Unusual Symptoms - Which Specialist Should I Consult?
Last year, I visited an orthopedic doctor due to discomfort in my upper back beneath the shoulder blade, particularly when I tried to take a breath. They conducted MRI scans on my spine, neck, and brain after expressing concern about my condition. The results indicated possible early-stage multiple sclerosis, prompting a referral to a neurologist. However, after consulting two different neurologists, I was informed that the MRI showed no evidence supporting an MS diagnosis and was told it was likely related to my migraines. I do experience migraines, so I accepted their assessments. Unfortunately, the pain when breathing persists, especially when I lie on my back; the discomfort sometimes alleviates if I raise my arm. In addition to this, I've noticed that my vision experiences a peculiar zooming effect – where the center remains clear, but the surroundings seem to converge towards it. This symptom occurs whenever I go for walks outdoors, particularly on hikes longer than twenty minutes. Interestingly, it does not happen during volleyball games with my recreational team, nor does it occur while sitting outside; I've never encountered this issue indoors. I have a history of eye surgery due to a cataract diagnosed at birth and regularly visit a specialist. After evaluating my eyes, they assured me that everything appears normal and referred me to a neurologist. The neurologist was unsure about the vision issue, noting it wasn't connected to any other symptoms, but the zooming phenomenon has never occurred in the past 27 years. Now, I've had to limit my hiking activities because of it. I find it concerning that both the vision alterations and the back pain while breathing continue. What type of medical professional should I see next for these lingering issues?
Answers (1)
6/16/2025, 4:00:54 AM
OpenHealth AI
It sounds like you are experiencing significant and concerning symptoms, including persistent back pain while breathing and unusual visual disturbances. Since you've already consulted both an orthopedic specialist and neurologists without a clear resolution, it’s important to take the next step in finding a healthcare professional who can help you make sense of these symptoms.
Main Points Overview:
- Persistent back pain and visual disturbances need further investigation.
- A multidisciplinary approach may be necessary.
- A referral to a different specialist is recommended.
Explanation:
Your ongoing discomfort while breathing, especially when reclining, and the visual zooming effect could suggest a variety of underlying issues, possibly involving your neurological or respiratory system. Given your history and the complexities of your symptoms, it’s essential to have a targeted and comprehensive evaluation.
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Back Pain and Breathing: The back pain when you breathe deeply may have musculoskeletal origins or could be related to nerve issues, possibly exacerbated by your migraine history or another primary condition.
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Visual Changes: The zooming effect you've described sounds particularly unique and may warrant a more specialized neurological evaluation, especially as it’s impacting your ability to enjoy outdoor activities.
Next Steps:
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Consult a Rheumatologist: Given the potential overlap of symptoms (like back pain and neurological concerns), a rheumatologist can assess for autoimmune conditions that can affect the muscles, nerves, or other systems in the body, such as lupus or other connective tissue disorders.
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Consider an Ophthalmologist with a Neurological Focus: Although you've seen an eye specialist, seeking someone who specializes in ocular neurology might help further evaluate your vision disturbances.
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Myofascial or Pain Specialist: If your back discomfort is muscular in nature, a specialist trained in myofascial pain syndromes can offer therapies or interventions that may alleviate symptoms related to muscle tension or spasms.
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Maintain a Symptom Diary: Document your symptoms, including when they occur, duration, severity, and any associated activities or triggers. This can help your next healthcare provider understand your condition better.
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Limit Strain and Take Breaks: Until you consult a new specialist, try to avoid activities that exacerbate your symptoms, and take regular breaks during physical activities.
Reassure yourself that seeking additional opinions and specialists is a positive step towards understanding and managing your health better. Be proactive in your follow-up care and ensure your concerns are clearly communicated to the new specialists you see.
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