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Forum Name: Spinal problems and back pain

Question: Back Pain/Night Sweats


 Ranjon - Thu Dec 08, 2005 12:48 pm

Hi, I just had a question about my boyfriend. He has been to the doctor for two bulging disks in his back. He went in to the doctor twice for and both times they gave him shots of cortisone. The first time he said it didnt make him feel better. The second time he said it was a little better. He said his legs don't tingle anymore. It was causing him to always loose feeling in his legs. When he went back for a follow up visit they told him that one of the disks had actually ruptured and the liquid inside had leaked out. Well since all of this has been going on he has been having really bad night sweats everynight. Could this be related, and if so what should we do about it? He wakes up every single night totally drenched and cold. Thank you so much for your help!
 Dr. Safaa Mahmoud - Tue Aug 08, 2006 5:25 pm

User avatar Dear Ranjon,

Degeneration of the disc tissue makes the disc more susceptible to herniation (rapture).

Each disc is formed of a central gel-like inside (nucleus pulposus), surrounded by an outer ring (annulus fibrosus).

When this softer component ruptures (herniates) through the outer ring it press directly on nerve roots and irritate adjacent nervous tissue.

These conditions can be treated in the majority of cases with medical and conservative treatment (non surgical).

Non surgical treatment includes, physical therapy, certain exercises, weight reduction, epidural steroid injections, non-steroidal anti-inflammatory medications, and decreased daily activities. The pain usually improves faster than the numbness and the weakness if present.

Surgery for disc herniation is only considered if symptoms are not controlled after at least one month (6 weeks) of medical and conservative treatment, or in very complicated cases with serious symptoms.


Having night sweat as you have described, is a warning sign this usually happens in systemic diseases like tumors and in infections with septicemia. Otherwise, it is anxiety related.

Initial investigations include:
CBC
LFT
CRP,
Ca level.

Follow up with your doctor is essential.
Hope you find this information useful.
Best regards,

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