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Conditions and Diseases > Back Pain Forum > Tuberculosis of the spine and back pain
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Q: Tuberculosis of the spine and back pain
asked by: DoctorQuestion on April 22nd, 2009
Hi Doctor, i am a 6'2" , 140 pound male in my early twenties.I'v been very athletic during my years(Rugby,Cricket,Swimming,Track) at school and have worked in the corporate sector for 4 years now. After about 6 months into my work i felt lower back pains for a prolonged period. the pain soon radiated down the back, through the ischiums and my thighs,calves,ankle and heels. i get them in attacks and have passed out from the pain on some occasions.i aslo started passing mucuous or a geletinous substance with my stools everytime i get an attack( the recal sphincter gets constricted and i have a hard time passing stools too) i also get a burning sensation and i start to tear when pass urine whilst going through an attack. the attack affects my sexual performance aswel. I cannot sustain an erection for more than 10 mins ibuprufen was prescribed by my doctor and a MRI scan only found very mild scoliosis to the right. My doctors can't seem to put this together. Save Me.Please, i cant take it


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Dr. Goce Aleksovski , MD
replied on July 10th, 2009
Back Pain Answer A6911


The majority of the symptoms you reported (lower back pain that radiates through the ischium down the calves, ankles, burning urination, sphincter spasm when defecating, and affected sexual life) seem to be related to a condition that affects the nerves of the spine or the spinal cord itself. It is hard to tell exactly what might have affected the spinal cord.


Given the fact that tuberculosis of the spine was found in your family, you might be infected with tuberculosis as well. By coincidence, you might have tuberculosis developed on the spine, too. A tuberculosis abscess, which puts pressure on the nerves, might cause the symptoms described above.


The mild scoliosis that was found might also start to show initial symptoms. The scoliosis is more likely to be the cause if the pain in the legs is always on the same side.


You might want to visit a specialist in infective diseases for the possible abscess caused by tuberculosis of the spine. Tests for present infection with tuberculosis might be needed, as well as ordinary laboratory tests.


If tuberculosis is ruled out, then you might want to visit an orthopedist to check if a corset or other orthosis might be helpful to relax the spine muscles and thus decrease the pressure on the nerves that leave the spine.




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