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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Swollen Area On The Lower Back. Had Been In Accidents. Pressure In The Bone. What Could Be Wrong?

i have a swollen area directly in the middle of my lower back above my butt
its been there since i was 12 after a car accident as the years went by it became more painful especially after work. the pain is excruciating! i have a hard time bending,getting up and sometimes walking.
Trying to lay down and be comfortable is probably the impossible. Sometimes i get a shock down my legs that make my legs just wanna give out. heat helps maybe with about 2% of the pain.when i have someone push down on the area to the point all the pressure is on the bone it hurts BAD but it gets rid of alot of the pain and just creates another type of pain but still releases the other pain. ANY IDEAS whats wrong?
Mon, 22 Apr 2013
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Orthopaedic Surgeon, Joint Replacement,  's  Response
Hi, Thanks for writing. As per your description, it seems that you might have sustained a wedge compression of your lumbar vertebra which will show up as a swelling externally owing to the prominence of the spinous processes. Also during the same accident,your intervertebral disc annulus might have been torn causing pressure over the exiting nerve root. Whenever you bend forwards this disc impinges over the nerve that gives a shock like sensation down your leg. If you are much worried about the problem, get MRI scan of your Lumbosacral spine that picks up all the issues. Follow an Orthopedic surgeons advise accordingly. Wish you a quick recovery.
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Swollen Area On The Lower Back. Had Been In Accidents. Pressure In The Bone. What Could Be Wrong?

Hi, Thanks for writing. As per your description, it seems that you might have sustained a wedge compression of your lumbar vertebra which will show up as a swelling externally owing to the prominence of the spinous processes. Also during the same accident,your intervertebral disc annulus might have been torn causing pressure over the exiting nerve root. Whenever you bend forwards this disc impinges over the nerve that gives a shock like sensation down your leg. If you are much worried about the problem, get MRI scan of your Lumbosacral spine that picks up all the issues. Follow an Orthopedic surgeons advise accordingly. Wish you a quick recovery.