Question: About 3 years back medium to strong lower back pain occurred (central spine area only, not left or right sides). It was not up to the extent that movement or daily life was stopped. However, due to it, it was not possible to sit on chair and work on computer for more than 15-30 minutes - I needed to break and take a walk. Pain was not felt in lying position.
That time it (the severity of pain) lasted about 1 to 1.5 months.
I did not consulted for it, that time, but I use to do few exercise step daily evening (during strong pain period). I do not know whether it helped in bringing pain level lower or it automatically reduced!

Since then, a mild pain use to be present in the area, which increases with certain sitting postures like sitting on chair with forward inclination (working on computers), doing something on ground after sitting on chair and bending from waist. The onset of pain sometimes is not felt so disturbing/ interfering with daily/ routine activities however sometimes it is felt more interfering daily/ routine activities.


It has been observed that as sitting (1. either on chair - for working on computers or 2. on bed - again on computers) postures is kept minimum, less pain is felt.
Sometimes (during walking particularly) the highlighted portion of spine do give strange feeling like vertebras have rubbed over one another, however this is not painful, but happens occasionally.

I do not get involved in physical activities due to above - whether physical activity (including cycling) will deteriorate the condition or will have no effect at all or should I involve actively in physical activities!


I have undergone MRI (self) for lumbar spine, images and report of which are shown in attachment.
Thereafter, I consulted to physician and after consultation with physician, he asked me to do two steps (a) stand straight and then bend down and touch toes (done without any difficulty) and (b) lay flat and move leg upside without support of hands one leg at a time (each leg reached up to 90 degrees pointing upward).

His observation was that agility and extent of bending do indicate that there is no issues w.r.t. MRI reports (disc bulges) and therefore other possibilities need to be explored. However he didn’t saw the plates/ images, only report he had seen.
Afterwards he advised to go for X-ray (LS Spine Skiagram AP Lat view) which is also shown in attachment.
After looking at X-ray it was told to me that it is case of Lordosis of lower spine. Doctor then advised me to do some 6-7 exercises for reverting the curvature of Lordosis and to normalize it and to continue the exercises till one month and then report back with progress.
Currently, I am not confident about the situation and therefore not doing the exercises as advised, and want to take further advice from another expert of spine.


With above, now I need advice for:
1.     What is the cause of the strange pain (sometimes no pain, most of the times mild and occasionally medium to medium strong)
2.     Will it las t forever or temporary due to my careless lifestyle and will not continue to exist with change in lifestyle
3.     What care/ precaution to be taken care of in lifestyle
4.     What activities are banned/ prohibited in this case
5.     Physical activities should be done or not in my case like exercises, cycling, swimming etc and what exercises I should do if to be done
6.     What dietary care/ precautions to be taken care of
7.     Any medication to be taken, if any!
8.     Which expert to be consulted in case if further diagnosis is required to come to a concrete conclusion
9.     Any other input from Doctor side which I missed to ask and is to be followed/ taken care of by me

I have added images separately for clear view ..
May please refer accordingly ..

Not able to upload 3 more images, perhaps limitation on server ..

Thanks.

Does it look like case of lumbar lordosis as suggested by physician and should I continue/ start the exercises suggested for straightening of lordosis curvature?

Hello Doctor,

Thank for response.

Just wanted to correct one sentence in original query
"Sometimes (during walking particularly) the highlighted portion of spine do give strange feeling like vertebras have rubbed over one another, however this is not painful, but happens occasionally."

Above sentence should be read as
"Sometimes (during walking particularly) the highlighted portion of spine do give strange feeling like a crackling sound, however this is not painful, but happens occasionally. It is something like when we make popping sound on finger joints after certain period of inactivity"


I have uploaded the exercises advised by physician. Need to know whether they are ok or not, for starting exercises! He had told to do all on flat surface only like on floor, not on bed.

Please suggest.