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Reply to "Good doctor for back pain?"
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[quote=Anonymous][quote=Anonymous][quote=Anonymous]OP, have you considered that this could be inflammatory and not mechanical back pain? A few questions: How long has this been going on? More than three months? [b]Yes. [/b] Are you under 40? [b]Yes[/b] Are you stiff for a half hour or so in the morning and feel better as the day goes on (not including night time)? [b]Painful in am and eases with meds. [/b] In general does it feel better with movement? [b]Sometimes walking for 30 minutes helps. [/b] You mention buttocks pain--does it tend to alternate between the left and right side?[b] Seems even to me. Alternates when sitting. [/b] Yes answers to these questions would point to inflammatory back pain caused by spinal arthritis. Other symptoms that can appear: pain from time to time in your ribs; pain in your heel, shoulder, neck; plantar fascitis; occasional unexplained low fevers. [b]I have had costcochondritis and shoulder pain. Fevers? I dunno. I run warm. [/b] You would see a rheumatologist for this. But, a note of caution. Some of them haven't kept up in this field and mistakenly believe this is not a women's disorder and that you must test positive on a certain genetic test. Many, many women with this get a wrong diagnosis of fibromyalgia. [/quote] To answer your questions, see above. Hmm... Can you recommend a doctor by name?[/quote] OP, the answers to these questions make me suspicious that you have spondyloarthritis. My DD sees Dr. Joseph Laukaitis, who is a first rate diagnostician. He is conservative with treatment. I have also heard good things about his partner, Susan Lack. They do not take insurance, but you can submit if your insurance covers out of network. I have a friend who pays out of pocket to see Laukaitis because he is out of network for him. He says it is worth every penny even though the doctor offered to work with his in-network provider. My friend's insurance does cover the medication. They are fine with having patients do their labs at a network provider instead of at their office if that isn't covered by insurance.[/quote]
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