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Posture related Back pain - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Back Pain
Answered by

General & Family Physician
Practicing since : 2009
Answered : 675 Questions
User :   Hi
Doctor :   Hi
Doctor :   plz wait
User :   Could you please tell me again for my MRI scan result and Pain relation? sorry for that and pls let me know how much minut i have?
User :   hi dr
User :   pls i want to finish my chat in this recharge
Doctor :   There are results right: Bilateral L5 pars defects are demonstrated with some very minor degenerative change seen at the pars site.
Doctor :   We have offered 30 minutes
Doctor :   you will be fine
User :   ok thanks
Doctor :   You also said : hat's is the only finding in MRI scan otherwise no evidence of disc bulge, central canal or neural foramina narrowing nor focal nerve root impingement
Doctor :   u said earlier in ct scan i have some finding like annulus bulging at L5/S1 and minar narrowing of left foreman so pls tell me is MRI result enough for my pain ?
User :   not in mri as per its result
Doctor :   Yes
User :   sorry pls tell me after the relation?
User :   dr will consider MRI result i think
User :   As per ct result is very old i think
Doctor :   What probem you have ow?
Doctor :   I want to ask you again : what are the symptoms
User :   i have burning pain in lower back and some sharp legs pain near hips
User :   with siting more pain
Doctor :   Is there hip pain?
User :   yes hip pain go down to leg
Doctor :   Is the burning pain is back pain?
User :   yes
Doctor :   Is there back pain?
User :   yes
Doctor :   Back pain is different from Hip pain
Doctor :   Please confirm which one you have ?
User :   i have both back pain and i have hips pain as well which is i think its related with my back
Doctor :   Surely they are work related.
User :   so please tell me for my MRI finding and my back pain relation?
Doctor :   Which one is more prominent-back pain or Hip pain?
User :   yes its work related
User :   back pain
Doctor :   OK
Doctor :   MRI has no disc prolapse
Doctor :   no nerve compression
Doctor :   That is good
Doctor :   The discs are good
Doctor :   Nerves are not compressed
Doctor :   But you still have back pain which is due to back muscle spasms and muscle strains
Doctor :   That is the diagnosis
User :   then why i have chronic lower back pain with siting ?
Doctor :   chronic work stress is creating chronic muscle strain.
User :   i am doing only light work now
Doctor :   There could be also some degenerative changes in the vertebral bodies which may be small and now not detected in MRI
User :   4 hr per day
Doctor :   OK
User :   Mri finding is bilateral l5 pars defects are demonstrated with some very minor degenerative change seen at the pars site. so pls is it related with my back pain?
Doctor :   Yes
User :   how?
Doctor :   They are minor degenerative changes in spine
Doctor :   what do you mean by how?
User :   i just want to tell to my doctor this is the main reason for my back pain so i want to understand in detail
Doctor :   yes
Doctor :   Defintely
Doctor :   Your degenerative changes in back bones are are work related
User :   yes
Doctor :   And these degenerative changes are causing your present back pain
Doctor :   Good for your health is: no prolase no nerve compression
User :   so i have this pain since last one year
Doctor :   Your degenerative changes in back bones on MRI are are work related.And these degenerative changes are causing your present back pain
User :   so how this degenerative changes creates pain?
Doctor :   These are complicated pathophysiology
Doctor :   There are mechanical friction between bones
Doctor :   Bone and bone are supported by cartilage
User :   ok
User :   hello dr pls more
Doctor :   In degenerative changes , there are new , very small, spike like , needle like growths
Doctor :   these new bony projections are called spurs
Doctor :   the spurs rub on muscles and nerves
Doctor :   even spurs have nerve supply
Doctor :   so when there is friction by spurs nerves are irritated and cause pain
Doctor :   This cause spasm of adjacent muscles
Doctor :   Any muscles spasm cause more pain
User :   so dr MRI results saying this all.
Doctor :   What Didi the MRI told you?
Doctor :   What information you typed me?
User :   Mri finding is bilateral l5 pars defects are demonstrated with some very minor degenerative change seen at the pars site.
Doctor :   That is at
User :   so that is the reason of my pain
User :   my bones like spike. is it right?
Doctor :   I am giving explanation how the degenerative cganges cause pain
User :   throne not spike
Doctor :   DO not create extra info
User :   sorry dr
Doctor :   Just existing infomation on MRI result are enough to support your arguments that
Doctor :   there are degenerative changes in the back bones from work and that are causing back pain and disrupting your quality of life.
Doctor :   If you give additional info, you try to be smart
Doctor :   There's no need to be sorry.
Doctor :   I am trying how law thinks
Doctor :   And you can get medical help
Doctor :   In your case. steroid injections every 3 months will definitely help
Doctor :   You need Physical theraphy min 3x wk
Doctor :   You need Pain medicines
User :   what is the side effect of steroid?
Doctor :   Do you have any other Questions?
User :   what is the side effect of steroid?
Doctor :   Sterod can cause high BP, diabetes,
Doctor :   weight gain, modd changes
User :   i think i will do some more physio ex
Doctor :   but the dose in this case is not very high.
Doctor :   very good decision
Doctor :   Thank you for consulting
Doctor :   Bye
User :   ok thank you i will chat with you agiane
Doctor :   Surely , I will be very happy to help you again
Doctor :   Take care.
User :   Thank you.
Doctor :   Bye.
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