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الأسئلة المجابة 4293 | نسبة الرضا 98%

Doctor

Hi doc,im rotess a 40yrs old.my problm is about my...

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Hi doc,im rotess a 40yrs old.my problm is about my left down shoulder near in my ribs.is always pain.if i breath i feel pain.and also i feel pain in my heart.i was i the doctor but he said its just a muscle pain.he give me only paun relever but now .its pain again in almos 10month i suffer.sometimes there is no pain sometimes more is long 1 week or more than.my kwn what is this doc

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إجابة الخبير: الدكتور عبد الرحمن الشيخ

الدكتور عبد الرحمن الشيخ

الدكتور عبد الرحمن الشيخ

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الأسئلة المجابة 4293 | نسبة الرضا 98%

Symptomes and manangemt of chronic muscle spasm 
Chronic muscle spasm especially in the back is a condition where the muscle got spastic for a long time to cause pain especially upon movement. Its common on the back where its difficult to be treated if you are not following the right positions of sleep and work. Its treated mainly with the use of Tizanidine 4 mg tab once daily before slep in addition to the use of Ice gel three times a day. Other causes of back pain should be investigated and you should consult an orthopedic surgeon 
Investigations 
After proper physcial exam, Thoraco lumar and cervical CT scan should be done to detect any signs of osteoarthritis in the vertebral coulumn, MRI is wise to diagnose disc prolapse. ESR, RF, ANA tests to detect rheumatological diseases. ECG to diagnose any cardiac ischemia and Chest CT with contrtast to diagnose any aortic abnormailities 
Causes 
  • Chronic muscle spasm 
  • Rheumatoid arthritis 
  • Osteoarthritis 
  • Disc prolapse 
  • Cardiac ischemia 
  • Aortic dissection

Our advice 
You are adviced to follow the right instructions of comfortable sleep, avoid sitting for a long time in front of comupter screens and avoid smoking 
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الأسئلة المجابة 4293 | نسبة الرضا 98%

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