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Getting my wife to go to the doctor?
My wife is youngish (24 years old) and has suffered from varying degrees of back pain since her early teens. Ocasionally (once every few months) this can manifest itself as sharp, localized, debilitatingly intense flare ups that make it impossible for her to walk unaided. These usually occur somewhere from 3 to 6 hours after a period of light, routine housework (we're not talking moving bags of concrete here... washing dishes, vacuuming, etc... no heavy lifting). The few times I've been able to get her to go to the doctor, she's gotten little to no results (generally a perscription for some pain meds or something).
Since I am generally healthy enough to not need to deal with doctors, I don't know what to tell her, but clearly something needs to change. What we need to know is what we (or I) can do to fastrack her to an actual diagnosis. I don't want to get her a perscription, and I don't want some lengthy trial and error process, since she's liable to simply forget about either of those after the first month or two, and I woudl have hard time motivating her based simply on a "try this and see what happens" basis.
It's 2011 and I refuse to believe that something as 1) common and 2) severe as what my wife is experiencing should be a mystery. What do we need to do to get someone who knows wtf they're doing to look at her?
3 Answers
- oldgoatLv 610 years agoFavorite Answer
Here's the way it works with backs. Doctors do everything they can before doing any real studies for a diagnosis that's something more of a catch all like degenerative disk disease. The reason is every human spine has some irregularity, be it a disk bulge or vertebra out of alignment, anything. We are just built poorly to stand on two legs and put ourselves through awkward positions while fighting gravity out whole lives, Everybody has something.
However not everybody gets pain from it. Those that do can usually be helped by a combination of medications when they aren't afraid to prescribe something that actually works on pain and physical therapy. If a first course (usually like 6-8 weeks) doesn't do it, they begin again perhaps with a different medication and different physical therapies in mind. The thought behind avoidance of any diagnostic testing is that once you tell a patient they have a bad disk, cause of the pain or not, they change their normal motions and tend to baby the area, not fully participating in physical therapy, not getting full benefit from it.
But most of the time a duck is a duck. Back pain in the general problem area and logically associated transferred nerve pain is hard to argue with, but it's still worth a shot at PT to see what happens. It does not take long to get frustrated with the whole mess by numbers deal, but once they call a problem and location the treatments become more specific and invasive too. There's still a lot of trial and error, but from that point it's to keep you out of the operating room, which can make a mountain out of a smaller mountain. I don't know if the logic behind it makes it more bearable or not, but that's the thinking behind it.
She will need at minimum an X ray and an MRI, one for hard structures like bones the other for soft tissues like disks. Even when the reports come back from the radiologist all in med-speak with lots of Latin in them, you can still expect the doctor to be vague. I've seen radiologists conclusions noting all kinds of problems and doctor call the normal studies and order up more rounds of physical therapy. Back pain is one of the most common complaints and one of the most difficult things to treat. They are usually real happy at that point if they can get the patient to consider a neurosurgeon, neurologist, orthopedist, pain specialist, chiropractor, you name it. I've done more than a few radiology translations as have others, so you may want to pop it up here and get some real opinions as to what going on.
More info on the pain like feeling, location, severity, other areas of involvement (usually you can call the disk in the lower back by how the pain radiates in to the legs), just as much as you can give. Pain from 1-10 is kind of useless. Your 8 might have me in an ambulance.
Any doctor, including the one you are seeing can request all the testing. Start with imaging studies and just come right out and tell him you're done playing you want to look. There are other tests down the road if it looks as though it may better define a problem and a cure. Avoid a myelogram, they're painful and the other tests should nail things down by then. It is 2011 but what they can do for bad backs has not advanced much since the 50's. It's actually gotten worse since the fear of pain drugs for pain has become such a big deal, and many go untreated through ignorance, their own or their physicians. The media has them terrified and the patients pay the price.
But let us not get ahead of ourselves. May be something very basic and uncomplicated, but you have a right to demand diagnosis testing even while they do whatever concurrent treatments they want to try. Tell your wife to buck up and your both hang in there. Take care of each other best you can, it will go much easier, as it can get rough at times. Don't ignore your mental health, don't let it make you crazy. Doctors are our employees. If you need to fire the guy, fire the guy, Good luck
Source(s): 15 years in pain management. Not much left after surgeries and try it all before you do that. - bayonaLv 45 years ago
I am additionally a depressive and it took many years for me to observe I had to get aid. It virtually ended my marriage as good. My melancholy led me to searching for happiness within the fingers and mattress of yet another girl. When my spouse instructed me have been performed, it used to be over, I eventually learned that I had a main issue, and with the aid of her and my peers, I acquired aid, and matters are beginning to get higher, slowly sure, however higher. I advise first speaking to her and telling her the way you suppose. inform her if matters don't difference, that you simply have got to make a resolution to your and your kid's happiness. Tell her that there is not any stigma ( I involved approximately this for many years) due to the fact that she has to take cure. Ensure her that you are going to aid her absolutely and unconditionally each and every step of the best way, even if matters turns out unattainable. If that doesn't paintings, then start the method of bettering your existence and the reside's of your youngsters by means of getting a seperation. It would possibly or would possibly not paintings, however by some means your marriage will finish if she does no longer search the aid she demands. I want you all of the good fortune on the planet.
- 10 years ago
The times she has seen a doc did they ever give a diagnosis at all, or only meds? Which area of her back hurts? All, Top, Mid, Lower? Are all of her issues restricted to ONLY her back...no other oddities in arms or legs? The more info the better. I ask because I was a back pain sufferer and am now disabled & I will be 38 this month. Easier to mail that chat here. If you are at all interested in delving deeper into this shoot me a mail to jbs_fanci@ayahoo.com Just took one of my meds sooooo not real sure how much longer I'll be up *LOL*
Source(s): Own Experience with back issues!