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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Back Pain And Tightness?

I have been having back pains and tightness for over a year now, but the pain has drastically got worse the past month. I have also noticed a lump under my skin in the lumbar section of my spine a few months ago, about nickel size. I can move the lump around with my fingers. I went to a family practitioner and he took x rays and says I have a slight curve in my lumbar (scoliosis) and that the lump is a cyst. He also told me that I need to change career field due to my back problems. I am an HVAC technician so my job is physically demanding. Should I get a second opinion? Does his diagnoses sound right? Should I find a new career? So many questions.
Fri, 2 May 2014
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Sports Medicine Specialist,  's  Response
Advising a career change right off the back is certainly jumping the gun. This type of fatty cyst, if it is indeed a "lipoma" is very common, and if it is too tender to lie on, then it can be removed in a simple surgical procedure. You should have x-rays and MRI's of the lumbar spine for further evaluation before any grand statements about career should even be considered. Definitely get another opinion. And physical therapy should be tried also.
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How To Treat Back Pain And Tightness?

Advising a career change right off the back is certainly jumping the gun. This type of fatty cyst, if it is indeed a lipoma is very common, and if it is too tender to lie on, then it can be removed in a simple surgical procedure. You should have x-rays and MRI s of the lumbar spine for further evaluation before any grand statements about career should even be considered. Definitely get another opinion. And physical therapy should be tried also.