Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
please enter chat
Hi I'm Dr. Phil
Can I ask your first name?
Hi I'm Michelle
Nice to meet you
Actually this sounds like a disc in the low back
The disc bulges out and presses on a nerve root as it exits the spine
It can be treated with physical therapy, chiropractor or anti inflammatories
Can this cause light headedness? I have also had pelvic discomfort too
No, that shouldn't
the lightheadedness could be due to pain
I keep having disorientation this past week
That is strange
fibro can cause that
many times, fibro can make underlying problems worse
So there could be a component of fibro going on here
Yes Im wondering whether I am having structural problems and also having fibro symptoms are adding to this
that is exactly what I was thinking
Yes, my only concern is if x ray is normal, would an mri be a better option?
an xray won't show soft tissue
an MRI will
That's why I couldn't understand why my gp suggested x ray.
yes, xrays are not really indicated for this problem
Im feeling quite anxious because of the light headedness especially as I drive most days
I'm really sorry you are feeling so bad
that is terrible Michelle
Yes not having a good time of it, so should I request an mri?
I would give it 2-3 weeks to see if it resolves on its own. if not, MRI
Ok well thank you very much for your time
you're welcome Michelle :)
Did I do excellent work for you today?
Oh just one thing, on examination with my dr she did say she thought my right hip was very stiff, does this tie in with the disc?
yes and muscle spasm associated with it
She has given me gabapentin, will this help?
yes it will
Ok great stuff, thank you again
you're welcome :)
please don't forget a positive rating for me.
I appreciate it
Will do no problem.
thank you very much :)