fathersk
12-02-2007, 08:07 PM
Hi Cory (hope this is gonna get to you as first time on this site!)
This is Kate here and i work with Lloyd who has written regarding my LBP man ... i will try and answer your questions.
1) Re his pain when full after a large meal and less when evacuates. He tells me this varies in intensity and does not always happen. This is not something he associates with the initial injury when he was 16 or with hospital stay( ie i asked if he had had previous experience of constipation when in hospital) he thinks it started a few years ago but could not specify and now has become more noticable. He has not been investigated at all by G.P but i did ask him to see his doctor and discuss which he did. He said his doctor did not examine him but said he did not think it is a problem related to his spine. His doctor is referring him on but he could not tell me who to .... that reminds me i will call his G.P and ask!!
2) Re his pain pattern it is irratic. He can go many weeks without any acute episode but he says he always knows "it's there" and points to approx L4 level right low lumbar region. His right calf pain is intermittent and mostly associated with the acute episodes or if he over bends in standing with his knees straight. His acute pain comes on it seems with either flexion or side flexion or rotation movements separately and/or combined ie from sitting picking up files from floor -right S.F with degree of flexion or getting out of car ... it seems mostly when moving to right.This acute pain does not always occur with these movements only sometimes. He does not like taking weight through his right side in sit or stand as this increases his pain thus he shifts his weight to his left. Also note SLR immediate tensing and pain right holding onto plinth and jumping with pain. Plus palpation in prone start to get muscle spasm mid thoracic S.P and facet joint with pain++ at all lumbar levels right more than left. rotation in lying limited by pain and guarding and agg pain.
I saw him 2 weeks ago and his pain was "his normal discomfort" right lumbar no leg pain. I asked him to flex in stand he did with good range but immediately he said that he had gone too far too quickly and aggravated his leg pain. Started with 3 flexion in sit with knees and hips 90 degrees -no pain at time . He contacted me by phone 2 hours later saying he got out of car and c/o acute back pain with leg pain and tingling in foot. he described it as being thumped in his back ... he made it to the office and had to lay down for an hour. He did not take meds but within that time he could get up and move, he returned to sitting and work but pain worsening. He went home and within 24 hours pain settled and he did not miss any work. He talks about something "popping out and back in" when he gets pain and associates with acute pain.
3) Re night pain... he does not express pain at night. His sleep is diturbed by his baby only!!
I will tell more soon hopefully you will get this...
Kate:mg:
This is Kate here and i work with Lloyd who has written regarding my LBP man ... i will try and answer your questions.
1) Re his pain when full after a large meal and less when evacuates. He tells me this varies in intensity and does not always happen. This is not something he associates with the initial injury when he was 16 or with hospital stay( ie i asked if he had had previous experience of constipation when in hospital) he thinks it started a few years ago but could not specify and now has become more noticable. He has not been investigated at all by G.P but i did ask him to see his doctor and discuss which he did. He said his doctor did not examine him but said he did not think it is a problem related to his spine. His doctor is referring him on but he could not tell me who to .... that reminds me i will call his G.P and ask!!
2) Re his pain pattern it is irratic. He can go many weeks without any acute episode but he says he always knows "it's there" and points to approx L4 level right low lumbar region. His right calf pain is intermittent and mostly associated with the acute episodes or if he over bends in standing with his knees straight. His acute pain comes on it seems with either flexion or side flexion or rotation movements separately and/or combined ie from sitting picking up files from floor -right S.F with degree of flexion or getting out of car ... it seems mostly when moving to right.This acute pain does not always occur with these movements only sometimes. He does not like taking weight through his right side in sit or stand as this increases his pain thus he shifts his weight to his left. Also note SLR immediate tensing and pain right holding onto plinth and jumping with pain. Plus palpation in prone start to get muscle spasm mid thoracic S.P and facet joint with pain++ at all lumbar levels right more than left. rotation in lying limited by pain and guarding and agg pain.
I saw him 2 weeks ago and his pain was "his normal discomfort" right lumbar no leg pain. I asked him to flex in stand he did with good range but immediately he said that he had gone too far too quickly and aggravated his leg pain. Started with 3 flexion in sit with knees and hips 90 degrees -no pain at time . He contacted me by phone 2 hours later saying he got out of car and c/o acute back pain with leg pain and tingling in foot. he described it as being thumped in his back ... he made it to the office and had to lay down for an hour. He did not take meds but within that time he could get up and move, he returned to sitting and work but pain worsening. He went home and within 24 hours pain settled and he did not miss any work. He talks about something "popping out and back in" when he gets pain and associates with acute pain.
3) Re night pain... he does not express pain at night. His sleep is diturbed by his baby only!!
I will tell more soon hopefully you will get this...
Kate:mg: