Question:
I am just starting to have back pain when I have been standing what should I do?

I have Tricare Prime and have been approved for 3 visits to see a surgeon. I have not been approved for the surgery. I, as of yet, have no comorbidities that I know of. I am young (29) and I am 276 and 5'7 3/4". My BMI is 43.1. I am just starting to have back problems when I stand for more than 20 minutes and I know its because of my weight. I have never had back problems before. Should I go see my PCP or should I wait to tell my surgeon. I go for my introduction on Monday 12/9/02 (I fly from Ketchikan, AK to Seattle, WA). My PCP has referred me to the surgeon, but I won't be seeing him before the new year. What do you think?? Should I just see the PCP and have her put it in my record? I couldn't take anything for the pain (nor would I want to) I have an addictive personaltiy and I am still nursing an infant (7.5mos). Any advice would be greatly appreciated.    — Carol S. (posted on December 7, 2002)

December 6, 2002
Yes, dear - absolutely get all pain (back, hip, knee) documented for your surgeon...especially back pain. Mine has almost completely resolved after 65.5# lost. Best of luck to you - you are really committed to have to travel so far! We'll keep you and your family in our prayers!
   — Scarlett A.

December 10, 2002
See your pcp and a chiropractor. Only you can determine your pain level. If you have knee pain, it could be osteoarthritis. Any trouble breathing? Could be asthma. Have you ever had a sleep study? Sleep apnea? Tell your pcp about all of your problems so they will chart it in the progress notes. Do you have heartburn or burning in your throat? Could be acid reflux. All these things are co-morbid conditions. Do NOT ignore anything or think that you are being a complainer. All of these things are to your benefit for insurance approval. Good Luck. Nickie
   — Nickie C.