Vim & Vigor - Fall 2018 - Parrish Medical Center - 30

"If you're 50 to 60 years old and
you've never had back pain before and
you develop it suddenly with no obvious reason, it's probably worth getting
checked out," says David J. Kennedy,
MD a physiatrist and spokesman for the
Association of Academic Physiatrists.
Because degenerative changes in the
spine and back pain can begin as early
as the 20s and 30s, a sudden, unexplained bout later on is less likely to
indicate a degenerative or mechanical
problem and thus could potentially be
more concerning.

Are There
Associated
Symptoms?

Pain that comes with other symptoms is likely to make your doctor
look for causes beyond your back,
Buchowski says.
"For example, if someone says
they've had back pain and have also
been experiencing weight loss, or they
have pain accompanied by fevers, chills
and night sweats, that's going to take

you in another direction beyond just
mechanical back pain," he says. It
could indicate problems such as an
infection that's causing destruction
of the intervertebral disks (the shock
absorbers between the vertebrae) or
of the adjacent bone.
Other associated symptoms that
could be cause for concern include
bowel or bladder issues, or a new onset
of weakness. "If you can't hold a coffee
cup or you find you're dropping things,
that's something that probably needs
to be checked out," Kennedy says.

Where Is the
Pain?

Yes, the simple answer is, "In
my back." But what part of it? And does
the pain travel? Does it radiate into
your shoulder, arm, buttocks, thigh or
groin, for example?
"About once a month, I'll see a
patient with back pain that radiates
into the buttock and groin," Buchowski
says. "They think they have a spine
problem, but it turns out it's actually
hip arthritis."
Pain that occurs in your back
between your lowest rib and buttock
could also indicate an issue such as a
kidney stone, he says.

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Contents
Vim & Vigor - Fall 2018 - Parrish Medical Center - Cover1
Vim & Vigor - Fall 2018 - Parrish Medical Center - Cover2
Vim & Vigor - Fall 2018 - Parrish Medical Center - Contents
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