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What causes pain between the lower rib and the top of the pelvic bone?

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Posted on Mon, 28 Jul 2014
Question: My pain is located on the right side between the lower rib and the top of the pelvic(?) bone. Sometimes the pain feels like it radiates inward. I can stand on my feet for up to 10 or 15 minutes, then I hurt so bad that I have to sit down. I have been getting treatment from a local pain clinic which is infusions into the cup-like area on either side of the spine itself., with no relief of systems. They have reached a point that my only options is medication to control the pain. Meds help a lot at night. I don't take them in the daytime because I don't like to be drugged. I have had a broken vertebrae near the lower part of my sping, which is now arthritic.
doctor
Answered by Dr. Saurabh Gupta (1 hour later)
Brief Answer:
You need to get an MRI scan of the area done.

Detailed Answer:
Hello,
Thanks for your query.

It seems you are suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis.

You need to get an MRI scan of the area done and consult a neurophysician for proper diagnosis and treatment.

The main treatment of such pain is bed rest along with pain killers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic.
You can get the appropriate drugs prescribed from your doctor after examination.

Meanwhile you can follow these measures:
- If the pain is severe, you need bed rest till the pain resolves.
- Get some analgesics prescribed and apply analgesic spray or ointments.
- While resting, keep a pillow under your knees if it doesn't bother you.
- Avoid lifting heavy objects.
- Back strengthening exercises and stretching exercises daily as advised by a Physiotherapist.
- Avoid exercises in times of pain.
- Improvise your posture while sitting.
- Using an LS contour belt of appropriate size might be helpful in providing support to back muscles.
Also, maintain a proper posture while working, sitting and standing. Keep your back straight.
Physiotherapy plays a major role in treating such conditions

I do hope that you have found something helpful and I will be glad to answer any further query.

Take care

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Saurabh Gupta (16 hours later)
I have seen doctor(s). In my aarea the only doctors they would refer me to is one who specializes in treating pain. Their orthopedic clinic does not take patients with back problems. The broken vertebrae is very old....I can only think of one instance where I fell hard enough to do that kind of damage when I was holding my baby in my arms and slipped on some black ice. I fell very hard because I didn't want to hurt my baby, so couldn't catch myself at all. I have wondered if scoliosis in the upper back could cause pain in my lower back. What is an LS contoure belt? Is it prescribed by doctor or purchased from a medical supply company? Thanks for your input. I appreciate it.
doctor
Answered by Dr. Saurabh Gupta (16 hours later)
Brief Answer:
LS contour belt is for Lumber Sacro Support

Detailed Answer:
Hi,

Scoliosis in the upper back could cause pain in my lower back.

LS contour belt is for Lumber Sacro Support. It helps in immobilizing the sacral and lumbar regions in the most effective manner and offer the best protective support.
You can purchase it from a medical supply company.

Wishing you speedy recovery.

Warm regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Saurabh Gupta

Orthopaedic Surgeon, Joint Replacement

Practicing since :2004

Answered : 5930 Questions

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What causes pain between the lower rib and the top of the pelvic bone?

Brief Answer: You need to get an MRI scan of the area done. Detailed Answer: Hello, Thanks for your query. It seems you are suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis. You need to get an MRI scan of the area done and consult a neurophysician for proper diagnosis and treatment. The main treatment of such pain is bed rest along with pain killers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic. You can get the appropriate drugs prescribed from your doctor after examination. Meanwhile you can follow these measures: - If the pain is severe, you need bed rest till the pain resolves. - Get some analgesics prescribed and apply analgesic spray or ointments. - While resting, keep a pillow under your knees if it doesn't bother you. - Avoid lifting heavy objects. - Back strengthening exercises and stretching exercises daily as advised by a Physiotherapist. - Avoid exercises in times of pain. - Improvise your posture while sitting. - Using an LS contour belt of appropriate size might be helpful in providing support to back muscles. Also, maintain a proper posture while working, sitting and standing. Keep your back straight. Physiotherapy plays a major role in treating such conditions I do hope that you have found something helpful and I will be glad to answer any further query. Take care