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  Reply # 1223415 27-Jan-2015 17:48
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Well i hope i wont end up like you mike where you cant walk.
It is crippling currently but slowly gets better like last 10 times it went.
I hope its not a disease causing weakness etc. Thats what a Rheumatologist checks for right?




 


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  Reply # 1223416 27-Jan-2015 18:02
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TimA: Well i hope i wont end up like you mike where you cant walk.
It is crippling currently but slowly gets better like last 10 times it went.
I hope its not a disease causing weakness etc. Thats what a Rheumatologist checks for right?


A Rheumatologist would rule out some nasties 




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  Reply # 1223486 27-Jan-2015 19:34
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Hi Tim, I'm sorry to hear about your back.

As you may or may not be aware I am a GP in South Auckland.

A few things:

I note you allude to seeing multiple doctors in relation to your back. One of the most important things any person can do is find a GP they are happy with, and then consult with that person to the greatest extent possible.

In something like back pain seeing different doctors will almost certainly delay further assessment if it is indeed required. Almost all back pains settle quickly with conservative management (anti-inflammatories and a little physio), and thus unless there are signs in the history or examination to point to other things GPs will generally start with a trial of this and proceed from there. Failure to respond to that usually results in an xray first of all, and possibly bloods looking for rheumatologic spectrum disease (and while your workup may indeed need to include investigation along these lines, there is absolutely no need to be seeking a specialist rheumatology opinion at this stage - most of the bloods they order can be ordered by a GP and will be ordered prior to referral to the rheumatologists if required). Usually depending on the sum of results and patient progress referral to a specialist/s would usually follow.

In your case the history does suggest a need to escalate things, given it has been ongoing (albeit intermittently) and as mentioned earlier is a bit suggestive of a disc prolapse. I would imagine if I were consulting with you I would be wanting to progress things from the outset with those factors in mind, however when you see different people the tendency will be for each to want to trial conservative management initially.

The key here though is having continuity of care, I can't stress that enough. 

In my patient population I see the harms of not having a regular GP on a daily basis...

I'm afraid I don't really know any GPs on the Shore to make any recommendations, but if you're not enrolled with a regular GP (and one that you actually see regularly) then you might like to seek one out. Although any good GP should be able to help you, given the specifics of your health concern it might be worth looking for one with a post graduate diploma in sports medicine.




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  Reply # 1223495 27-Jan-2015 19:47
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Backs are vindictive, if you get it wrong they bite. Sure rest your back but not too much, work it but not too much until you know what it is.I have learnt this from my experience.

My life rule is use it or lose it.




Mike
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The views stated in my posts are my personal views and not that of any other organisation.

 

 Mac user, Windows curser, Chrome OS desired.

 

The great divide is the lies from both sides.

 

 


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  Reply # 1223532 27-Jan-2015 20:22
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Feeling for ya Tim... "Pinched a nerve" between my shoulder blades AGAIN yesterday (happens about 8 times a year) just as my arthritis flared up... 

Can't even walk right now.
Luckily today at work I just had to stand in the one spot for 7 hours yell

Hope you get it sorted.

Stu

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  Reply # 1223565 27-Jan-2015 20:43
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Currently waiting on an MRI appointment in the public system to confirm a possible herniated (or other such damage) disc (L5/S1). Have been barely able to work/live/do anything for about 6 months due to the pressure on the L5/S1 nerve.

As above. Get a good GP. Get it sorted properly. You've only got one spine.




Keep calm, and carry on posting.

 

 

 

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  Reply # 1223585 27-Jan-2015 21:14
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BigHammer: Currently waiting on an MRI appointment in the public system to confirm a possible herniated (or other such damage) disc (L5/S1). Have been barely able to work/live/do anything for about 6 months due to the pressure on the L5/S1 nerve.

As above. Get a good GP. Get it sorted properly. You've only got one spine.


Best wishes for your MRI.

Having had my own herniated disc in my neck earlier this year, for which I came within a hairs breadth of getting surgery for (the neuropathic referred pains were debilitating, and the numbness in my hand annoying) before things spontaneously settled, I feel for you guys with your back pains!


(of course my disc is still there and not in the best shape, so I expect symptom recurrence at some point, but for now no spinal surgery is welcome news)




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  Reply # 1223599 27-Jan-2015 21:19
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  1. See a doctor.  They'll test how to make it hurt and judge whether it's likely to be just(!) tissue damage or more serious
  2. If it's tissue damage you'll be prescribed some good prescription only anti-inflammatories.  If you're not already taking panadol do so now.  Anti-inflams and panadol (together esp when the pain is at its worst) help with the healing, they're not just for pain relief.
  3. Take it easy but walking heals.
  4. NEVER over-reach, bend with your KNEES like you're a safety freak especially while you're healing.  In a few weeks when you think the pain is gone you'll forget and hurt yourself for another week of pain.
  5. People don't realise how easy it is to injure yourself.  Often happens when you're in a hurry - you grab something heavy at arms length while in motion then twist your torso - bam.
  6. The damage is likely permanent but the pain should clear until you overexert yourself again.
  7. Start taking micro-pauses at work.  Visit the water cooler more frequently, find something/someone to go procrastinate with away from your desk, ask for a different model chair, advise your boss.  Get fit and active to strengthen it.



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  Reply # 1223600 27-Jan-2015 21:22
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I regularly visit one GP who is good to talk to and seems reliable from other peoples suggestions.
I think ill speak to him again and see where to go from here. Does the doctor need to get the MRI organized?
 




 


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  Reply # 1223603 27-Jan-2015 21:27
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You'll most likely not need an MRI.  The doctor can provide a referral if needed

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  Reply # 1223609 27-Jan-2015 21:43
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do you have health insurance

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  Reply # 1223617 27-Jan-2015 21:53
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TimA: I regularly visit one GP who is good to talk to and seems reliable from other peoples suggestions.
I think ill speak to him again and see where to go from here. Does the doctor need to get the MRI organized?
 


An MRI may be required, however that is certainly not clear at this stage if xrays have not been ordered.

If an MRI is required and this is not a matter for ACC, then an MRI would likely be ordered by a specialist if they felt it was required, if and when you see one. It is not common for GPs to arrange an expensive high-level scan like an MRI.






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  Reply # 1223657 27-Jan-2015 22:23
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joker97: do you have health insurance


Ya,
 Southern Cross Full everything stuff.




 




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  Reply # 1223658 27-Jan-2015 22:24
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NZtechfreak:
TimA: I regularly visit one GP who is good to talk to and seems reliable from other peoples suggestions.
I think ill speak to him again and see where to go from here. Does the doctor need to get the MRI organized?
 


An MRI may be required, however that is certainly not clear at this stage if xrays have not been ordered.

If an MRI is required and this is not a matter for ACC, then an MRI would likely be ordered by a specialist if they felt it was required, if and when you see one. It is not common for GPs to arrange an expensive high-level scan like an MRI.




I have never had any scans done in relation to this. There is an Ultrasound down the road from me at MedPlus.





 


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  Reply # 1223660 27-Jan-2015 22:30
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then get an mri. ultrasound definitely won't show anything. x rays probably won't show anything.

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