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Neurology (Expert Forum)
Boring back pain
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Boring back pain
by Le__0__0, Apr 16, 1998 12:00AM
Hoping you can help. Past 5 years I have had non specific symptoms all
over the place. Starting with a stiff neck, burning palms and soles, but
the past year I have had increasing episodes of boring back pain between my
shoulder blades and band like feeling around chest. Neck and head also
have strange sensations. Needless to say bizarre symptoms are too often
equated with bizarre patients and I was batting 0. So after much research
I went to a lyme literate Dr for testing by respected lab (Igenex). My
Western Blot was positive by CDC criteria for both IgG and IgM! BUT that
Dr is on vacation and my HMO Dr is on vacation and my back and diaphragm
area feel quivery at times, especially after using upper arms
for gardening, driving etc. I also have transient burning pains in ex-
tremities. Can I wait for their returns or could this be something bad im-
pending?
Thanks for any help
=========================================================================
Thanks for the question Lee. Soory to get back to you so late, I'm sure your doctors have returned by now and answered your questions. Lyme disease is caused by the tick borne spirochete B. burgdorferi. Most of the clinical problems are caused by direct tissue invasion. Usually three stages are encountered 1) a characteristic skin lesion 3-32 days after a tick bite. You did not mention a bite or rash? 2) a severe systemic illness with joint pains. Neurologic symptoms develop in 8 to 15 % of patients and usually last 6 to 8 weeks and often resolve without treatment. 3) months to years after the primay infection patients can develop neurologic complications. The pos IgM would suggest a more recent infection. I think you need to speak to your doctor and have a possible referral to an infectious disease specialist. A spinal tap should also be considered. A good neurologic axamination will also be very helpful to make sure soem other type of disease process is not being missed.
This information is provided for genberal medical information purposes. PLease contact your physicain regarding diagnostic and treatment options of your problem.
over the place. Starting with a stiff neck, burning palms and soles, but
the past year I have had increasing episodes of boring back pain between my
shoulder blades and band like feeling around chest. Neck and head also
have strange sensations. Needless to say bizarre symptoms are too often
equated with bizarre patients and I was batting 0. So after much research
I went to a lyme literate Dr for testing by respected lab (Igenex). My
Western Blot was positive by CDC criteria for both IgG and IgM! BUT that
Dr is on vacation and my HMO Dr is on vacation and my back and diaphragm
area feel quivery at times, especially after using upper arms
for gardening, driving etc. I also have transient burning pains in ex-
tremities. Can I wait for their returns or could this be something bad im-
pending?
Thanks for any help
=========================================================================
Thanks for the question Lee. Soory to get back to you so late, I'm sure your doctors have returned by now and answered your questions. Lyme disease is caused by the tick borne spirochete B. burgdorferi. Most of the clinical problems are caused by direct tissue invasion. Usually three stages are encountered 1) a characteristic skin lesion 3-32 days after a tick bite. You did not mention a bite or rash? 2) a severe systemic illness with joint pains. Neurologic symptoms develop in 8 to 15 % of patients and usually last 6 to 8 weeks and often resolve without treatment. 3) months to years after the primay infection patients can develop neurologic complications. The pos IgM would suggest a more recent infection. I think you need to speak to your doctor and have a possible referral to an infectious disease specialist. A spinal tap should also be considered. A good neurologic axamination will also be very helpful to make sure soem other type of disease process is not being missed.
This information is provided for genberal medical information purposes. PLease contact your physicain regarding diagnostic and treatment options of your problem.
