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I've Had Chronic Low Back Pain For About 3 Years

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Posted on Mon, 19 Aug 2019
Question: I've had chronic low back pain for about 3 years now. It also sometimes includes hip/butt area pain. It wakes me up after being asleep for a few hours, and gets a lot worse when I stay in one position for a while (like a car ride). I'm also constantly tired, no matter how much sleep I get. I've tried things like physical therapy and yoga, and while some things help for a short time, it always comes back. It started as being every once in a while, but now it is every day, and it is starting to effect my work. If it helps, I have a family history of high blood pressure and various autoimmune diseases. I've talked to 4 doctors about it and they all have very different ideas of what it could be. It is getting frustrating not having answers, so I would like another opinion.


I have had an xray which showed minor scoliosis but more mid-back. My first dr. wanted me to get an MRI because he suspected ankylosing spondylitis due to family history, waking me up at night, and the fact that it is really stiff for a couple hours when I get up, but he retired before I could get it set up. My current primary doctor thinks I just pulled a muscle or something, so she hasnt ordered testing. I did see a back specialist but he was convinced I had hurt myself at work, even though I didnt start working until a year after symptoms start. Also, I have both injured muscles and bones before, and to me it feels a lot more like bone than muscle.
doctor
Answered by Dr. Olgeta Xhufka (3 hours later)
Brief Answer:
In my opinion it is ancylospondylitis.

Detailed Answer:
Hello dear, welcome to Ask a doctor service.
I read your query and here is my advice.

I don't think this is related to injury since it gets better by itself without treatment and doesn't last for so long of three years.
The scoliosis is mild and usually in low and moderate grades it doesn't give pain.
In my opinion you may be suffering from spondylitis, arthritis, inflammation of the spine and hip joint.
Chronic inflammation at that area gives pain, stiffness and is generally inherited by parents.
It is not much related to trauma, injury, position, activities or muscle strain.
I can advise you to do an MRI to check it.
The treatment consists of antinflamatory to reduce pain and inflammation. Ibuprofen or naproxen can be used.
Hope I have answered the question.
Let me know if I can assist you further.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Olgeta Xhufka

General & Family Physician

Practicing since :2011

Answered : 10169 Questions

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I've Had Chronic Low Back Pain For About 3 Years

Brief Answer: In my opinion it is ancylospondylitis. Detailed Answer: Hello dear, welcome to Ask a doctor service. I read your query and here is my advice. I don't think this is related to injury since it gets better by itself without treatment and doesn't last for so long of three years. The scoliosis is mild and usually in low and moderate grades it doesn't give pain. In my opinion you may be suffering from spondylitis, arthritis, inflammation of the spine and hip joint. Chronic inflammation at that area gives pain, stiffness and is generally inherited by parents. It is not much related to trauma, injury, position, activities or muscle strain. I can advise you to do an MRI to check it. The treatment consists of antinflamatory to reduce pain and inflammation. Ibuprofen or naproxen can be used. Hope I have answered the question. Let me know if I can assist you further.