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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Can Cause Pain In Lower Back?

I have had a MRI on my lower back and while it showed DDD and arthritis it does not show any disc compression or bulging. I had C5-C7 replaced in January 2013 with a plate and new bone. I am wondering if an X Ray while i am standing up will give a different picture of why I am having extreme pain when standing? Any suggestions
Tue, 10 Feb 2015
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General & Family Physician,  's  Response
Hi,
The DDD must be causing the pain in your lower back. Sometimes it may cause instability in your spine and this doesn't show up in a MRI as you are basically lying down. To diagnose that, you generally need 3 X-rays in standing position. The first is called an AP X-ray where basically the rays pass from your front to back and give a picture of your lumbosacral spine. The other two are called dynamic X-rays which are taken from the side (lateral) while you bend forward (flexion) and backward (extension). This might show the reason why you are having pain on standing. You should discuss it with your physician and schedule them. Meanwhile if the pain is severe, you can start taking over-the-counter Tylenol; provided you are not allergic to it and not consuming alcohol too during that period.
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What Can Cause Pain In Lower Back?

Hi, The DDD must be causing the pain in your lower back. Sometimes it may cause instability in your spine and this doesn t show up in a MRI as you are basically lying down. To diagnose that, you generally need 3 X-rays in standing position. The first is called an AP X-ray where basically the rays pass from your front to back and give a picture of your lumbosacral spine. The other two are called dynamic X-rays which are taken from the side (lateral) while you bend forward (flexion) and backward (extension). This might show the reason why you are having pain on standing. You should discuss it with your physician and schedule them. Meanwhile if the pain is severe, you can start taking over-the-counter Tylenol; provided you are not allergic to it and not consuming alcohol too during that period.