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Discomfort in lower back. Tests were normal, advised therapeutic exercise but still paining. Suggest?

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General & Family Physician
Practicing since : 2005
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I am expereincing discomfort in the the lower back area. This have being bothering me for a while - for over 6 months. A recent diagnosis by an Orthopedic doctor show that everything was normal and I was prescribed one simple theraputic exercise. In the past two weeks the discomfort has increased. I feel fine when I am walking or standing, but sitting in onle place for more than 30 mins seems to aggravte the problem. I also feel the discomfort when I lie down irrespective of the position. I have been doing core and lower back exercises for over a month and I so a walk + run for 30 mins atleat 3 times a week.
Posted Tue, 22 Oct 2013 in Back Pain
Answered by Dr. Shanthi.E 3 hours later
Brief Answer:
MRI spine would be ideal

Detailed Answer:

It seems like the problem of your lower back is becoming bothersome to you.

It has been there for 6 months now.

In such a case, I would advise my patient to undergo an MRI of the lower back to rule out spinal disc herniation, if any. I would advise you the same.

Please go ahead and get this test done. You could discuss about the report here, once you get it.

I wish you quick recovery.

Above answer was peer-reviewed by
Follow-up: Discomfort in lower back. Tests were normal, advised therapeutic exercise but still paining. Suggest? 44 hours later
Thnak you for your response Dr. Shanthi. I have a copule more questions.

As a part of a stretching routine before a jog/run, I raise my knees and bring them up close to the chest. As I go back to the standing position again, I can feel/hear "click" in the lower back or hip area. It feels like something moved in a socket. Is this normal? or could this be related to what I am already experiencing?

Assuming that I have a minor lower back condition, whould jogging ~5 km each day 3 days a week casue damage or wear on the muscles/tendons/ligaments connected to or around the knee?

When I go to the diagnostic center for an MRI do I just ask for a lower back MRI, or is there a technical name for the position or region they have to scan?

Answered by Dr. Shanthi.E 19 hours later
Brief Answer:
detailed below

Detailed Answer:

Here are your answers to the follow up queries:

1. No, I do not think this 'click' sound is normal. In my view, it is related to already existing problem. I would suggest you to stop this stretching exercise for a while, and give rest to your back.

2. You can continue to jog. This would not cause any damage or wear and tear on the muscles/tendons/ligaments around the knee joint. In fact, jogging helps to strengthen these.

3. You could ask for a MRI of the lumbo-sacral spine in all views. This would be ideal to locate the problem.

Hope this information helps you. Sorry for my delayed response.

Wish you quick recovery.

Above answer was peer-reviewed by
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