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What Causes Severe Pain In The Lower Back Sacrum Area In Morning?

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Posted on Mon, 4 Jul 2016
Question: I am a 74 year old male. For several months, I have had severe pain in the sacrum area upon waking in the morning. The heart of the pain is slightly on the right side of center. The pain seems to ease later in the day but it seems to be persisting longer into the day. In the early AM it is almost impossible for me to bend down to pick up something. My regulare doctore dismissed this as Arthritis after having an x-ray taken. I am concerned that it may be something more serious. What do you think that I should do?
XXXXXXX K
doctor
Answered by Dr. Ronald Schubert (14 minutes later)
Brief Answer:
SI joint dysfinction

Detailed Answer:
Thank you for contacting HCM with your health care concerns

I am sorry to hear that you are having pain in the lower back sacrum area. This is called sacroilitis or SI joint dysfunction. The last segments of the spine called the sacrum attaches to the pelvic bones and that area does move and can get arthritis. There is very little one can do other than NSAIDs massage therapy and physical therapy. This condition is treatable and will wax and wane depending on your activity levels. I do not think there is anything dangerous going on here because there is no other condition that affects the sacrum.

In summary
1. SI joint dysfunction or sacroilitis
2. Massage therapy
3. Physical therapy
4. NSAIDs like ibuprofen
5. If no improvement after these therapies then see your medical provider again for further investigation to the cause of the pain and possible alternative therapy like injections

I hope I answered your question. Please contact us again if you have any additional questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ronald Schubert (2 hours later)
Can this condition be aggravated by sleeping position or a mattress that is soft?
XXXXXXX
doctor
Answered by Dr. Ronald Schubert (12 minutes later)
Brief Answer:
Sleeping position will affect pain

Detailed Answer:
Yes sleeping on a too soft bed will aggravate the pain. A good firm mattress or a memory foam type mattress would help reduce the pain
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
Dr.
Dr. Ronald Schubert

General & Family Physician

Practicing since :1984

Answered : 2407 Questions

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What Causes Severe Pain In The Lower Back Sacrum Area In Morning?

Brief Answer: SI joint dysfinction Detailed Answer: Thank you for contacting HCM with your health care concerns I am sorry to hear that you are having pain in the lower back sacrum area. This is called sacroilitis or SI joint dysfunction. The last segments of the spine called the sacrum attaches to the pelvic bones and that area does move and can get arthritis. There is very little one can do other than NSAIDs massage therapy and physical therapy. This condition is treatable and will wax and wane depending on your activity levels. I do not think there is anything dangerous going on here because there is no other condition that affects the sacrum. In summary 1. SI joint dysfunction or sacroilitis 2. Massage therapy 3. Physical therapy 4. NSAIDs like ibuprofen 5. If no improvement after these therapies then see your medical provider again for further investigation to the cause of the pain and possible alternative therapy like injections I hope I answered your question. Please contact us again if you have any additional questions