31 August 2009

Nasty, expensive backache

Today is Day 5 of my nasty back pain. Here's a summary of my presenting illness:

Gradual onset of lumbar-sacral pain after sitting against the wall for close to 1 hour (bad posture). No preceding trauma. Pain was initially just a discomfort. The pain worsened the next day, agravated by 6 hours drive to Ipoh. Severe pain (10/10) was localized at the lumbo-sacral region on shifting positions e.g. sitting to standing. There was no radiation. After lying supine in bed for 10 minutes, I was unable to get back up again due to severe pain on any attempt to stand (the most excruciating pain I have ever experienced!). Was only able to mobilize after taking Panadol Extend.

That history was only up to Day 2. I went to a GP and was given IM analgesia on the butt. The GP also prescribed a Cox 1 inhibitor OD and Neurobion. That treatment costs RM45! I was able to sleep that night but I had to remain supine. When waking up, I had to use a tongkat. I can't even pray properly. I had to pray while standing!


Tongkat Mok



Day 3 wasn't any good. I noticed my posture was slightly scoliotic. My right shoulder was lower than the right and my gait was abnormal. Every step I take was unomfortable. This prompted my wife and parents to take me to a hospital. It was a Saturday and if I were to go to the general hospital, it would take hours for some one to see. So I opted to go to Ipoh Specialist Hospital. It was a quick visit. Lumbosacral X ray was taken and it appears normal. I was just given another dose of IM analgesia. The cost for all that was RM 354! It was damn expensive. It was a good thing I declined to be admitted. Or else it would have cost thousands.


The bill!


On Day 4, I managed to get one of my relatives to give me a massage since we have pretty much ruled out any vertabral pathology. The massage was painful! But somehow after the massage I felt abit better. I still get pain when shifting positions but its much more tolerable.

I am supposed to head back to Kuantan today but the orthopaedic specialist wasn't too keen on me driving or travelling long distance. Thus, I am stuck here in Ipoh. Not a bad thing though coz my wife is here with me :) ...but with my condition I can't be doing anything romantic :(

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