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Discomfort In Lower Back. Tests Were Normal, Advised Therapeutic Exercise But Still Paining. Suggest?

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Posted on Thu, 24 Oct 2013
Question: Hello,
I am expereincing discomfort in the the lower back area. This have being bothering me for a while - for over 6 months. A recent diagnosis by an Orthopedic doctor show that everything was normal and I was prescribed one simple theraputic exercise. In the past two weeks the discomfort has increased. I feel fine when I am walking or standing, but sitting in onle place for more than 30 mins seems to aggravte the problem. I also feel the discomfort when I lie down irrespective of the position. I have been doing core and lower back exercises for over a month and I so a walk + run for 30 mins atleat 3 times a week.
doctor
Answered by Dr. Shanthi E (3 hours later)
Brief Answer:
MRI spine would be ideal

Detailed Answer:
Hi XXXXXXX

It seems like the problem of your lower back is becoming bothersome to you.

It has been there for 6 months now.

In such a case, I would advise my patient to undergo an MRI of the lower back to rule out spinal disc herniation, if any. I would advise you the same.

Please go ahead and get this test done. You could discuss about the report here, once you get it.

I wish you quick recovery.




Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shanthi E (44 hours later)
Thnak you for your response Dr. Shanthi. I have a copule more questions.

As a part of a stretching routine before a jog/run, I raise my knees and bring them up close to the chest. As I go back to the standing position again, I can feel/hear "click" in the lower back or hip area. It feels like something moved in a socket. Is this normal? or could this be related to what I am already experiencing?

Assuming that I have a minor lower back condition, whould jogging ~5 km each day 3 days a week casue damage or wear on the muscles/tendons/ligaments connected to or around the knee?

When I go to the diagnostic center for an MRI do I just ask for a lower back MRI, or is there a technical name for the position or region they have to scan?

Thanks.
--
XXXXX
doctor
Answered by Dr. Shanthi E (19 hours later)
Brief Answer:
detailed below

Detailed Answer:
Hi XXXXXXX

Here are your answers to the follow up queries:

1. No, I do not think this 'click' sound is normal. In my view, it is related to already existing problem. I would suggest you to stop this stretching exercise for a while, and give rest to your back.

2. You can continue to jog. This would not cause any damage or wear and tear on the muscles/tendons/ligaments around the knee joint. In fact, jogging helps to strengthen these.

3. You could ask for a MRI of the lumbo-sacral spine in all views. This would be ideal to locate the problem.

Hope this information helps you. Sorry for my delayed response.

Wish you quick recovery.

Regards,
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Shanthi E

General & Family Physician

Practicing since :2005

Answered : 2482 Questions

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Discomfort In Lower Back. Tests Were Normal, Advised Therapeutic Exercise But Still Paining. Suggest?

Brief Answer:
MRI spine would be ideal

Detailed Answer:
Hi XXXXXXX

It seems like the problem of your lower back is becoming bothersome to you.

It has been there for 6 months now.

In such a case, I would advise my patient to undergo an MRI of the lower back to rule out spinal disc herniation, if any. I would advise you the same.

Please go ahead and get this test done. You could discuss about the report here, once you get it.

I wish you quick recovery.