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2 Date Practitioner Doctors Records Further Tests and diagnosis 28/08/2001 GP Backache for years. Has had sciatica. Saw physio earlier this year. Complained of pain on sneezing and coughing. No weakness or paraesthesia. Bowels and bladder OK. Losing weight. Plain X-ray lumbar spine to assess disc spaces. Result vertebral alignment and disc height satisfactory. No bony destruction. 01/11/2001 GP Sharp pain anterior chest wall on coughing. Tender to palpation. There is not much else I can offer for this. I suggest he does some exercise to improve fitness and flexibility. Continue with pain killers. Could try osteopath if he wishes. 07/11/2001 Chiropractor Visited for lower back and neck pain Problem with cervical, thoracic and lumbar facet joint dysfunction possibly secondary or degenerative. 04/04/2002 GP Retrosternal pain not related to food Prescribed PPI 29/04/2002 GP Patients condition the same, not eased by PPI. Describes a very positional element to the pain, more when stood and leaning forward at desk less when seat back 30 degrees. Was slightly better on ibuprofen. Prescribed diclofenac 27/05/2202 GP Patients condition has improved, general back ache and recovery is much better. Chest discomfort still there. Has been able to do more than for quite a while. Tenderness locally and superficial anteriorly to the right of the sternum The conclusions from these GP and chiropractor visits were that I had degenerative disc disease. I accepted this as the diagnosis. From April 2002, I started taking diclofenac (50mg 3 times a day) and continued with this for approximately 3 years. During this time my condition deteriorated further and I eventually decided to go back to my GP as my neck was extremely painful and sleeping was becoming a problem.
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