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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Lower Back Pain

Hi i twisted my back in the tub and have chronic pain in the lower back, now im havin problems walking long periods of time and 25stairs. X ray findings- There is a grade 1 anterior subluxation of L5 on S1 with bilateral facet hypertrophoy at this level. There is minimal spondylosis in the lumbar spine which is otherwise unremarkable. My Mri was said to be normal.
Wed, 25 Mar 2015
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Orthopaedic Surgeon,  's  Response
hi
as x ray suggests, L1 slipped in front of S1, it could be recent or maybe a condition present idiopathically called spondylolisthesis since many years and hurting or trivial falls/twisting can diarrange soft tissue ligaments causing pain to persist.hypertropic facets are of long duration.It becomes significant if nerve pain radiates down to legs or thighs, which is not in your case. Back muscle strengthening exercises, avoiding bending and lifting weights,wearing a lumbo-sacral brace for support during day, hot fomentation, application of muscle relaxant gel/cream locally may be helpful
Best wishes
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Suggest Treatment For Severe Lower Back Pain

hi as x ray suggests, L1 slipped in front of S1, it could be recent or maybe a condition present idiopathically called spondylolisthesis since many years and hurting or trivial falls/twisting can diarrange soft tissue ligaments causing pain to persist.hypertropic facets are of long duration.It becomes significant if nerve pain radiates down to legs or thighs, which is not in your case. Back muscle strengthening exercises, avoiding bending and lifting weights,wearing a lumbo-sacral brace for support during day, hot fomentation, application of muscle relaxant gel/cream locally may be helpful Best wishes