Done my back in, cannot walk

[mortygttdi]

Gonna call the emergency gp out tomorrow

[stealthwolf]

Make sure your backside's clean. 

[sub39h]

Make sure your backside's clean. 

with some of the rubbish GPs referred me as ?CE both as a T&O SHO and an A&E SHO i didn't think they got PR'ed lol

[stealthwolf]

TBH I've seen crap referrals from all specialties, incl T&O and A&E.

I will always PR to exclude CE.

TBH most GPs don't have urgent access to MRI in the same way T&O would for example. Depends on how the local system is set up. What do you do with a patient who has a sudden deterioration of back pain and sensory loss? Wait for loss of tone? Medicolegally highly negligent and far safer to send in and find out it's a normal MRI than wait for further symptoms and miss something vital.

[sub39h]

TBH I've seen crap referrals from all specialties, incl T&O and A&E.

I will always PR to exclude CE.

TBH most GPs don't have urgent access to MRI in the same way T&O would for example. Depends on how the local system is set up. What do you do with a patient who has a sudden deterioration of back pain and sensory loss? Wait for loss of tone? Medicolegally highly negligent and far safer to send in and find out it's a normal MRI than wait for further symptoms and miss something vital.

yeah i'm not talking about borderline cases, but when not a single one of my back pain referrals gets MRI'ed because there's no clinical indication you start to wonder. anyhow let's not turn this into a debate about primary care vs. hospital medicine. it doesn't help the OP 

[stealthwolf]

Ah! You forget the value of the "therapeutic" MRI. The pain suddenly goes away/eases when the patient realises there's nothing on the scan.

[sub39h]

Ah! You forget the value of the "therapeutic" MRI. The pain suddenly goes away/eases when the patient realises there's nothing on the scan.

i'm pretty sure cocodamol and ibuprofen will have a massively lower NNT

[diesel junior]

As a veteran of lumbar surgery you have my sympathy darren! The fact you say there is no referred pain down the legs is a good sign, sounds muscular so get some voltaren (anti inflammatory), rest up but when you can, start moving again its very important. I do a 5km walk every morning, does the world of good. All the best from spain....

[Black9]

As long as its not a slipped dics your fine, I've been suffering with one from years from an old traning injury and I'm only 22   hope u get better soon

[monte]

Hope you have a speedy recovery Darren. Back pain can be murder.


I once cried like a baby….I was laid up in bed with severe back pain. Every single movement was agony. It took my about 20mins to get to the toilet from the bed cos I didn't fancy pi$$ing myself  

Volterol, Strong Ibuprofen gels are good…..but if you want some of my painkillers (oxicontin) I promise you won't feel any pain  

(Im kidding of course, I can't let you have any pills)  

[Trekmeister]

Let us know what the Dr says Darren!

[markymark]

Totally sympathise with you Darren, I suffer from back pain and there is nothing worse. Im curently having trouble with sciatica but keeping moving is helping. I hope you get sorted out soon pal!

[skard]

Hope you only have a temporary muscle problem and nothing more.

Couple of years ago after a long overnight flight back from honeymoon, all of a sudden I couldn't move the day after and had to roll everywhere! Turns out I had trapped a muscle at the top of my rib cage from the many hours of sitting in a rigid position.

GP was restricted in what he could do, made me a physico appointment but I couldn't wait a week feeling like that. I rang up a sports physio and got an appointment that day, he cracked some bones, forced me to do certain stretches, it made it worse for a few hours then it started healing. Best £27 I had spent in a long, long time.

Hope it's something simple like this and all the best.

PS. Yes I rang to cancel the NHS physio afterwards 

[mortygttdi]

Cheers guys spoke to the GP today and he advised to get moving asap take Cocodamol and something else cannot remember the name bust a muscle relaxant and anti inflamatory should be fine in a few days,

Ive started moving about and walking is not so bad now still painful but not so much I want to drop to the floor and cry like a wuss.

Darren

[diesel junior]

That's a pretty powerful combo the dr has given you there darren I am sure it will do the trick. As said tho, the sooner you get moving the better. The old advice was stay in same position for weeks on end has now been dropped, you'll be ok mate but its not nice a truly horrid pain....