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Neurology (Expert Forum)
Back pain - fall 1 year after brain injury & neuro damage
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Back pain - fall 1 year after brain injury & neuro damage
by Cynthia-Keck, Feb 16, 1998 12:00AM
Re: Back pain - fall 1 year after brain injury & neuro damage
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Posted by CCF Neurology MD on February 23, 1998 at 18:40:48:
In Reply to: Back pain - fall 1 year after brain injury & neuro damage posted by Cynthia Keck on February 16, 1998 at 21:35:22:
: One year ago my 19 year old daughter was hit by a car & suffered a TBI. She underwent only a month of therapy, & from sheer determination and a major miracle, regained the use of her right hand, walking, talking, reasoning, etc. within 6 months. Since then she has reduced sensation to temperature and pain on the entire left side of her body, and recurring pain in her left calf & shoulder. She is back in college (getting A's in math despite the therapists' recommendation that she consider trade school...) Two months ago she slipped on the ice, landed on her rear end, and has had constant mid-back pain since then. Her doctor has put her on an anti-inflamitory, which isn't helping, and has nothing else to offer. I would ask for a referral, but I don't even know what kind of doctor she should see. I feel helpless, but have to find her some help somehow. Any advise on what might be the cause of the pain, what could help, and what kind of doctor I should take her to would be very appreciated!
=Dear C. Keck, The back pain most likely secondary to spasms irritated or damage by the fall. Another possibility is compression of the nerves which innervate the muscles of the back as the exit through holes in betwwen the vertebrae which compose the spinal column which we refer to as radicular pain. Howevwer, this would seem less likely if muscles affected were over a wide area on both sides of the back. You should have your daughter evaluated by a neurologist or spine specialist. The treatment they prescribe may not only include NSAIDS but also muscle relaxents and/or anti-spasmodic agents. In addition, they should be referring your daughter to a physical therapist for evaluation and treatment. "This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options of your specific medical condition."
