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I've decided to post this tip that lists the steps a back patient should be following for obtaining an accurate diagnosis and getting an effective treatment plan.
1. Talk to your primary doctor. Describe the symptoms you are experiencing in detail and how it is affecting your daily life — keeping you awake, preventing you from functioning normally, what your pain level is on a scale of 1-10 with 10 being the worst, etc.
2. If required by your health insurance, have your primary doctor give you a referral to a local spine specialist such as an orthopedic surgeon or neurosurgeon. When seeing the spine specialist, make sure to again provide all details of your symptoms.
3. The spine specialist should send you for (or do in the office if they have the equipment) a CT scan or an MRI of your spine. An x-ray will not show soft tissue such as discs and will not show all that could be causing your back pain.
4. The spine specialist should then review the results of the diagnostic testing with you. Make sure you understand everything and ask questions until you do understand.
5. The spine specialist should then provide a recommended treatment plan. This could involve seeing a pain management specialist, a physiatrist, or something simple like OTC medications and applying hot and/or cold to the area that is painful.
6. Some people benefit from physical therapy, hydrotherapy, chiropractic care, injections, exercises, or other traditional and/or non-traditional therapies. Surgery should always be a last resort but may be needed in some cases.
7. Don't do any treatment you are not comfortable with or causes you more pain.
8. Do your research on-line and be armed with knowledge about spinal conditions. Here is a link to a resource I created on this WebMD Back Pain Community that lists links to good spine sites: http://forums.webmd.com/3/back-pain-exchange/resource/10?@guest@
I hope this helps people to know how to go about getting help for their back pain.
-Dave
)Thanks, Dave!!!! Great Job!!
Glad you like it.

Have you been operated yourself? What is your connexion to back pain as you explained it so good. My prime advise would always be to avoid operation! Unfortunately I had to undergo an urgent one some 12 years ago with no alternative. I kindly ask you to have a look at my website as we developed a revolutionary textile and myself I have so much benefit out of it as I do not use anymore pain killers and so. www.fir-tex.com
Cheers, Iwan
I've tried the steps you recommend. I've been in pain for over 20 year, every year getting worse. I went to my family doctor 1st. She sent me to therapy. When I got worse, I quit. A year or two later, we tried it again with the same results. Then we tried a pain clinic w/injections in conjunction w/therapy. Again I got worse & quit. Somewhere in the middle of this, I demanded that x-rays be taken. The orthopedist said I had arthritis & bone spurs.
Well, I've continued getting worse & asked my PCP to send me to a spine specialist. The specialist requested new x-rays, which were very painful as they had me twisting around & put in very bad positions. The report came back for the specialist that I have mild DDD & to go to PT & pain clinic. My doctor agreed this would be useless as we've done it before. She wants to run an MRI or CTscan, but insurance won't pay for it unless I've had recent therapy. Thankfully the therapist said tradtional therapy would not work & I'm doing hydrotherapy. But even that is making me worse. My pain is worse after getting out of the pool because she has me standing thru most of it. The 1st time I kept telling her I felt like throwing up because the pain was so bad, but she didn't seem to hear. The 2nd time I repeated it before getting in the pool. To her credit, she is more alert, having me take frequent breaks, floating in the water to get off my feet. But the pain still get incrimentally worse. Each night after therapy, I wake myself up, whimpering & moaning from the pain.
I went grocery shopping 2 nights ago, leaning on the cart for support (to no avail). I think we were there for 30 minutes. When I got home I started throwing up from the pain. Last night, I put the dishes in the dishwasher & got to bed as quickly as possible to get flat on my back because I was about to throw up again. I didn't even wash my face or brush my teeth. The pain was too severe. (I had therapy yesterday morning too.) I lay there gasping for about 15 minutes before the pain let up enough for me to roll over. Then kept waking myself with whimpering & moaning again. And don't even get me started about trying to fix meals or clean house!
I've posted about this on my other discussions. I disagree with the diagnosis of DDD - my symptoms are totally opposite of what I have read about it. What do you do when your pain is beyond a 10, when you are throwing up & can't do the slightest of daily activities & the specialist refuses to see you? I can't stand this any more!
Shelia
I'm sorry I did not see this post sooner. When a post is "pinned" on a WebMD community, the new replies do not show.
You can read my whole story by clicking on my user name or avatar picture. I have never had surgery and probably never will. My conditions are too advanced for any surgical procedure to help.
I will go to your website as soon as I am able.
I'm sorry I did not see this post sooner. When a post is "pinned" on a WebMD community, the new replies do not show.
I am sorry you are continuing to suffer so much.
The only further advice I can give you is to keep doing your research and keep being assertive with your doctors to get the care you need. In the meantime, do whatever you need to do to reduce your pain levels.
I will continue to pray that you find the answers and relief you need.
When a discussion is "pinned" and always at the top of a WebMD Community, new replies do not show. To ensure your questions are seen and replied to, please start a new discussion.
Thank you very much.
I've been there myself but ended up with 2 surgeries. The 1st was for a ruptured disc in '97 and I healed right up and went on with my life. Would never have thought I had any problems. I never even had a back ache in my life until then.
Almost 7 years later, in late '03, I woke up one morning with a very familiar feeling. I went directly to my primary doctor who in turn sent me directly to the neurosurgeon. They had me go for an MRI, which wasn't read correctly, and then for a myelogram (which I highly recommend) that showed everything. According to the MRI, I was fine. According to the myelogram, my vertabre had collapsed because the remaing part of the disc that ruptured, had disappeared.
Almost 6 months and many tests later, I had spinal fusion surgery. I would be fine except for permanent nerve damage due to the extremely long wait. Had the MRI been read right and I had the surgery right away, the nerves wouldn't have been crushed between the vertebre.
I'm now disabled due to chronic pain. There are days I can't move and I haven't slept more than an hour straight in over 6 years. I take many pain pills that hardly work due to the low mg dosage and I now have high anxiety because I'm afraid I'll be like this the rest of life. I do go to a very good pain clinic and have had some relief but I know there's no cure.
If you can and if your insurance covers it, please ask your doctor to send you for a myelogram. I'm not sure I'm spelling it correctly, sorry. I sure hope you can find some relief!!! There's nothing worse than being in constant pain.
Please keep us posted

Debi
On really bad days I set an alarm for 1/2 hour and cry as hard as I can and when the alarm goes off I calm down and start over trying to deal with the pain.
Good luck in getting relief.
Toni
I'm sorry I'm rabblin, I am new here and hope to find away to help me find somthing to help or to help some one like yourself.
Thanks for letting me vent my flustration and to let you know you're not olone in this,you post showed me that!
Thanks Jake Kaiser
I want you to know you are not alone, I have been dealing with lower back pain and what they say is fibromyalgia since 2002. I fell on ice in Feb. of 2002 and woke up the next morning with foot drop, back pain and right leg pain. The foot drop eventually resolved on it's own but the pain in my leg and back just got worse over time. After about a year of dealing with back and leg pain I began having a bunch of other problems. I had an good job in cardiac surgery as an OR tech that I had to give up. Fast forward 9 years and two spine surgeries later and I am still suffering. The pain in my right leg is gone but now I have pain in the left leg.
I am not over weight, I exercise 5-6 days a week, I eat right, I do everything they tell you to do and I still have pain. I put on a brave face and for the most part pretend that nothing is wrong but I am suffering. I have an amazing life, I have a supportive husband, a wonderful family, I am really happy but this pain is driving me nuts. I have tried everything and the one things that helped a little bit is being discontinued. My PCP left the practice and the new MD does not believe in pain medication so she is weaning me off. She has never asked about my pain or anything relating to my medical history and she told me she does not care how I feel. I am trying to find a new doctor but that is easier said than done. Although, I am pleased to have d/c'd some of the meds I was on and reduce the amount of the things I still take, I would like to stay where I am and the doctor says she does not care, she just wants me off all of the meds. She says that she too has back pain and I just need to learn to live with it. I am feeling pretty lost right now, I don't know where to turn.
I spoke with the practice manager about my concerns and she told me that my PCP is weaning all of the patients she inherited off of their medication, which leads me to believe she is not interested in patient care but only in her belief that pain meds are not something she cares to deal with. I do not know where to turn, I have tried everything to ease my pain.
I hope you can find some treatment that works for you but know you are not alone.
Best wishes,
Julie
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