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Have back pain. Had a accident earlier. X ray done, L5 is fused to sacrum. What to do?

I was in a pretty bad car accident Feb 1st of this year, following that I was given an xray of my lower back because of the intense pain I was experiencing. They found that my L5 was fused to my Sacrum, and it made sense seeing as I have had lower back pain many other times in my life. I am a 21 year old female, and have been an avid runner/swimmer and was hoping I could get some answers as to when I would be able to get back into exercising. The pain isn't awful, and I would rather exercise with pain then not do anything at all. My physical therapist hasn't been able to give me any clear answers on treatments or what is actually wrong with me, just that the bones are fused, the disc is very very small, and apparently there is nothing degenerative. I would appreciate any information at all seeing as my PT doctors have given me next to nothing.
Asked On : Sat, 23 Mar 2013
Answers:  2 Views:  21
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Orthopaedic Surgeon 's  Response
hallo dear friend ,thanks for writing to HCM
i hv studied your case
see fusion of of L 5 [ sacralization of lumbar vertebrae ] is finding on X ray and it may not be related to your accident , it may be present since long time
so fusion of l5 is not cause of your pain
MRI SPINE done? you should do that
see wheather any disc compression

you need some neurotropics like pregabalin with methylcobalamine
and calcium suppliment with vit D

take rest , take some analgesic , hot or cold fomentation
avoid lifting weights
sit with taking support to your back
continue spine strenghthening exersizes

in younger age group we can go for decompression surgery if disc is large
hope this information will help you
for further details you can contact me on
Answered: Tue, 21 May 2013
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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Feb 2014
Thanks for writing to us.
From description , it seems you might developed muscular or ligamentous strain over back .L5 fused to sacrum(sacralization of lumbar vertebra) seems to be incidental finding and not cause of your back pain.
Now if pain is severe ,I would suggest getting this evaluated by an orthopedician for an accurate diagnosis and appropriate management. You may get the MRI of the area affected under his/her guidance.
Meanwhile following measures will help with the pain
• Lie on a hard bed.
• Anti -inflammatory drugs like Tablet Motrin 1 tablet as and when required
• Avoid forward bending.
• Avoid strenuous activity & lifting heavy weights.
• Apply diclofenac gel on the affected area. Warm compresses will also help.
Hope this helps you.
Answered: Tue, 6 Aug 2013
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 1 user finds this helpful

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