What does one do if she experiences major chest pains and medical examinations reveal no heart or BP abnormalities? This is a particularly good question because it applies to all fields of medicine, and to all people who at some time in their lives will become patients (Yes, even doctors). If a person is experiencing symptoms that are not accompanied by signs of disease, or evidence in the form of an abnormal test, the diagnostic work-up will sometimes cease. Yet the patient still has the symptoms. What should be done? First, were all the elements of your complaint dealt with? Please see my prior posting about preparing for a visit to a cardiologist . It is appropriate for a visit to any physician. Second, what constitutes a full work-up for chest pain? This is actually different depending upon the likelihood of different processes causing the discomfort. Arteriosclerotic coronary artery disease is quite unlikely in very young people (but congenital disease may be more ...
Ah Chew! If that sneeze hurt your low back, then you have found the right place to learn more about surviving cold and flu season with low back pain . Coughing and sneezing can really hurt. A week of doing either one can be agonizing. Why does it hurt the low back so much when the upper respiratory system is irritated? And what are some things that you can do to survive a cold or flu with less pain?
That sudden cough, sneeze or laugh (for that matter) does one thing to a lumbar disc that can cause a sudden increase in pain. Research has shown that the mere acting of coughing, sneezing or laughing increases the amount of pressure in the lumbar disc . If the disc is already torn, bulged or herniated, the act of coughing or sneezing can be a very painful experience. And Lord have mercy if the coughing or sneezing happens more than once. In fact, someone might be minding his/her own business enjoying a pain-free life when suddenly an innocent sneeze leads to months of debilitating lo...
Back pain - nonspecific
Low back pain
Pain in any part of the back
Pain may radiate to the buttocks or upper leg(s)
Signs and tests
A physical examination focused on the back, the abdomen, and the extremities may confirm back pain or muscle spasm , but the examination does not reveal a specific cause (such as a herniated disk) or any neurological problem (such as weakness or change in sensation).
X-rays of the spine are usually normal. Further work-up may include a CT scan or MRI of the spine .
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