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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Sharp Lower Back Pain?

I have lumbar spine pain. It came on all of a sudden this morning. I wasn t bending, lifting or anything. It felt/feels Like a knife is in there being twisted anytime I move. The furthest it shoots is to both hips from my spine. I have tried muscle relaxers and pain medication as well as ibuprofen to be sure it wasn t a strained muscle or anything. Next step is ER. What should I do. Never mind. I don t have the money for this. Thanks
Wed, 30 Sep 2015
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Radiologist,  's  Response
Hello

Persistent low back pain may be due to many reasons like inter-vertebral disc prolapse in L/S spine,hypothyroidism,low calcium and vitamin D level,muscle spasm etc.
You may need clinical correlation and investigations.
Investigations include routine hemogram,random blood sugar,liver and renal function test,thyroid profile,vitamin D and calcium level estimation,urine RE/ME,X-ray of L/S pine (AP/lateral view).MRI of L/S spine can also be done after evaluation.
MRI can assess nerve roots,disc prolapse etc which are very helpful in management.
Proper treatment depend upon findings.

Get well soon.
Take Care
Dr.Indu Bhushan
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What Causes Persistent Sharp Lower Back Pain?

Hello Persistent low back pain may be due to many reasons like inter-vertebral disc prolapse in L/S spine,hypothyroidism,low calcium and vitamin D level,muscle spasm etc. You may need clinical correlation and investigations. Investigations include routine hemogram,random blood sugar,liver and renal function test,thyroid profile,vitamin D and calcium level estimation,urine RE/ME,X-ray of L/S pine (AP/lateral view).MRI of L/S spine can also be done after evaluation. MRI can assess nerve roots,disc prolapse etc which are very helpful in management. Proper treatment depend upon findings. Get well soon. Take Care Dr.Indu Bhushan