why did i take this topic up..well,it is said that back pain is one of humanity's most frequent complaints.and thus,being the majority, it would be mine too..funny!! how come complaining backpain in blogspot instead of getting advice from physician???? well, i got my X-RAY before i entered AIMST back in 2008 and the result show that, YOU ARE FINE..
if im fine, then what is all this complaining about?? my mum told me "you are too stress." okay,i accept it..maybe..but how come the pain still follow me till today when im having holiday..my dad say "your bed too soft" okay..maybe..but i had that when im sleeping on those so-called-hard bed!!! it been with me for like a few years..
from just a simple minor pain..maybe a few numbness or tingling..to now, its been killing me..and it happen just after i lay down on my bed trying to get my dear sleep..although the time of attack isnt long..maybe less than a minute, but isnt it irritating to have those pain before getting to sleep???
im thinking, since those X-RAY show im fine, it should be ntg right?? so am i correct about it?? lets get into the world of dorsalgia~
first on classification :
Back pain can be divided anatomically: neck pain, upper back pain, lower back pain or tailbone pain.
By its duration: acute (less than 4 weeks), subacute (4 – 12 weeks), chronic (greater than 12 weeks).
since it is greater than 12 weeks, it is chronic (which i hope it is NOT)..and the pain i felt from LUMBAR part which mean it is the lower back pain..we have done with the classification and well proceed to associated condition..
-Typical warning signs of a potentially life-threatening problem are bowel and/or bladder incontinence or progressive weakness in the legs.
-Severe back pain (such as pain that is bad enough to interrupt sleep) that occurs with other signs of severe illness (e.g. fever, unexplained weight loss) may also indicate a serious underlying medical condition.
-Back pain that occurs after a trauma, such as a car accident or fall may indicate a bone fracture or other injury.
-Back pain in individuals with medical conditions that put them at high risk for a spinal fracture, such as osteoporosis or multiple myeloma, also warrants prompt medical attention.
-Back pain in individuals with a history of cancer (especially cancers known to spread to the spine like breast, lung and prostate cancer) should be evaluated to rule out metastatic disease of the spine.
but i dont remember having weight lost..er, i do have but i consider it as my diet..im on diet..i have no idea if is because of my successful (if is) diet or because of my back pain..not sure..afterall im not a doctor!!
getting with it, i fly to find out the cause of back pain..too bad i found nothing associated to bed..-.- i do find association with stress but then~ well, there been like 31 association and cause!!! i mean it associated to so many major organ..and well the cause listed are big..including aneursym, cancer, infection, herniation,pneumonia, excessive stress, major organ (pancrease, stomach, lung, kidney) problem and also pregnancy..many to list but then, some not associated...
it is also said that people with family history of having lung,breast and prostatic cancer should double check for maglinancy..it might spread..afterall, the spine is a complex interconnecting network of nerves, joints, muscles, tendons and ligaments, and all are capable of producing pain.
well, while reading here and there, something capture my attention :
New attention has been focused on non-discogenic back pain, where patients have normal or near-normal MRI and CT scans. One of the newer investigations looks into the role of the dorsal ramus in patients that have no radiographic abnormalities - Posterior Rami Syndrome.
!!!!!
afterall i thought i going to be fine..here, there is actually no abnormalities in MRI , CTSCAN!! hello, even no abnormalities in those, what could i say about those cheap x-ray i got..-.-
i thought of synovial joints of the spine, spinal disc herniation, degenerative disc disease or isthmic spondylolisthesis and bla bla bla..but then i guess this supposed to be better ones, so here we go with posterior rami syndrome..
the definition : Thoracolumbar Junction Syndrome, Maigne Syndrome and Dorsal Ramus Syndrome is caused by the unexplained activation of the primary division of a posterior ramus of a spinal nerve (Dorsal ramus of spinal nerve). This nerve irritation causes referred pain in a well described tri-branched pattern.
it is confirmed by 4 diagnosis and they are
1. trophic changes of the skin referred to as cellulalgia.
Neuropathic pain is found in three well described regions and serves as the principal clinical component in diagnosing Lumbar Dorsal Ramus Syndrome (LDRS).
symptoms : a thickening or nodularity of the skin, hair loss or even a swollen puffy appearance.
2. not usually have spontaneous pain at the offending spinal level.
3. radiographic evidence is non-contributory. MRI, CT and myelography are all ineffective at localizing the at-fault level.
4. pain relieved by injection of local anesthetic into the correct facet joint.
well, could it be???? im not really sure..guess after all this check out, i think i need to get a doctor afterall...maybe dr. aruljoethy could help..he is the orthopediatrics i knew in AIMST..wish me luck!
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