I Have A Very Complicated Medical History. I Have This
Will need extensive evaluation
Hello, I'm Dr. Branch, thanks for using 'Ask a Doctor'. Typically lower back pain is caused by musculoskeletal causes, in which case conservative management is recommended initially, with pain control (such as with Tylenol, Ibuprofen, and possibly other pain medications such as cyclobenzaprine) and physical therapy. If you are still having pain, x-rays may be done, as well as blood tests to check for inflammation that might be going on and be related to the back pain.
During the initial evaluation, if there was any concern for cancer or infection, imaging may be considered at that point, either with x-rays, or possibly with an MRI of the spine. Also, if any neurological damage was seen on examination, an MRI would likely be considered.
Rarely, a patient may have damage to the spine that would justify considering other interventions, such as spine injections or even surgery. Usually this would only be considered after conservative management has been tried for several months at least.
I hope that helps, please let me know if you have any other questions about that, and I would be glad to discuss it with you further. Also, if you would like to tell me more about your history, I may be able to give you more specific information for your situation.