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Mahmoud Hindawi

Mahmoud Hindawi

Licensed Doctor

الأسئلة المجابة 27495 | نسبة الرضا 98.6%

Doctor

Hi, i am having back pain behind the chest for...

تم تقييم هذه الإجابة:
Hi, i am having back pain behind the chest for more than 10days
Doctor's Assistant: Have you seen a doctor about this yet? What medications are you taking?
Just used voltaren emulgel
Doctor's Assistant: Anything else in your medical history you think the doctor should know?
I did not have like this pain before

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إجابة الخبير: Mahmoud Hindawi

Mahmoud Hindawi

Mahmoud Hindawi

Licensed Doctor

الأسئلة المجابة 27495 | نسبة الرضا 98.6%

what are the causes of back pain ?

the most common cause is muscle spasm otherwise yoy must exclude okut disc prolapse and degeneratve vertebral body and discopathy 

What are the investigatoion ?

you must do upper spine MRI and may back Xray is enough to exclude out previous mentioned causes 
you must do CBC - RF - vaitmin D LEVEL by laborratory results 
we advise you to de DEXAbone scan 

How to treat?

use of muscle relaxant as relaxon or myogesic tabs 3 times daily 
and use of celbrex 200 twice daily after meal 
if ther is disc prolapse it may need surgical lamnictomy acoording to the symptoms especially if there is numbness severe pain and inability to move 
use of calcium and vaitmin D supplements as calcitron once daily 
and CH APLPHA PLUS ampule once daily 

إسأل Licensed Doctor

Mahmoud Hindawi

Mahmoud Hindawi

Licensed Doctor

الأسئلة المجابة 27495 | نسبة الرضا 98.6%

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