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Hello, I Have A Question In Regards To My Lower

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Posted on Tue, 29 Sep 2020
Question: Hello,
I have a question in regards to my lower back pain. I have had a lower back pain in my lower-left area of my back for around 3-4 years now. The pain is sortof in the
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Follow up: Dr. Olgeta Xhufka (0 minute later)
Hello,
I have a question in regards to my lower back pain. I have had a lower back pain in my lower-left area of my back for around 3-4 years now. The pain is sortof in the
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Follow up: Dr. Olgeta Xhufka (23 minutes later)
Hello,
I have a question in regards to my lower back pain. I have had a lower back pain in my lower-left area of my back for around 3-4 years now. The pain is sortof in the "background" as to say. The pain is of moderate intensity, and during these 3-4 years the pain has not gotten worse, but at the same time it has not really got better either. The pain is located only in the lower-left region of my back. The lower right region is completely fine as I dont feel any pain at all over there. The pain varies, when my body is cold (like in the morning) the pain itensity (from a scale from 1-10) could be anywhere froma 3 - 4, however when my body is warm like after an exercise session, the intensity could go down to around 1-2 in intesity.


My health profile:

I am 29 years old
Weight 115 Kg, I am a male, computer engineer by profession. I exercise 3-4 times a week at the gym, I lift weights and for cardio I do some jogging.
I am an otherwise healthy man, I dont take any medications nor have I had any other medical complications before.


I will try to give you as much information as possible of the triggers of the lower back pain so that you can give me your opinion on this matter.

My back pain does not really hinder my daily life routine; I can still do daily tasks as walk, lift stuff, excercise etc. However, there are some trigger points that produce a moderate but sharp sensation of pain in my lower-left region of my lower back. They are as follows:

*) If i lie in bed with my entire body, and I arch my stomach/pelvis upwards, I feel a mloderate but sharp sensation of pain in my lower-left region of my back. My lower right region of the back is completely fine however. The pain is localized and does not radiate to other parts of the body.

*) Morever, if I lie in bed with my entire body and i arch my upper body forwards (sort of like a situp) I also feel the sensation of pain in my lower left region of my back.

*) If I am standing straight with my both feet on the ground I dont feel any sensation of pain. If I however lift my left leg upwards whilst my right leg is still on the ground, I feel the sensation of pain in my lower-left region of my back. The sensation is light in intensity, but I still "feel" something. However, If I lift my right leg upwards whilst maintaining my left leg on the ground, I dont feel any sensation at all in my lower back. As mentioned above, if my body is warm, the pain sensation is less in intesity.

I also want to note that the pain is related to activities and body movements; I.e I dont experience any pain at all if I am in a constant position such as sitting etc. Pain occurs only in defined movements such as described above.

As mentioned previously the pain does not really interfere with my life directly in a way that is hindering me with my daily routines. I can still function and operate normally, however this sensation is still always "in the background" if you understand what I mean.

I have noticed that when I exercise, such as taking a 1 hour power-walk outside or when I come back home from a gym session the pain sensation is improved by around 70%. The pain sensation is very much reduced when my body is warm. Conversely when my body is not warm, for example directly when I wake up from sleep, the sensations are more pronounced.

Being curious about the origin of this matter, I visited a physiotherapist last week. The physiotherapist asked me lots of questions and examined me by telling me to lye on the bed and she lift my legs from different angles to see if pain occurs, and she told me to do different movements to examine if pain occurs or not. After the session, she said the the pain likely originates in muscle/vertebrate/nerv in some fashion since its movement related. So she prescribed some exercises to do at home for 3 weeks, and she was to re-evaluate me after 3 weeks and take it from there.



The reason I am writing to you in regards to this issue because I am curious of why this sensation is always there. Although the visit to the physiotherapist gave me some clearance on what the pain could potentially be, I get worried when I google what chronic back pain causes could be. Many forums mention that in rare cases this could be because of so called "Spine tumors" which literally made me very horrified! So I want to ask you to please take a close look at the situation I described to you and tell me whether or not the symptoms could in any way signify "spinal tumors" or whether its completely unlikely.

I want to add that I dont have any tingling/numbness in my body, nor do I have bladder/bowel problems.

With my entire situation explained in detail above, do you think that I should be worried about this thing called "spinal cord tumor"? Does my situation indicate something serious?

I look forward your response,

Thanks!
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Follow up: Dr. Olgeta Xhufka (0 minute later)
Hello,
I have a question in regards to my lower back pain. I have had a lower back pain in my lower-left area of my back for around 3-4 years now. The pain is sortof in the "background" as to say. The pain is of moderate intensity, and during these 3-4 years the pain has not gotten worse, but at the same time it has not really got better either. The pain is located only in the lower-left region of my back. The lower right region is completely fine as I dont feel any pain at all over there. The pain varies, when my body is cold (like in the morning) the pain itensity (from a scale from 1-10) could be anywhere froma 3 - 4, however when my body is warm like after an exercise session, the intensity could go down to around 1-2 in intesity.


My health profile:

I am 29 years old
Weight 115 Kg, I am a male, computer engineer by profession. I exercise 3-4 times a week at the gym, I lift weights and for cardio I do some jogging.
I am an otherwise healthy man, I dont take any medications nor have I had any other medical complications before.


I will try to give you as much information as possible of the triggers of the lower back pain so that you can give me your opinion on this matter.

My back pain does not really hinder my daily life routine; I can still do daily tasks as walk, lift stuff, excercise etc. However, there are some trigger points that produce a moderate but sharp sensation of pain in my lower-left region of my lower back. They are as follows:

*) If i lie in bed with my entire body, and I arch my stomach/pelvis upwards, I feel a mloderate but sharp sensation of pain in my lower-left region of my back. My lower right region of the back is completely fine however. The pain is localized and does not radiate to other parts of the body.

*) Morever, if I lie in bed with my entire body and i arch my upper body forwards (sort of like a situp) I also feel the sensation of pain in my lower left region of my back.

*) If I am standing straight with my both feet on the ground I dont feel any sensation of pain. If I however lift my left leg upwards whilst my right leg is still on the ground, I feel the sensation of pain in my lower-left region of my back. The sensation is light in intensity, but I still "feel" something. However, If I lift my right leg upwards whilst maintaining my left leg on the ground, I dont feel any sensation at all in my lower back. As mentioned above, if my body is warm, the pain sensation is less in intesity.

I also want to note that the pain is related to activities and body movements; I.e I dont experience any pain at all if I am in a constant position such as sitting etc. Pain occurs only in defined movements such as described above.

As mentioned previously the pain does not really interfere with my life directly in a way that is hindering me with my daily routines. I can still function and operate normally, however this sensation is still always "in the background" if you understand what I mean.

I have noticed that when I exercise, such as taking a 1 hour power-walk outside or when I come back home from a gym session the pain sensation is improved by around 70%. The pain sensation is very much reduced when my body is warm. Conversely when my body is not warm, for example directly when I wake up from sleep, the sensations are more pronounced.

Being curious about the origin of this matter, I visited a physiotherapist last week. The physiotherapist asked me lots of questions and examined me by telling me to lye on the bed and she lift my legs from different angles to see if pain occurs, and she told me to do different movements to examine if pain occurs or not. After the session, she said the the pain likely originates in muscle/vertebrate/nerv in some fashion since its movement related. So she prescribed some exercises to do at home for 3 weeks, and she was to re-evaluate me after 3 weeks and take it from there.



The reason I am writing to you in regards to this issue because I am curious of why this sensation is always there. Although the visit to the physiotherapist gave me some clearance on what the pain could potentially be, I get worried when I google what chronic back pain causes could be. Many forums mention that in rare cases this could be because of so called "Spine tumors" which literally made me very horrified! So I want to ask you to please take a close look at the situation I described to you and tell me whether or not the symptoms could in any way signify "spinal tumors" or whether its completely unlikely.

I want to add that I dont have any tingling/numbness in my body, nor do I have bladder/bowel problems.

With my entire situation explained in detail above, do you think that I should be worried about this thing called "spinal cord tumor"? Does my situation indicate something serious?

I look forward your response,

Thanks!
doctor
Answered by Dr. Olgeta Xhufka (1 hour later)
Brief Answer:
Do an MRI of lower back

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

I don't believe that the back pain you are having can be related to spinal tumors.
I think it can be related to degenerative disc disease or herniated disc.
You need to do an MRI of lower spine before doing physical therapy or other types of treatment.
Take antiinflammatory drugs such ibuprofen or naproxen for pain.

Hope I have answered the question.
Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
doctor
Answered by Dr. Olgeta Xhufka (0 minute later)
Brief Answer:
Do an MRI of lower back

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

I don't believe that the back pain you are having can be related to spinal tumors.
I think it can be related to degenerative disc disease or herniated disc.
You need to do an MRI of lower spine before doing physical therapy or other types of treatment.
Take antiinflammatory drugs such ibuprofen or naproxen for pain.

Hope I have answered the question.
Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Olgeta Xhufka (2 hours later)
Thanks for your answer,

However I would like if you can go a bit more in detail in regards to this issue and provide a more detailed answer. My intention here is to get as much knowledge as possible from a physician, instead of relying on google. This way I can make better consultations with my primary local doctor.

In particular, please review the following points and provide as much information as possible, the more the better.

1) As mentioned previously above, in my situation the pain is localized to my lower-left back region, the pain is light in intensity and it occurs only after specefic movements. What I want to know in more detail is what is the difference in pain of a normal benign lower-back pain compared to a back pain related to spinal tumors? More precisely, in the case of spinal tumors, is the pain also only based on certain movements that a person does? Or, is the pain always occuring in the background irregardless of movements a person is doing?

2) Moreover, the symptoms that I have had in relation to my backpain have been lasting for around 4 years. During these 4 years, I have had no additional symptoms such as numbness etc. In the case of spinal tumors, would it be possible for a spinal tumor to exist without any additional symptoms such as numbness, tingling, and/or bowel problems etc? More precisely, does the fact that during these 4 years I have not had any other additional symptom indicate that the cause of my back pain is benign in nature? Or not? Please be precise in your answer

3) Lastly, can you please provide more information on what would actually cause you suspcion that a person has a spinal tumor? So generally, in which cases would you have a good gut feeling that the symptoms are "benign" and in which cases would you be "worried" that it might be a spinal tumor behind?

Please elaborate as much as you can,
Looking forward your answer

Regards,
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Follow up: Dr. Olgeta Xhufka (0 minute later)
Thanks for your answer,

However I would like if you can go a bit more in detail in regards to this issue and provide a more detailed answer. My intention here is to get as much knowledge as possible from a physician, instead of relying on google. This way I can make better consultations with my primary local doctor.

In particular, please review the following points and provide as much information as possible, the more the better.

1) As mentioned previously above, in my situation the pain is localized to my lower-left back region, the pain is light in intensity and it occurs only after specefic movements. What I want to know in more detail is what is the difference in pain of a normal benign lower-back pain compared to a back pain related to spinal tumors? More precisely, in the case of spinal tumors, is the pain also only based on certain movements that a person does? Or, is the pain always occuring in the background irregardless of movements a person is doing?

2) Moreover, the symptoms that I have had in relation to my backpain have been lasting for around 4 years. During these 4 years, I have had no additional symptoms such as numbness etc. In the case of spinal tumors, would it be possible for a spinal tumor to exist without any additional symptoms such as numbness, tingling, and/or bowel problems etc? More precisely, does the fact that during these 4 years I have not had any other additional symptom indicate that the cause of my back pain is benign in nature? Or not? Please be precise in your answer

3) Lastly, can you please provide more information on what would actually cause you suspcion that a person has a spinal tumor? So generally, in which cases would you have a good gut feeling that the symptoms are "benign" and in which cases would you be "worried" that it might be a spinal tumor behind?

Please elaborate as much as you can,
Looking forward your answer

Regards,
doctor
Answered by Dr. Olgeta Xhufka (6 hours later)
Brief Answer:
See details below.

Detailed Answer:
Hello dear and thank you for asking again.
1) The back pain which occurs after certain movements is most likely caused by degenerative disc disease.
Spinal tumors pain happens despite movement and gets worse at night.
2) Back pain caused by spinal tumors is persistent and progressive which means it gets worse with time and your back pain is almost the same during this four years.
Tumor related back pain also may give numbness and weakness in legs which you are not having. You also don't have other symptoms such nausea, vomiting or dizziness.
3) I would suspect if someone can have tumor related back pain if the pain is progressively getting worse , causing numbness and weakness. Also if persons have difficulty controlling bowel movements and bladder.
Also if the person has previous history of cancer .
Doing an MRI is needed to check your spine.
Let me know if I can assist you further.
Regards.
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Olgeta Xhufka (0 minute later)
Brief Answer:
See details below.

Detailed Answer:
Hello dear and thank you for asking again.
1) The back pain which occurs after certain movements is most likely caused by degenerative disc disease.
Spinal tumors pain happens despite movement and gets worse at night.
2) Back pain caused by spinal tumors is persistent and progressive which means it gets worse with time and your back pain is almost the same during this four years.
Tumor related back pain also may give numbness and weakness in legs which you are not having. You also don't have other symptoms such nausea, vomiting or dizziness.
3) I would suspect if someone can have tumor related back pain if the pain is progressively getting worse , causing numbness and weakness. Also if persons have difficulty controlling bowel movements and bladder.
Also if the person has previous history of cancer .
Doing an MRI is needed to check your spine.
Let me know if I can assist you further.
Regards.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Olgeta Xhufka (2 days later)
Thanks for your detailed response. I will definately check up with my doctor as in regards to getting an MRI scan to check the root of this. I have an appointment by 23 September, so I will push for this.

So to summarize, if I understood everything correctly, because of the fact that I have not have had any additional symptoms such as numbness/weakness/bowel/bladder weakness this means that the pain is most likely benign?

Lastly a final though I was wondering about, how fast does spinal tumors usually progress in terms of symptoms? I know that this depends on the situation on how agressive the tumor is etc, but on average are we talking weeks? Months? Years? Is it normal to span 5+ years for example?
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Follow up: Dr. Olgeta Xhufka (0 minute later)
Thanks for your detailed response. I will definately check up with my doctor as in regards to getting an MRI scan to check the root of this. I have an appointment by 23 September, so I will push for this.

So to summarize, if I understood everything correctly, because of the fact that I have not have had any additional symptoms such as numbness/weakness/bowel/bladder weakness this means that the pain is most likely benign?

Lastly a final though I was wondering about, how fast does spinal tumors usually progress in terms of symptoms? I know that this depends on the situation on how agressive the tumor is etc, but on average are we talking weeks? Months? Years? Is it normal to span 5+ years for example?
doctor
Answered by Dr. Olgeta Xhufka (9 hours later)
Brief Answer:
Doesn't seem related to spinal tumors.

Detailed Answer:
Hello dear and thank you for asking again.
Having other symptoms despite pain such numbness,muscle weakness, difficulty on controlling bowel and bladder may be symptoms of spinal cancer.
The exact time which is symptoms need to progress from simple mild pain to more complicated depends on type of tumor. It may need weeks to years.
You have 5 years and symptoms are not progressing so it is not likely to be spinal tumor.
Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Olgeta Xhufka (0 minute later)
Brief Answer:
Doesn't seem related to spinal tumors.

Detailed Answer:
Hello dear and thank you for asking again.
Having other symptoms despite pain such numbness,muscle weakness, difficulty on controlling bowel and bladder may be symptoms of spinal cancer.
The exact time which is symptoms need to progress from simple mild pain to more complicated depends on type of tumor. It may need weeks to years.
You have 5 years and symptoms are not progressing so it is not likely to be spinal tumor.
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. Nagamani Ng
doctor
Answered by
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Dr. Olgeta Xhufka

General & Family Physician

Practicing since :2011

Answered : 10166 Questions

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Hello, I Have A Question In Regards To My Lower

Hello, I have a question in regards to my lower back pain. I have had a lower back pain in my lower-left area of my back for around 3-4 years now. The pain is sortof in the