Ask a Neurologist and Get an Answer ASAP
Good afternoon, I am Dr Elliot and hope that I can help
How long have you been having pain for?
Okay, and is this in your lower back? and does it feel tender at the site of the pain?
So if you have had a calcium level which is normal and another enzyme to do with calcium absorption then this strongly suggests there is no bone problem
If you don't mind me asking, are you overweight? are you physically an active individual?
Indeed you have, so the most likely cause to your symptoms is a muscular skeletal problem - may be from being an active individual
I would certainly not consider bone cancer as a differential for you, but would ask if you could see a physiotherapist as this is ongoing
Ask them to examine your back. Xrays for the back use a lot of radiation so they are not sensible unless there was a significant concern. An examination would be able to reassure that there is nothing sinister going on with your back
Also given your age, spinal cancer is very very rare. Other than you saying about it, I would not have even concerned it as a diagnosis for you
But I appreciate it can be difficult once we think it could be something quite scary
does that help?
No, I do not think another blood test would be needed. Joint pain can be positional. Generalised aches are often muscular
Yes, I am still here
So there are some joint conditions that can cause this, but nothing sinister/life threatening, but most of these conditions require physiotherapy only to treat them
So inflammatory arthritis and some viruses can cause this. Stress would almost certainly be a trigger
Your doctor would look at your spine, and press over the vertebrae, if there is a tender bony area then an xray may be suggested, but this excludes the need to image
Okay, I would probably ask for an MRI scan of your back then if there is no tenderness, an MRI is magnetic and no radiation. Xrays would irradiate you pelvis so avoid this if it is not needed
Does this help answer your question?
I am happy to speak if you would prefer but I appreciate that this is charged for
I understand and would rather you did spend if not required. Have a chat with your GP, but it is so unlikely there is anything concerning going on
So routine MRIs will restart next month, assuming there is no 2nd recurrence of infection rates
Certainly anxiety will make it seem a lot worse, yes this is more likely that you would
I am more than happy to leave this chat open, but please could you kindly rate my response, this allows me to be credited for answering questions - thanks
Thank you, ***** ***** doesn't sound serious
Glandular fever can cause a fatigue and ache, yes. Otherwise without examining you I am not sure
Good morning, I am here. I would need to extend this conversation or ask you create a new question given the time. I will try and submit the option for your to decide what you would like to do