVID-19 and Ebola: Similarities and Differences
This article gives a comparison and broader overview of the outbreak of the two deadliest diseases that showed a greater incidence over the last two decades. Read more»
Ask your health query to a doctor online?
Ask an Orthopaedician & Traumatologist Now* guaranteed answer within 4 hours.