[53M] Experiencing chronic neck and severe lower back pain with diabetes

Patient Description

A 53-year-old male has been experiencing chronic sharp neck pain for about a year, with the pain being most severe at night and radiating to the shoulder and abdomen. The pain is localized to one area and is rated 8 out of 10 in severity. The patient also suffers from severe sharp lower back pain that has persisted for years. Additionally, the patient reports mid-abdominal pain, changes in bowel movements with loose brown stools, and numbness and weakness in the shoulder, arms, or hands. The patient has a history of diabetes, diagnosed 8 years ago, and is currently taking Jardiance. The patient has an adverse reaction to CAT scan contrast and takes Tylenol for pain relief. No recent injuries or accidents were reported, and there is no fever or chills associated with the symptoms.

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Arora's Assessment

What might be happening

Based on the information you provided, here are some possible explanations for your symptoms:

  • Cervical Radiculopathy: This condition, also known as a pinched nerve, occurs when a nerve in the neck is compressed or irritated where it branches away from the spinal cord. This may cause pain that radiates into the shoulder and/or arm, as well as muscle weakness and numbness.

    • Treatments often include physical therapy, medications to reduce pain and inflammation, and in some cases, surgery.
  • Lumbar Radiculopathy: Similar to cervical radiculopathy, this condition occurs when a nerve root in the lower back is compressed, causing pain and numbness to radiate down the leg.

    • Treatment options are similar to those for cervical radiculopathy.
  • Diabetic Neuropathy: High blood sugar levels from diabetes can damage nerves over time, particularly in your legs and feet, but potentially also affecting your arms and hands. This can cause numbness, tingling, and pain.

    • Treatment typically involves managing your blood sugar levels and medications to relieve symptoms.
  • Umbilical Hernia: This occurs when part of your intestine bulges through the abdominal wall near your belly button. This could potentially explain your abdominal pain.

    • Treatment usually involves surgery to repair the hernia.

Please note that these are only possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Schedule an appointment with your healthcare provider to discuss your symptoms. They may refer you to a specialist, such as a neurologist or orthopedic surgeon, for further evaluation.
  2. Continue taking your prescribed medications as directed by your healthcare provider.
  3. Over-the-counter pain relievers, such as the Tylenol you're currently taking, may help with your pain. However, it's important not to exceed the recommended dosage.
  4. Gentle stretching and strengthening exercises may help with your neck and back pain. However, it's important to consult with a healthcare provider before starting any new exercise regimen.
  5. Try to maintain a healthy lifestyle, including a balanced diet and regular exercise, to help manage your diabetes and overall health.

What you should look out for

Seek immediate medical attention if you experience:

  • Sudden, severe pain in your abdomen
  • Signs of a stroke, such as sudden numbness or weakness in the face, arm, or leg, especially on one side of the body; sudden confusion, trouble speaking, or difficulty understanding speech; sudden trouble seeing in one or both eyes; sudden trouble walking, dizziness, loss of balance, or lack of coordination; or sudden severe headache with no known cause.
  • Any changes in your symptoms that concern you.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.

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People Also Ask


What is cervical radiculopathy and how is it treated?

Cervical radiculopathy occurs when a nerve in the neck is compressed or irritated, causing pain that can radiate into the shoulder and arm, along with muscle weakness and numbness. Treatment often includes physical therapy, medications to reduce pain and inflammation, and sometimes surgery.


How does diabetic neuropathy affect the body and what are the treatment options?

Diabetic neuropathy is nerve damage caused by high blood sugar levels, often affecting the legs and feet, but it can also impact the arms and hands. It causes numbness, tingling, and pain. Treatment involves managing blood sugar levels and using medications to relieve symptoms.


What are the symptoms and treatment options for lumbar radiculopathy?

Lumbar radiculopathy is a condition where a nerve root in the lower back is compressed, leading to pain and numbness that can radiate down the leg. Treatment options include physical therapy, pain relief medications, and in some cases, surgery.


What is an umbilical hernia and how is it typically treated?

An umbilical hernia occurs when part of the intestine bulges through the abdominal wall near the belly button, causing abdominal pain. Treatment usually involves surgical repair of the hernia.


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