[53M] Experiencing severe back and neck pain with abdominal discomfort

What might be happening

Based on the information you've provided, the following conditions could be contributing to your symptoms:

• Chronic Back Pain: Your severe back pain that worsens with movement and radiates to your legs could be due to a variety of conditions including degenerative disc disease, spinal stenosis, or a herniated disc. These conditions can cause compression of the nerves exiting the spinal cord, leading to pain, weakness, and sometimes changes in bowel or bladder control.

  • Diagnostic tests for these conditions typically include imaging studies like an X-ray, MRI, or CT scan. Treatment options can range from physical therapy and pain management techniques to surgical intervention in severe cases.

• Cervical Radiculopathy: This condition, often due to age-related changes in the spine, can cause neck pain and other symptoms due to irritation or compression of the nerves in the neck. This could explain your constant, severe neck ache.

  • Diagnosis typically involves a physical exam and imaging studies. Treatment can include physical therapy, medications, and in some cases, surgery.

• Gallstones or Cholecystitis: Your upper right abdominal pain, described as sharp and crampy, could be due to gallstones or inflammation of the gallbladder (cholecystitis). These conditions can cause what is often described as "biliary colic."

  • Diagnosis typically involves an abdominal ultrasound or other imaging studies. Treatment can range from dietary changes and medications to surgical removal of the gallbladder in severe cases.

• Uncontrolled Diabetes: Your higher than usual blood sugar levels suggest that your diabetes may not be well-controlled. Uncontrolled diabetes can contribute to a variety of health problems, including nerve damage (neuropathy) which can cause pain and weakness.

  • Management of diabetes typically involves lifestyle changes, medications, and regular monitoring of blood sugar levels.

Please note that these are potential explanations based on the information you've provided, and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis and treatment plan.

What you can do

1. Schedule an appointment with your primary care provider to discuss your symptoms. They may refer you to a specialist, such as a neurologist or gastroenterologist, for further evaluation.
2. Continue taking your prescribed medications as directed by your healthcare provider.
3. Try to maintain a healthy lifestyle, including a balanced diet and regular exercise, to help manage your diabetes and high blood pressure.
4. Consider physical therapy or other non-surgical treatments for your back and neck pain. These can often be effective in managing pain and improving function.
5. Monitor your blood sugar levels regularly and report any significant changes to your healthcare provider.

What you should look out for

Seek immediate medical attention if you experience:

• Sudden, severe abdominal pain
• Fever, nausea, or vomiting associated with your abdominal pain
• Sudden worsening of your back or neck pain
• Loss of bowel or bladder control
• Significant weakness or numbness in your legs
• Any other symptoms that concern you or interfere with your daily activities

Remember, while I strive to provide accurate and helpful health information, I'm not a doctor. Always consult with a healthcare provider for a formal diagnosis and treatment.