I have got Anti CCP Antibody report as 12.50 NEGATIVE and ANA test as NEGATIVE interpretation, No Pattern, Titre expected 1: 32. I have l5-s1 disc herniation since 2007. I am now suffering center back pain, neck pain, on and off and sometimes pain between left shoulder and spine at upper lower back. I will undergo MRI soon but can you help me what does report mean? And precautionary advice?

Dr. Poonam Patel VasaniPain Management Specialist11yrs exp

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The lab tests that you underwent are to diagnose your pain. These tests if positive indicate arthritis. In your case these tests are negative. In young males back pain can be due to Spondyloarthropathy, a type of arthritis. Simple disc herniation on MRI SCAN doesn't mean that it's causing back pain. Your pain is most likely due to multiple causes like disc herniation with myofascial component and may be facet arthropathy. Consult a pain specialist in your city for detailed evaluation and definitely a repeat MRI scan. Precautions for such pains are lifestyle and ergonomics. 1.Do back and neck strengthening and stretching exercises daily once pain is relieved. 2.Apply analgesic cream over back followed by warm fomentation. 3.Keep pillow behind your knees at bedtime. While sleeping on sides keep pillow between knees. 4.Do not bend and lift weights. 5. Sit with straight back and support on chair with legs resting on floor. 6. Do not read or work with slouching posture or bent neck. If back pain is accompanied with radiating leg pain or tingling, numbness or weakness, consult doctor immediately For further queries consult again. 

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