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spinal stenisis....
but...
1.patient hatolerable pain.whats next (and no neurological ss/)
2.sever pain or +ve s/s..what next,
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please........write out your question correctly
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sory
back pain
your suspect spinal stenosis,and u have 2 cases.
1.patient has tolerable pain,no neurological s/s whats next.
2.sever pain,and/or =ve neurological s/s
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the second one i mean +ve neurlogical s/s or severe pain..still u think only nsaid.!
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exactly, give them something stronger...demerol???
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in second one, do MRI and decompressive surgery if there are motor symptoms/ non responding pain/ proprioceptive or balance symptoms.