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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is My Lower Back Pain Serious? Suggest Treatment

Hi I recently had lower back pain which lasted for more than a month! On taking the Xray, it showed Sacralization of L5 and mild lumbar scoliosis convex to the left with a+1 vertebral rotation at apex of the curve.
Is it a very serious problem and what is the remedy for this problem.
Mon, 10 Nov 2014
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General & Family Physician 's  Response
Sacralisation of lower lumbar vertebrae like L5 means gradual fusion of the lower lumbar vertebrae as in case of the sacrum where the vertebrae are already fused. Otherwise there is some degree of movement between the lumbar vertebrae. As a result of such fusion scoliosis or a lateral curvature of the spine may occur and the nerves exiting from the two sides of the lumbar vertebrae get compressed resulting in pain. Since it is age dependant degenerative lesion, not much can be done and there is definitely some cause of concern. Please be in the follow up of an orthopedician. Traction and physical therapy with ultrasonotherapy and hot compress should give you relief. Surgery is required in extreme cases but you need not panic as of now.
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Is My Lower Back Pain Serious? Suggest Treatment

Sacralisation of lower lumbar vertebrae like L5 means gradual fusion of the lower lumbar vertebrae as in case of the sacrum where the vertebrae are already fused. Otherwise there is some degree of movement between the lumbar vertebrae. As a result of such fusion scoliosis or a lateral curvature of the spine may occur and the nerves exiting from the two sides of the lumbar vertebrae get compressed resulting in pain. Since it is age dependant degenerative lesion, not much can be done and there is definitely some cause of concern. Please be in the follow up of an orthopedician. Traction and physical therapy with ultrasonotherapy and hot compress should give you relief. Surgery is required in extreme cases but you need not panic as of now.