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Old 01-04-2013, 11:33 PM   #1
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3 years of lower back discomfort, slowly ruining my life

I don't mean to be dramatic, but the issue is really effecting my life. Two and a half years ago, I was in a car accident (rear ended someone going around 50 mph). The pain started right around then some time, so I assume it was the cause.

The pain/discomfort is the WORST when sitting. When standing/walking for long hours, it isn't too bad at first, but it starts to get a little sore. I'm assuming this is from the pressure of my upper body on my messed up back. When laying down, I feel no pain at all, feels great. It is the only time I feel good.

I had an MRI done, and the orthopedic surgeon who looked at it said nothing appeared to be wrong. He recommended that I work on my core, which is odd cause I already workout and have a good core. I'm 99% this isn't the problem.

Recently, I saw a chiropractor who took xrays of my back. After viewing the xrays, he noticed a number of things. The few I remember him mentioning (and the most important ones) were:

- Tilted pelvis
- Sacrum overly tilted. I believe the sacrum is supposed to be somewhat tilted, but he said mine was tilted way too far.

I have circled the areas where the pain is worst in the picture below. I've noticed the pain is very little on the left side side. It's mostly the right side, and quite a bit in the middle.

http://img213.**********.us/img213/4525/83801086.png

Also, here are the pictures of my xrays.

http://img818.**********.us/img818/3378/photo1wyh.jpg

http://img543.**********.us/img543/6281/photojjd.jpg

Thanks in advance for the help everyone, and god bless

 
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Old 01-07-2013, 06:19 PM   #2
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Re: 3 years of lower back discomfort, slowly ruining my life

I don't have answers for you but I feel for you. I have lived with back pain for apx 17 years and it does ruin your life in alot of ways. I hope you get better soon. Sorry that you hurt.
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Old 01-08-2013, 06:12 AM   #3
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Re: 3 years of lower back discomfort, slowly ruining my life

Have you see a spine specialist? If not, please make an appointment. This would be, and in your case I would recommend, a fellowship trained orthopedic spine surgeon, or if you can't find one, a neurosurgeon whose practice is limited to the neck and back.

I can't say what is causing your pain...but I see something that I believe will cause issues in the future if it is not already causing problems.

Take a long at a "normal" x-ray or MRI and notice in particular the transition from the lumbar area to the sacral area. In most people, it is a small curve. Do you see that yours almost goes off at a right angle?

http://img543.**********.us/img543/6281/photojjd.jpg

What happens is that when you sit down (and sitting puts 30% more stress on the discs) that angle where L5 meets S1 becomes even a sharper angle and it is more likely to end up with a spinal nerve getting irritated. When you are lying down, you don't have gravity pushing down, making this angle more extreme...so that is probably why it is the only position where you don't have pain.

The fact that the sacrum is tipped more than usual in and of itself isn't a big deal and can be corrected, But this angle is something to be aware of and keep an eye on....

Did you get a copy of the radiology report from the MRI? It is always a good idea to get copies of both the disc and the MRI report to keep in your own file. If you don't have it, I suggest you call the facility where MRI was done and request it. Then you could copy it here -- I'd be really curious to see what it says!!

 
Old 01-08-2013, 01:32 PM   #4
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Re: 3 years of lower back discomfort, slowly ruining my life

I think you need to see an orthopedic surgeon or neurosurgeon. Those are my doctors of choice when seeking help on spine issues. And they should be specifically trained in "spine related issues."

You mentioned that you had an MRI done. When was it done? Was it recent or a long time ago? If it is not recent than maybe a NEW MRI would be in order.

Do you have a copy of the MRI report. Many of us that post here will share the MRI report itself so that we can see what the radiolgist report says. That would be your choice if you wanted to post the report itself.

You will that many of us here have been thru the mill with spine issues and can give you a great deal of input on our personal experiences.


One thing I learned, and this is my personal preference, is that when dealing with spine issues you need to get to the best of the best. I tend to look for doctors that are associated with major teaching hospitals. Again for me it works.
Good luck in finding an answer.

 
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