Emergency Medicine Case Discussion || Acute Back Pain

#backpain

[@pawanmankar6346]

Dr.shreekrishnan is a great knowledgeable person

[@giftymariam3890]

Thank you so much....Doctors .... Very helpful!!!

[@nagaratnamsuthakaran3639]

Thank you very much sirs and madam. It's really really worth discussion. 🙏🙏🙏

[@kuldeepjoshi7239]

Great presentation

[@sonalkumar3485]

Wow ,what a discussion

[@srinivasaraosirasapalli5104]

excellent

[@Docorif]

Good discussion but a few key points. While an X-ray is good for starts, for any radicular symptoms an MRI is certainly better from the get-go. It would even tell us if any bony suspect bony involvement such an occult end plate compression is acute or not. As far as treatment goes, rather astounded that your neuro guys would jump into surgery. Reeks of a blinded western mindset or commercially driven approach. Perhaps it would be nice to get some old timers in spine surgery like Dr Thomas Mathew to comment on how he used to treat such cases with amazing success (conservatively). I would certainly agree with the mentor suggesting steroids, pain killers and muscle relaxants on admission and taking things from there. Even a simple discectomy comes with high risks of dural tears, recurrent discs, post- op fibrosis etc to name a few. We seem to be forgetting our principles of doing less harm. Anyways , good discussion, and good work !!

[@ANKUZAKI]

Would love it if important points were highlighted on the video as it's quite straining to listen to the audio through the masks. Great presentation!

[@AETCMEmergencyMedicine]

These videos are not scripted its our routine academic case discussion which we are shooting and uploading for our subscribers.. Audio quality will improve within few days

[@dr.mahavirsinghsengar1593]

@Reshma Shaikh atleast they are doing this thing for free. It should be enough for us. They don't have that much time for all this.

[@jayakumar4461]

@@AETCMEmergencyMedicine qu70poqqoqóaô1

[@kangkanrajbongshi66]

​@Reshma Shaikh bhag

[@kangkanrajbongshi66]

​@@dr.mahavirsinghsengar1593 👍🏿👍🏿

[@RajinderSingh-uj8uf]

Thank you Dr. and AETCM Team for making this videos.

[@aswinkutan]

Thank you sir

[@hannaabdulla3548]

Sir..could you pls explain the selection of analgesic based on the type of pain

[@mehransaif3382]

❤

[@MsHari090]

Very nice. Which patients of disc prolapse to be operated?

[@AETCMEmergencyMedicine]

With Neurological deficits

[@Docorif]

@@AETCMEmergencyMedicine Even better to say worsening neurological deficit. An isolated EHL weakness in an older patient, give him the option.

[@mahmoudabokhzam2821]

What is the adjunct that should be asked for before starting any NSAID other than asthma and CKD and allergy the one that dr Binu said which occurs after oral administration ?

[@AETCMEmergencyMedicine]

Anaphylaxis, allergy to nsaids

[@vishavendra]

Please sir make case discussion on DKA🙏🙏

[@sharjeelahmed1303]

Voice is not clear please improve it otherwise great work❤️

[@Anishkumar86093]

Back pain medecine name

[@sanketmali8038]

NSAIDs should be avoided in gastric/peptic ulcer disease either in oral or intravenous form as they inhibit prostaglandins which are important in maintaining gastric mucosa.

[@sanketmali8038]

Sir my humble request to you to make a video on pain management in patients with different comorbidities (ckd ,cld,ihd,asthmatics,etc.)

[@RakeshDas-ki1cj]

Is there any rule of epidural steroid injection?

[@AETCMEmergencyMedicine]

No

[@danishpatel8245]

I am from Terna Medical college, Navi Mumbai, 22years old, I go to the gym, I am having lower back spasm from 3 months I have taken 3 course of Muscle relaxants what should I do?

[@AETCMEmergencyMedicine]

Meet a physiotherapist do muscle strengthening exercises

[@dr.sowmya2168]

In x-ray solid organ won't be visible but why kidney is visible

[@AETCMEmergencyMedicine]

We are looking for radiolucent stones

[@mahmoudabokhzam2821]

What is the rule of steroid that he said please?

[@AETCMEmergencyMedicine]

With Focal Neurological deficit to decrease disc edema

[@shynak97]

ivdp