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Constant & increasing Back Pain

Symptoms of constant & increasing Back Pain.

Constant knawing pain gradually increasing in intensity. Associated change in general health, lassitude, weight loss.
Increasing back pain usually mid-thoracic spine for some weeks with sudden increment in pain. In most cases there are preceding symptoms of underlying osteoporosis assessed by Dexa / CT scan.

Presentation	Diagnosis	Options
Unremitting back pain with possible buttock & leg pain requiring increasing analgesia	Primary spinal tumour or secondary tumour spread from Breast, Bronchus, Kidney, Bowel or Thyroid.	After establishing the compass, type & source of the tumour, treatment will be conducted by an Oncologist. Stabilisiation of segments likely to collapse by internal & external fixation

The increase in pain is associated with increased hooping of posture.	Fracture of the vertebral body is assessed by MRI scanning to determine the time of the fracture.	Kyphoplasty with angular correction / vertebroplasty