Dr. Anshul Varshney
Internal Medicine
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
My 27-year-old daughter is suffering from lower back pain for the past eight months. She was fine before that. She got food poisoning from which she recovered but then she had pain in her lower back. She went to an orthopedic doctor who referred her to a chiropractor who cracked her back and then to a physiotherapist who gave some deep tissue massage. This resulted in severe pain and she could not move. She had to be admitted. Her mobility was very poor. She was later seen by a neurologist who assisted to gain her mobility by using Lyrica medication, painkillers, and anti-inflammatory drugs. Even after eight months, she has severe pain and is still taking Lyrica 75mg along with Cymbalta 30 mg, Thyroxine 50 mg, Empiget 10 mg, Betapyn, Gaviscon, and Nexium. She had undergone ANA tests. What should be done about this problem?
Thank you.
Hi,
Welcome to icliniq.com.
I read your query and understand your concern.
Back pain is just a symptom. The underlying condition causing the symptom may be an autoimmune disease like Sjogren syndrome or systemic sclerosis. Physiotherapy will not help with the condition. She would require painkillers for a few days along with DMARDs (Disease-modifying anti-rheumatic drugs). DMARDs are drugs used to treat autoimmune diseases.
I would suggest the following.
Get her eye checked for uveitis.
Get her HLA-B27 (human leukocyte antigen B27) by PCR (polymerase chain reaction) test.
I also suspect the presence of ankylosing spondylitis and she could be suffering from a mixed autoimmune connective tissue disorder.
I suggest you get in touch with your rheumatologist and get back if you have any further queries. Also, I would like to know if your daughter has frequent redness in her eyes.
Thank you
Patient's Query
Hi doctor,
Thank you for your reply.
She has had no complaints about her eyes or vision. But she wears glasses and contact lenses occasionally. She has no redness in her eyes either.
Thank you.
Hi,
Welcome back to icliniq.com.
All right. Then you can consult a rheumatologist as suggested earlier.
You can get back if you have any other concerns.
Thank you.
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Internal Medicine
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