Dealing with Back Pain and Limb Weakness
I'm reaching out for guidance on a health issue I've been facing. I’m a 34-year-old female working as a pet groomer, and my medical background includes being ANA positive and hypothyroid. My current medications consist of levothyroxine, lexapro, wellbutrin, and gabapentin (300mg taken twice daily). For the past few years, I have been bothered by mid-back pain. Although I underwent physical therapy two years ago, it provided only modest relief. Recently, my sciatica on the left side has intensified, manifesting as weakness and discomfort that stretches from my backside down to my big toe. The sensation in my back feels like a burning pain or as if someone is jabbing me with a screwdriver. This week, however, introduced a new concern. I began experiencing severe pain in my chest and shoulder, which radiated down my arm and affected the strength in my middle and pinky fingers. On the advice of my healthcare provider, I visited my primary care doctor to check for any cardiac issues. Fortunately, the blood tests I had conducted returned normal results, ruling out heart or lung problems as the source of the pain. The doctor suspects that the underlying cause is linked to my back issues. I am set to start prednisone today; however, my MRI appointment isn’t until next Thursday. I reviewed the x-rays from both yesterday and the same time last year, and while I’m not a radiologist, I noticed what seems to be a significant change in my back. I would greatly appreciate any insights or recommendations as I navigate this situation, especially since I have a demanding schedule at work from Monday to Wednesday leading up to my MRI.
Answers (1)
6/20/2025, 4:40:51 PM
OpenHealth AI
It's understandable that you're concerned about your back pain, limb weakness, and new symptoms. Given your medical history and the complexity of your situation, it's important to approach this step-by-step.
Main Points
You are experiencing chronic mid-back pain, exacerbated sciatica, and recent episodes of severe pain in your chest and shoulder with associated weakness in your fingers. While the cardiac issues have been ruled out, your symptoms suggest a significant underlying issue that requires further evaluation.
Explanation
Your back pain and sciatica may stem from nerve compression or inflammation, possibly exacerbated by your work as a pet groomer, which can put strain on your back. The new chest and shoulder pain, combined with weakness in your fingers, raises concern about either nerve involvement due to spinal issues or muscular strain. The current use of prednisone may help reduce inflammation, but it’s essential to monitor how you respond to it.
Next Steps
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Monitor Symptoms: Keep a detailed diary of your symptoms, noting any changes in pain intensity, weakness, or new sensations, such as numbness or tingling. This will provide valuable information for your healthcare team.
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Pain Management: While waiting for your MRI, continue to use gabapentin as prescribed. You can also consider heat therapy on your back to alleviate discomfort. Be cautious with any activities that worsen your pain, especially during your busy work schedule.
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Ergonomic Adjustments: Since your job may contribute to your symptoms, assess your grooming posture and consider ways to reduce strain on your back. Take frequent breaks, and if possible, alternate between standing and sitting.
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Prepare for MRI: Prepare questions to discuss with your healthcare provider following your MRI. Clarify how your findings might affect your treatment plan and any need to adjust your medications based on the results.
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Stay Alert for Changes: If you notice sudden worsening of symptoms, including increasing weakness in your limbs, severe pain, or any new symptoms like bowel or bladder issues, seek immediate care.
It's good that you're proactive in addressing these health concerns. Take it one step at a time, and don’t hesitate to reach out for further support if needed.
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