OpenHealth Q&A

Get answered by medical professionals

Seeking Guidance on Back Pain Treatment in Chicago

3/25/2025, 4:10:35 PMMale25-34

At 19, back pain led me to consult a chiropractor in 2018, which was my only option since my mother controlled my health insurance decisions. The chiropractor conducted x-rays and informed me that I required comprehensive treatment. He diagnosed me with bone spurs along my spine and indicated signs of "bone degeneration" typical in individuals over fifty. Additionally, he noted that my neck was misaligned, likely due to my posture placing undue stress on it, although my recollection of the specifics is fading. Since that initial visit, I haven't pursued any further treatment over the past six years. While I cannot claim my discomfort has intensified, it certainly remains present. My hesitance to return stems largely from my mother's severe anxiety about the healthcare system; she believed the chiropractor was merely profiting from unnecessary treatments. Consequently, I have distanced myself from chiropractic care, as I feel they lack the necessary medical expertise for my liking. With my mother no longer involved in my healthcare decisions, I'm now ready to seek proper medical attention. I need guidance on how to start this process effectively. Browsing Zocdoc reveals a vast array of options, from spinal and orthopedic surgeons to numerous physical therapists. I’m eager to obtain updated x-rays (I'm in the process of requesting previous x-ray records from the chiropractor) and want a professional who can help me uncover the underlying issues and propose appropriate treatments. Here are a few specific questions I hope to get answered: 1. Which type of medical professionals should I consult first for an accurate diagnosis? 2. Is physical therapy typically recommended for addressing back pain and posture-related issues? If I locate a PT clinic that can perform x-rays, could that eliminate the need for an additional doctor's visit for diagnosis? 3. Without seeking medical advice, does anyone have knowledge about bone spurs in the spine of a 19-year-old? Do they always imply the presence of arthritis? 4. Are there any recommendations for spine or bone specialists in Chicago? I appreciate any advice or insights you can share! 🩷

Stomach PainGastroenterologyInternal Medicine

Answers (1)

Cony

3/25/2025, 4:10:55 PM

OpenHealth AI

Thank you for sharing your experience and concerns regarding your back pain. It's understandable to feel uncertain about the next steps, especially after a long gap in treatment. Your goal seems to be to identify the underlying issues of your back pain and find appropriate treatment. Here’s a structured approach to help you navigate this process effectively.

Main Points:

  1. Start by consulting an appropriate medical professional to get an updated diagnosis.
  2. Physical therapy is often beneficial for back pain and posture correction.
  3. Bone spurs in young individuals can occur, but do not automatically indicate arthritis.

Explanation:

Given your history of back pain and the diagnosis of bone spurs, it's essential to seek an updated evaluation. While your past chiropractic visit provided some insights, a medical professional, such as a primary care doctor or an orthopedic specialist, can offer a more comprehensive assessment and recommend further tests, if needed. This is crucial, as the body can change significantly over six years.

1. Which type of medical professionals should I consult first?

  • Primary Care Physician (PCP): They can evaluate your symptoms, order updated imaging like x-rays, and refer you to specialists if necessary.
  • Orthopedic Specialist: Focuses on musculoskeletal issues and can provide a more specialized evaluation concerning your spine and back pain.
  • Physical Medicine and Rehabilitation (PM&R) Specialist: These experts can often suggest nonsurgical treatments and physical therapy options.

2. Is physical therapy recommended?

  • Yes, Physical Therapy (PT): It is often prescribed for back pain and can help with posture correction, strengthening core muscles, and enhancing mobility. Some PT clinics can perform advanced imaging, but seeing a doctor first is typically recommended to ensure that the right tests are done.

3. Regarding bone spurs:

  • Bone spurs can occur from various factors such as genetics, posture, or repetitive stress. At your young age, they may not be related to arthritis. It’s best to discuss these findings with a healthcare professional who can determine what this means for your specific situation.

4. Recommendations for specialists in Chicago:

  • While I cannot directly provide names, look for orthopedic clinics or physical medicine & rehabilitation facilities in your area with good patient reviews. Websites like Zocdoc are useful for checking patient ratings. Look for professionals specializing in spinal conditions to ensure you're getting focused care.

Next Steps:

  1. Book an Appointment: Start with a primary care physician or an orthopedic specialist to discuss your ongoing back pain and get referrals to sports medicine or physical therapy if needed.

  2. Request Updated Imaging: When visiting your chosen medical professional, make sure to discuss the importance of updated x-rays or imaging to get a clear understanding of your spine's current state.

  3. Explore Physical Therapy Options: If advised, look for a reputable physical therapy clinic that specializes in back issues.

  4. Stay Informed: Keep researching and educating yourself about your condition, and don’t hesitate to ask questions during your appointments.

Your proactive approach to managing your health is commendable, and seeking help from the right professionals will be the next important step. Please feel free to reach out if you have further questions or need support along the way! 🩷

Related Questions

Can Eating More Fiber Alleviate Menstrual Cycle-Related Constipation?

Every month, during the week and a half leading up to my menstrual period, I experience constipation. I'm curious if boosting my fiber consumption might ease this issue. I already ensure that I drink plenty of water throughout the day. I am a woman in my mid-20s.

Stomach PainNutritionConstipation
Male25-34
7 hours ago

Seeking Relief from Mild Fecal Impaction: Should I Go to the ER?

At 20 years old, I find myself dealing with a frustrating issue: fecal impaction. It's not something I've faced before, or at least I can’t recall, but I’ve had chronic stomach difficulties throughout my childhood, including constipation from ages four to twelve. Recently, I've been experiencing more digestive challenges after a few years of feeling normal. Currently, I’m under the care of a gastroenterologist, and we’re working on diagnosing the underlying problems. For about five days now, I haven't been able to relieve myself. While I’ve had considerable gas, that’s been the only symptom. Today has been particularly difficult; I’ve spent the last 11 hours in the bathroom grappling with severe discomfort and impaction. Each attempt to relieve the situation is excruciating, to the point where my body is resisting the effort—it’s so painful that I find myself in tears. I imagine this is what birth must feel like. I suspect this intense fear and pain are remnants of my past struggles, as for many years I’ve feared using the bathroom due to the agony it causes. Despite trying various remedies like Miralax mixed with coffee, a bullet suppository, and even a manual approach with gloves, nothing is yielding results. I’m genuinely tempted to head to the emergency room and ask them to put me under so they can help me without the pain. My mother suggests they would likely opt for a liquid suppository treatment like they did during my childhood, which was quite traumatic. I’m torn—it feels like the ER might be my last resort, but I'm concerned they won’t take me seriously since my situation doesn’t seem dire. How foolish would it be to bring up wanting sedation? I desperately want to avoid this pain; it’s becoming increasingly difficult, and I’m fighting back tears from the frustration. Can they truly provide sedation for this type of issue even when it isn’t severe? I worry that my parents might react negatively to my quest for relief and think I’m being dramatic. I’m utterly drained and don’t know where to turn. When there’s no painful push against my body, I can’t even sense the severity of the issue, yet, I am experiencing leakage, leaving me unsure. Would it be unreasonable to pose this question to the doctors in the ER? I apologize if this message is jumbled; I’m also dealing with a migraine, making it hard to focus. For context, my daily medications include phentermine, iron supplements, and vitamin D. I stand at 5’4” and currently weigh 204 pounds as part of my ongoing weight loss journey.

Stomach PainGastroenterologyConstipation
Male25-34
8 hours ago

Did My Appendectomy Resolve My Digestive Issues?

I’m a 27-year-old non-binary person who had their appendix surgically removed due to appendicitis early last October. Since that procedure, I’m experiencing something I never thought possible: regular bowel movements. Remarkably, this newfound routine hasn’t faded away, contrary to what my doctors predicted. Historically, I have struggled with constipation throughout my life. As a child, I often felt compelled to mislead healthcare professionals about my bowel habits, claiming I had daily movements out of fear that something was amiss. In reality, I would only have a bowel movement every three to five days. I also live with autism, ADHD, dysthymia, and PTSD. Given my history of burnout, it would be logical to attribute my digestive struggles to stress. However, these issues persisted even during holidays and rarely intensified during particularly stressful times. Most of the medications I tried, including SSRIs and various birth control options, had no impact, except for Ritalin, which occasionally provided some relief when not taken consistently. Prior to the appendectomy, I underwent two surgeries: one for a fractured arm and the other a double procedure to remove my uterus and breasts. Unfortunately, neither operation had any effect on my bowel function. Since my surgery, my dietary, hydration, exercise, and substance use habits have remained unchanged. A bit of additional context: My thyroid hormone levels are normal, although I occasionally have low Vitamin D, for which I take supplements. I receive B12 injections to address low levels since dietary sources aren’t effective for me. Additionally, I deal with a persistent mystery of chronic fatigue that shows no signs of improvement post-surgery. This leads to my question: Could my appendix have been the source of my gastrointestinal issues? Alternatively, did the surgery trigger some other change that resolved my long-standing problem? I’m curious if anyone else has encountered similar experiences. What are the chances that I’ll revert back to my past issues with constipation? Any insights on this would be greatly appreciated, mostly out of interest.

Stomach PainConstipationAcid Reflux
Male25-34
12 hours ago

Exploring Probiotic Effects and Antibiotic Strategies in Gut Health

Greetings, M30. Is it possible that consuming an excess of probiotics could lead to SIBO or a similar condition? Earlier this summer, I suffered from a campylobacter infection, and in an attempt to remedy that without realizing its full extent, I resorted to high doses of probiotics. This approach, however, only aggravated my situation. I experienced severe bloating, intensified brain fog—especially after consuming carbohydrates—and following a comprehensive examination of possible causes, including an initially misleading negative test for c. jejuni that later revealed IgG antibodies in my blood, I was prescribed rifaximin (200mg four times a day). Unfortunately, after five days of rifaximin treatment, my symptoms escalated dramatically, resulting in excruciating lower abdominal pain and a marked intolerance to carbohydrates. Through my research, I discovered that the probiotic strains I had been using were sensitive to antibiotics, so I requested that my physician switch my medication to amoxicillin, which promptly resolved the issues I was facing. Complicating matters, I later learned that I had been contending with an acute bartonella infection, which likely contributed to my motility problems. As the year progressed, I indulged in kimchi after having been on antibiotics for bartonella treatment for about a month. However, I had to stop the antibiotics over the Christmas holidays when I developed rashes from herpes on my face and required alternative treatment. Following my kimchi overindulgence, I began to experience bloating again, cognitive fog intensified, and I felt a toxin-like sensation after consuming larger amounts of carbohydrates, alongside a newfound intolerance to wheat products. My doctor once again prescribed rifaximin as the primary treatment, but I am starting to notice that familiar acidic sensation in my abdomen returning. Is this reaction indicative of die-off symptoms, or could it mean that rifaximin is targeting competitors of the kimchi bacteria in my gut, resulting in their proliferation and creating a cycle where lactic acid bacteria alter the colon's pH, promoting further growth of lactic acid producers? I suspect this situation mirrors what transpired during the summer months. Would switching back to amoxicillin be advisable, or might I need to consider amoxiclav instead, given that the kimchi contained fish sauce which might be a source of beta-lactamase? Best wishes,

BloatingStomach PainIndigestion
Male25-34
16 hours ago

Eight Years of Persistent ‘Hunger’—Is It a Functional Gut Disorder?

Greetings everyone, I’m a 28-year-old woman standing at 5 feet 4 inches, and for nearly eight years, I have struggled with a constant, hollow sensation in my upper abdomen that resembles hunger. Here are some key points about my experience: - This sensation arises between meals or soon after I have eaten. - It gets momentarily better after eating but eventually returns. - Though it feels like hunger, I know it's not genuine hunger. - Mornings are especially tough as the sensation intensifies. I maintain a regular meal schedule and consume enough calories without any restrictions. Currently, I find it difficult to trust my hunger cues, so I'm tracking my calorie intake. I do not take any medications and have previously used proton pump inhibitors without any noticeable improvement. Additionally, I neither smoke nor consume alcohol. Visits to my general practitioner have yielded no definitive diagnosis, with much of the feedback being centered on dietary adjustments. I am currently facing a waiting period of approximately eight months for a gastroscopy. Strangely, I also notice that I feel particularly weak during my workouts, despite my calorie intake being sufficient. Has anyone else faced a similar long-term issue? Did you find it to be functional dyspepsia, gastritis, visceral hypersensitivity, or something entirely different? Were you able to obtain assistance through a gastroenterologist, a dietitian, or therapy? Thanks for your insights!

IndigestionGastroenterologyNutrition
Male25-34
16 hours ago